Bear M, Dwyer J W, Benveneste D, Jett K, Dougherty M
College of Nursing, Univ. of Central Florida, Orlando 32816-2210, USA.
J Wound Ostomy Continence Nurs. 1997 May;24(3):163-71. doi: 10.1016/s1071-5754(97)90062-0.
The participation of older rural women and their caregivers in a pilot research study on behavioral management interventions for urinary incontinence is described.
A quasiexperimental design was used.
Women 55 years old and older and living in a rural county in North Florida who had episodes of urinary incontinence twice or more per week were included. Outreach was directed at two groups of elders with incontinence, those who were functioning independently and those who were frail and dependent on caregivers for assistance with activities of daily living.
Behavioral management of continence comprised three techniques for the management of urinary incontinence: self-monitoring, scheduling regimens and pelvic muscle exercise with biofeedback.
The main outcome measures were episodes of urine loss and amount (In grams) of urine loss with time, determined with a weighed pad test.
Behavioral management of continence resulted in significant decrease in urinary incontinence; decreases in frequency and volume of urine loss were found among all study participants when data were analyzed.
Although behavioral management of continence was effective in reducing incontinence among independent, community-dwelling elderly women, there was a marked lack of response to this project by frail elders and their caregivers. The same barriers to implementing time-intensive behavioral management interventions among frail elders in long-term care facilities may operate in the home setting.
描述农村老年女性及其照顾者参与一项关于尿失禁行为管理干预措施的试点研究情况。
采用准实验设计。
纳入居住在佛罗里达州北部一个农村县、年龄在55岁及以上、每周出现尿失禁两次或更多次的女性。针对两组尿失禁老年人进行宣传，一组是能够独立生活的，另一组是体弱且在日常生活活动中依赖照顾者协助的。
尿失禁的行为管理包括三种管理尿失禁的技术：自我监测、排尿计划方案以及伴有生物反馈的盆底肌肉锻炼。
主要结局指标是尿失禁发作次数以及随时间的尿失禁量（以克为单位），通过称重垫试验确定。
尿失禁的行为管理使尿失禁情况显著减少；分析数据时发现，所有研究参与者的尿失禁发作频率和尿量均有所减少。
尽管尿失禁的行为管理对于独立居住在社区的老年女性减少尿失禁有效，但体弱老年人及其照顾者对该项目的反应明显不足。在长期护理机构中，针对体弱老年人实施耗时的行为管理干预措施存在的障碍，在家庭环境中可能同样存在。
