The Evaluation of 10 week Urinary Tract Function Promotion Program for the Elderly Women in the Community.
- Author:
Jeung Im KIM
1
Author Information
1. Soonchunhyang University, Women's Health and Maternity Nursing.
- Publication Type:Original Article
- Keywords:
Urinary tract function;
Intervention program;
Elderly women
- MeSH:
Aged*;
Depression;
Diagnosis;
Fatigue;
Female;
Humans;
Nocturia;
Nurses, Public Health;
Pelvic Floor;
Urinary Incontinence;
Urinary Tract*;
Urogenital System
- From:Korean Journal of Women Health Nursing
2003;9(4):439-448
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was accomplished to apply and to evaluate the 10-week Urinary tract Function Promotion for the Elderly Women (UFPE), and to suggest guideline and to be utilized on the community level. METHOD: Subjects were 30 persons of 16 healthy elderly and 14 hemiplegic elderly. This UFPE was composed of diagnosis of incontinence & evaluation of physical condition, understanding of urogenital system & urinary incontinence management. UFPE was evaluated by subjective urinary condition, intra-vaginal contraction power, continence self-efficacy (CSE), incontinence stress, geriatric depression. The collected data was analyzed using Wilcoxon Matched Signed-Ranks test by SPSS/WIN program. RESULT: 5 subjects (31.2%) in healthy group and 2 subjects(14.3%) in hemiplegic group have a daytime frequency, 14 subjects(87.5%) in healthy group and 14 subjects(100%) have a nocturia. After program, subjective urinary condition was increased just only healthy elderly (Z=-2.545, p<0.05), while intra-vaginal contraction power and CSE were increased significantly only in the hemiplegic elderly (Z=-2.57, p<0.05; Z=-2.29, p<0.05). There were barriers not to comply program guidance such as inadequate perception of pelvic floor muscle, forget to do exercise, fatigue. CONCLUSION: UFPE was effective in increasing subjective urinary condition for healthy elderly and in increasing intra-vaginal contraction power and continence self-efficacy for the hemiplegic elderly women. I suggest that this UFPE be utilized at the health center and elderly center, and public health nurse counsel and guide the elderly's work through phone service.
