Nursing Department, Federal University of Ceara, 1115 Alexandre Barúna St, Fortaleza, Ceará, 60430-160, Brazil.
Woman's Health Department of the Faculty of Medicine, Federal University of Ceara, Fortaleza, Ceará, Brazil.
Int Urogynecol J. 2024 Aug;35(8):1699-1707. doi: 10.1007/s00192-024-05875-4. Epub 2024 Aug 1.
Enhancing women's knowledge, attitude, and practice (KAP) concerning urinary incontinence (UI) through diverse educational strategies has been a focal point for professionals in recent years. This study was aimed at assessing the impact of the educational application Continence App® on the KAP of postpartum women experiencing UI. We hypothesized that access to the app would lead to improved KAP among these women.
Postpartum women who had undergone vaginal birth, aged 18 years or above, literate, admitted in a maternity ward, delivered a full-term or large-for-gestational-age infant, and possessed a smartphone or compatible device for app usage were included. Changes in KAP were evaluated using a survey specifically designed for this purpose. The Mann-Whitney U test was employed to compare KAP scores between control and intervention groups, as well as between baseline and post-intervention assessments.
Among the 542 women screened for eligibility, 349 were enrolled in the study, with 138 completing post-intervention assessments. The mean (standard deviation [SD]) age of participants was 25.9 (5.8) years. Post-intervention scores for knowledge and practice demonstrated a decline among non-app users, whereas a significant increase was observed among those in the intervention group. Attitudinal changes remained insignificant.
The findings highlight the effectiveness of an app-based educational intervention in enhancing the knowledge and practice related to UI among postpartum women.
近年来，专业人士一直将通过多种教育策略来增强女性对尿失禁（UI）的知识、态度和实践（KAP）作为重点。本研究旨在评估教育应用程序 Continence App®对经历 UI 的产后女性 KAP 的影响。我们假设，获得该应用程序将导致这些女性的 KAP 得到改善。
纳入标准为：经阴道分娩的 18 岁及以上、识字、居住在产科病房的产后女性，分娩足月或大于胎龄儿，且拥有智能手机或兼容设备以供应用程序使用。使用专门为此目的设计的调查评估 KAP 的变化。采用 Mann-Whitney U 检验比较对照组和干预组以及基线和干预后评估之间的 KAP 评分。
在筛选出的 542 名符合条件的女性中，有 349 名参加了研究，其中 138 名完成了干预后评估。参与者的平均（标准差[SD]）年龄为 25.9（5.8）岁。非应用程序使用者的知识和实践得分在干预后有所下降，而干预组的得分则显著增加。态度变化仍然不显著。
研究结果突出了基于应用程序的教育干预在增强产后女性对 UI 的相关知识和实践方面的有效性。
