Sunah Park, PhD, RN, Department of Nursing, Gangneung-Wonju National University, Wonju-si, Gangwon-do, South Korea.
Aeyoung So, PhD, MPH, RN, Department of Nursing, Gangneung-Wonju National University, Wonju-si, Gangwon-do, South Korea.
J Wound Ostomy Continence Nurs. 2024;51(1):61-65. doi: 10.1097/WON.0000000000001036.
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.
A 1-group pretest-posttest design.
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.
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.
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.
The UI self-management program improved UI symptoms, knowledge, and self-efficacy among community-dwelling older women.
本研究旨在评估尿失禁（UI）自我管理方案对社区居住的老年女性 UI 症状、知识和自我效能的影响。
单组前后测试设计。
参与者从韩国忠清南道农村的 14 个初级保健站（PHCP）招募。共有 163 名女性参加了 5 节 UI 自我管理课程。
2016 年 5 月至 11 月，在 14 个 PHCP 中依次开展 UI 自我管理方案。在每个 PHCP 中，有 6 至 22 名女性参加了该方案。该方案包括每周 90 分钟的课程，共进行 5 周。每节课包括关于 UI 的讲座、反思讨论、骨盆底肌肉训练和作业分配（练习和每日膀胱日记）。主要结局变量使用国际尿失禁咨询问卷 - 简短表（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，在干预前后进行测量。计算描述性统计数据，并用 Wilcoxon 符号秩检验分析数据。
干预导致 ICIQ-SF 评分显著降低，表明 UI 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（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）评分显著增加。
UI 自我管理方案改善了社区居住的老年女性的 UI 症状、知识和自我效能。
