尿失禁自我管理计划对韩国社区居住的老年妇女影响的多站点研究。

IF 1.7 3区 医学 Q2 NURSING
Sunah Park, Aeyoung So
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引用次数: 0

摘要

目的:本研究旨在评估尿失禁(UI)自我管理计划对社区老年妇女尿失禁症状、知识和自我效能的影响:设计:1 组前测后测设计:受试者从韩国农村地区忠清南道的 14 个初级保健站(PHCPs)中招募。共有 163 名妇女参加了为期 5 个疗程的尿失禁自我管理项目:尿失禁自我管理项目于2016年5月至11月期间在14个PHCP依次开展。每个初级保健中心有6至22名妇女参加了该项目。该项目包括每周90分钟的课程,共进行5周。每节课包括关于尿失禁的讲座、反思性讨论、盆底肌肉训练和布置家庭作业(练习和每日膀胱日记)。主要结果变量采用国际尿失禁咨询问卷-简表(ICIQ-SF)、尿失禁知识量表(UIKS)和老年尿失禁自我效能指数(GSE-UI)进行测量,并在干预前后进行测量。对数据进行了描述性统计和Wilcoxon符号秩检验分析:干预后,ICIQ-SF 分数明显下降,表明尿失禁严重程度有所改善(前测:6.64 [SD 6.15],后测:4.76 [SD 5.08],P = .001),UIKS 分数明显上升(前测:15.69 [SD 6.36],后测:15.69 [SD 6.36],P = .001):UIKS(前测:15.69 [SD 6.36],后测:23.14 [SD 5.54],P = .001)和 GSE-UI(前测:75.34 [SD 31.80],[后测:86.20 [SD 27.06],P = .001)得分均有显著提高:尿失禁自我管理计划改善了社区老年妇女的尿失禁症状、知识和自我效能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Multisite Study on the Effect of a Urinary Incontinence Self-Management Program on Community-Dwelling Older Women in Korea.

Purpose: The purpose of this study was to evaluate the effects of a urinary incontinence (UI) self-management program on UI symptoms, knowledge, and self-efficacy in community-dwelling older women.

Design: A 1-group pretest-posttest design.

Subjects and setting: Participants were recruited from 14 primary healthcare posts (PHCPs) in South Chungcheong Province, rural South Korea. A total of 163 women participated in a 5-session UI self-management program.

Methods: The UI self-management program was sequentially conducted across 14 PHCPs between May and November 2016. In each PHCP, 6 to 22 women participated in the program. The program consisted of weekly 90-minute sessions that were conducted across 5 weeks. Each session included a lecture on UI, reflective discussion, pelvic floor muscle training, and the assignment of homework (exercises and a daily bladder diary). Main outcome variables were measured using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Urinary Incontinence Knowledge Scale (UIKS), and Geriatric Self-Efficacy Index for Urinary Incontinence (GSE-UI), which were administered before and after the intervention. Descriptive statistics were computed, and Wilcoxon signed-rank tests analyzed the data.

Results: The intervention resulted in a significant decrease in the ICIQ-SF scores, which was indicative of improvement in UI severity (pretest: 6.64 [SD 6.15], posttest: 4.76 [SD 5.08], P = .001), significant increases in the UIKS (pretest: 15.69 [SD 6.36], posttest: 23.14 [SD 5.54], P = .001] and GSE-UI (pretest: 75.34 [SD 31.80], [posttest: 86.20 [SD 27.06], P = .001) scores.

Conclusions: The UI self-management program improved UI symptoms, knowledge, and self-efficacy among community-dwelling older women.

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来源期刊
CiteScore
3.10
自引率
34.60%
发文量
186
审稿时长
6-12 weeks
期刊介绍: ​​The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care. The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.
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