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伊朗南部的一项研究表明,盆底肌训练培训可改善老年女性尿失禁的严重程度和生活质量,并提高其社会参与度。

Training of Pelvic Floor Muscle Training Improves the Severity and Quality of Urine Incontinence and Increases Social Participation of Older Women in Southern Iran.

机构信息

Department of Health Promotion & Aging, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Midwifery, School of Nursing & Midwifery, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Curr Aging Sci. 2024;17(1):68-73. doi: 10.2174/1874609816666230816125026.

Abstract

BACKGROUND

Aging and gender are risk factors for urine incontinence, which can lead to psychological, physical, and social complications.

OBJECTIVE

This community-based study investigates the effectiveness of pelvic floor muscle training on the severity and quality of urine incontinence and social participation of older women.

METHODS

This quasi-experimental community-based study was performed with the participation of 60 older women referring to the Public Health Center in Kerman City, southern Iran. The experiment group was trained with pelvic floor muscle training in 7 training sessions with distance health education in the second half of 2021. Before and after the intervention, data were collected based on: demographic, severity and quality of urine incontinence, and social participation inventories. Data were analyzed using a t-test and ANOVA (P ≤ 0.05).

RESULTS

The mean scores of severity and quality of urine incontinence and social participation in the experiment and control groups before receiving the intervention were not statistically significant (P ≥ 0.05). But after that, a statistically significant difference was observed between the groups (P <0.05), which showed an improvement in the severity and quality of urine incontinence scores as well as SP in the experiment group.

CONCLUSIONS

Tele-training of the Kegel exercise, even during the pandemic, can play an important role in improving incontinence and social participation in older women. Therefore, this training can be used to prevent and improve urine incontinence in public health centers in the community.

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摘要

背景

衰老和性别是尿失禁的风险因素,可导致心理、身体和社会并发症。

目的

本基于社区的研究调查了骨盆底肌肉训练对老年女性尿失禁严重程度和质量以及社会参与的影响。

方法

本半实验性基于社区的研究纳入了 2021 年下半年在伊朗克尔曼市公共卫生中心就诊的 60 名老年女性。实验组接受 7 次骨盆底肌肉训练,同时进行远程健康教育。在干预前后,根据以下内容收集数据:人口统计学资料、尿失禁严重程度和质量以及社会参与量表。使用 t 检验和 ANOVA 进行数据分析(P ≤ 0.05)。

结果

在接受干预之前,实验组和对照组的尿失禁严重程度和质量以及社会参与的平均评分无统计学差异(P ≥ 0.05)。但干预后,组间有统计学差异(P <0.05),实验组的尿失禁严重程度和质量评分以及 SP 均有所改善。

结论

即使在疫情期间,远程进行凯格尔运动训练也可以在改善老年女性的尿失禁和社会参与方面发挥重要作用。因此,这种训练可以在社区公共卫生中心用于预防和改善尿失禁。

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