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伊朗养老院老年男性的自我护理方案对尿失禁和自尊的影响。

The effect of a self-care programme on urinary incontinence and self-esteem in elderly men dwelling in nursing homes in Iran.

机构信息

Student Research Committee, Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical sciences, Ilam, Iran.

Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.

出版信息

Aging Male. 2020 Dec;23(5):687-693. doi: 10.1080/13685538.2019.1573891. Epub 2019 Feb 15.

DOI:10.1080/13685538.2019.1573891
PMID:30767639
Abstract

INTRODUCTION

Whilst self-care programme involving comprehensive lifestyle plans including physical and behavioural interventions have reported positive outcomes for the aged suffering from urinary incontinence (UI), very few programmes have been implemented amongst Iranian nursing home residents, particularly in men.

OBJECTIVES

The aim of this study was to examine the effect of a self-care programme on UI and self-esteem in elderly men dwelling in nursing homes in Iran.

MATERIALS AND METHODS

Sixty-one elderly men (aged 60-75 years of age), at two different sites and living in nursing homes in the west of Iran, suffering from urinary incontinence were included in this study. Participants were selected using convenience sampling based on selected and randomized criteria in experimental and control groups. Data collection tools included Mini-Mental State Examination (MMSE), Rosenberg Self-Esteem Scale Questionnaire (RSES), International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and demographic information form. Data were analysed using SPSS vesion18 (SPSS Inc., Chicago, IL).

RESULTS

A significant decrease in the mean scores of ICIQ-SF in the experimental group compared with the control group following intervention ( < .001). Furthermore, a significant increase was observed in self-esteem in the experimental group compared to the control group ( < .001).

CONCLUSION

The study findings demonstrate that the self-care programme significantly reduced UI in elderly men living in nursing homes, and that this in turn contributed to boosting their self-esteem. Implementing such an intervention has shown to be useful in managing both UI and improving self-esteem in this patient population.

摘要

介绍

虽然涉及全面生活方式计划的自我保健方案,包括身体和行为干预,已经报告了对患有尿失禁(UI)的老年人的积极结果,但在伊朗的养老院居民中,特别是在男性中,很少有方案得到实施。

目的

本研究旨在探讨自我保健方案对伊朗养老院中患有 UI 的老年男性的 UI 和自尊的影响。

材料和方法

本研究纳入了 61 名年龄在 60-75 岁之间、患有 UI 的老年男性(来自伊朗西部的两个不同地点的养老院)。参与者是根据实验组和对照组的选定和随机标准,使用方便抽样选择的。数据收集工具包括简易精神状态检查表(MMSE)、罗森伯格自尊量表问卷(RSES)、国际尿失禁咨询问卷-简短形式(ICIQ-SF)和人口统计学信息表。数据使用 SPSS vesion18(SPSS Inc.,芝加哥,IL)进行分析。

结果

干预后实验组的 ICIQ-SF 平均得分与对照组相比显著下降(<0.001)。此外,实验组的自尊与对照组相比显著增加(<0.001)。

结论

研究结果表明,自我保健方案可显著降低养老院中男性老年人的 UI,从而提高他们的自尊。实施这种干预措施已被证明对管理 UI 和改善该患者群体的自尊非常有用。

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