{"title":"盆底物理治疗和社会支持改变尿失禁的自我认知和自我管理：一项定性描述性研究。","authors":"Sarah Fraser, Kadia St-Onge, Kenneth Southall, Melanie Morin, Lauriane Forest, Chantale Dumoulin","doi":"10.3138/ptc-2023-0072","DOIUrl":null,"url":null,"abstract":"<p><p><b><i>Purpose:</i></b> The aim of this study was to explore how social support during a pelvic floor muscle training (PFMT) programme, performed in a group or individually, influences the perceptions of older women with urinary incontinence (UI) regarding their condition and self-management. <b><i>Method:</i></b> This qualitative study was conducted with a subset of participants (<i>n</i> = 15), who had completed a large randomized controlled trial (RCT) on PFMT for UI. Incontinent older women participated in individual semi-structured interviews about their self-perceptions, self-management, and social support. Interviews were audio recorded and transcribed and content analysis was conducted. <b><i>Results:</i></b> Four inter-related categories emerged describing how social support positively influenced UI self-perceptions and self-management. These four categories were: (1) point of entry, (2) safe space, (3) concealment to disclosure, and (4) change in perspective. <b><i>Conclusions:</i></b> Social support within a PFMT programme helps women with UI improve their UI self-perception and self-management. The PFMT programme itself can also improve seeking of social supports for women with UI.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"77 1","pages":"7-17"},"PeriodicalIF":0.8000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392843/pdf/","citationCount":"0","resultStr":"{\"title\":\"Changing Self-Perceptions and Self-Management of Urinary Incontinence with Pelvic Floor Physiotherapy and Social Support: A Qualitative Descriptive Study.\",\"authors\":\"Sarah Fraser, Kadia St-Onge, Kenneth Southall, Melanie Morin, Lauriane Forest, Chantale Dumoulin\",\"doi\":\"10.3138/ptc-2023-0072\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b><i>Purpose:</i></b> The aim of this study was to explore how social support during a pelvic floor muscle training (PFMT) programme, performed in a group or individually, influences the perceptions of older women with urinary incontinence (UI) regarding their condition and self-management. <b><i>Method:</i></b> This qualitative study was conducted with a subset of participants (<i>n</i> = 15), who had completed a large randomized controlled trial (RCT) on PFMT for UI. Incontinent older women participated in individual semi-structured interviews about their self-perceptions, self-management, and social support. Interviews were audio recorded and transcribed and content analysis was conducted. <b><i>Results:</i></b> Four inter-related categories emerged describing how social support positively influenced UI self-perceptions and self-management. These four categories were: (1) point of entry, (2) safe space, (3) concealment to disclosure, and (4) change in perspective. <b><i>Conclusions:</i></b> Social support within a PFMT programme helps women with UI improve their UI self-perception and self-management. The PFMT programme itself can also improve seeking of social supports for women with UI.</p>\",\"PeriodicalId\":54606,\"journal\":{\"name\":\"Physiotherapy Canada\",\"volume\":\"77 1\",\"pages\":\"7-17\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392843/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physiotherapy Canada\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3138/ptc-2023-0072\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/11/6 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Canada","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3138/ptc-2023-0072","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/6 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"REHABILITATION","Score":null,"Total":0}
Changing Self-Perceptions and Self-Management of Urinary Incontinence with Pelvic Floor Physiotherapy and Social Support: A Qualitative Descriptive Study.
Purpose: The aim of this study was to explore how social support during a pelvic floor muscle training (PFMT) programme, performed in a group or individually, influences the perceptions of older women with urinary incontinence (UI) regarding their condition and self-management. Method: This qualitative study was conducted with a subset of participants (n = 15), who had completed a large randomized controlled trial (RCT) on PFMT for UI. Incontinent older women participated in individual semi-structured interviews about their self-perceptions, self-management, and social support. Interviews were audio recorded and transcribed and content analysis was conducted. Results: Four inter-related categories emerged describing how social support positively influenced UI self-perceptions and self-management. These four categories were: (1) point of entry, (2) safe space, (3) concealment to disclosure, and (4) change in perspective. Conclusions: Social support within a PFMT programme helps women with UI improve their UI self-perception and self-management. The PFMT programme itself can also improve seeking of social supports for women with UI.
期刊介绍：
Physiotherapy Canada is the official, scholarly, refereed journal of the Canadian Physiotherapy Association (CPA), giving direction to excellence in clinical science and reasoning, knowledge translation, therapeutic skills and patient-centred care.
Founded in 1923, Physiotherapy Canada meets the diverse needs of national and international readers and serves as a key repository of inquiries, evidence and advances in the practice of physiotherapy.
Physiotherapy Canada publishes the results of qualitative and quantitative research including systematic reviews, meta analyses, meta syntheses, public/health policy research, clinical practice guidelines, and case reports. Key messages, clinical commentaries, brief reports and book reviews support knowledge translation to clinical practice.
In addition to delivering authoritative, original scientific articles and reports of significant clinical studies, Physiotherapy Canada’s editorials and abstracts are presented in both English and French, expanding the journal’s reach nationally and internationally. Key messages form an integral part of each research article, providing a succinct summary for readers of all levels. This approach also allows readers to quickly get a feel for ‘what is already known’ and ‘what this study adds to’ the subject.
Clinician’s commentaries for key articles assist in bridging research and practice by discussing the article’s impact at the clinical level. The journal also features special themed series which bring readers up to date research supporting evidence-informed practice.
The Canadian Physiotherapy Association (CPA) is the national professional association representing almost 15,000 members distributed throughout all provinces and territories. CPA’s mission is to provide leadership and direction to the physiotherapy profession, foster excellence in practice, education and research, and promote high standards of health in Canada.
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