膀胱訓練對改善尿失禁婦女漏尿次數、症狀困擾及生活衝擊之成效

Effects of Bladder Training at Reducing Incontinence Episodes, Symptom Distress and Incontinence Impact among Women with Urinary Incontinence

黃如鶴(Ju-Ho Huang) ； 林淑媛(Shu-Yuan Lin) ； 葉淑惠(Shu-Hei Yeh) ； 王起杰(Chii-Jye Wang)

《實證護理》 3卷4期 (2007/12) Pp. 289-299

https://doi.org/10.6225/JEBN.3.4.289

摘要

The purpose of this study was to evaluate the effect of bladder training in reducing incontinence episodes, urogenital distress and incontinence impact on women with urinary incontinence living in the community. The study used an experimental group with pretest and posttest. Women who went to a community clinic for regular health assessments and had at least one urine leakage per week were selected. A total of 34 women with mixed or urgent urinary incontinence were invited and they received a six-week course in bladder training. Data were collected by three-day bladder diaries and questionnaires that included a demographic sheet, a urogenital distress inventory, and a list of questions about incontinence impact. Two major findings resulted: (1) After a six-week course in bladder training, 67.6% of women had not reported any incontinence episodes within three days during the posttest period. The decrease in incontinence episodes showed statistical significance (Z33 = -4.84, p ＜ .01). (2) After a six-week course in bladder training, the average rate of reduction of incontinence episodes was 80.5%. The degree of symptom distress and incontinence impact were decreased (mean difference =11.2 and 6.8). Improvements in symptom distress and incontinence impact showed statistical significance (Z33 = -4.63, p ＜ .01; Z33 = -3.43, p ＜ .01). A six-week bladder training course is effective for women with mixed or urgent urinary incontinence. It is recommended that practitioners use bladder training as a first-line treatment for women with urinary incontinence.

關鍵字

尿失禁 ； 膀胱訓練 ； 婦女 ； 症狀困擾 ； 生活衝擊

並列摘要

The purpose of this study was to evaluate the effect of bladder training in reducing incontinence episodes, urogenital distress and incontinence impact on women with urinary incontinence living in the community. The study used an experimental group with pretest and posttest. Women who went to a community clinic for regular health assessments and had at least one urine leakage per week were selected. A total of 34 women with mixed or urgent urinary incontinence were invited and they received a six-week course in bladder training. Data were collected by three-day bladder diaries and questionnaires that included a demographic sheet, a urogenital distress inventory, and a list of questions about incontinence impact. Two major findings resulted: (1) After a six-week course in bladder training, 67.6% of women had not reported any incontinence episodes within three days during the posttest period. The decrease in incontinence episodes showed statistical significance (Z33 = -4.84, p ＜ .01). (2) After a six-week course in bladder training, the average rate of reduction of incontinence episodes was 80.5%. The degree of symptom distress and incontinence impact were decreased (mean difference =11.2 and 6.8). Improvements in symptom distress and incontinence impact showed statistical significance (Z33 = -4.63, p ＜ .01; Z33 = -3.43, p ＜ .01). A six-week bladder training course is effective for women with mixed or urgent urinary incontinence. It is recommended that practitioners use bladder training as a first-line treatment for women with urinary incontinence.

並列關鍵字

urinary incontinence ； bladder training ； women ； symptom distress ； incontinence impact