Application study of pelvic floor muscle training combined with electromyographic biofeedback in urinary incontinence patients after radical prostatectomy
10.3761/j.issn.0254-1769.2025.04.005
- VernacularTitle:盆底肌训练联合肌电生物反馈在前列腺癌根治术后尿失禁患者中的应用研究
- Author:
Chengfei GAO
1
;
Jie GU
;
Qianyun MA
;
Ping REN
;
Xianli MENG
;
Xue LU
;
Chunxue PENG
;
Jie CAO
Author Information
1. 200433 上海市 海军军医大学第一附属医院泌尿外科
- Publication Type:Journal Article
- Keywords:
Pelvic Floor Muscle Training;
Electromyographic Biofeedback;
Radical Prostatectomy;
Urinary Incontinence;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(4):418-424
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the rehabilitative effects of pelvic floor muscle training(PFMT)combined with electromyography biofeedback(EMG-BF)in patients with post-prostatectomy incontinence(PPI),aims to provide refer-ence for clinical nursing practice.Methods 98 patients with PPI who were treated at the urinary incontinence nurse-led clinic of a tertiary hospital in Shanghai were included using the method of convenience sampling.Patients enrolled from June to September 2022 were assigned to a control group(n=49),receiving PFMT alone at home.Those enrolled from November 2022 to February 2023 were assigned to an experimental group(n=49),receiving PFMT at home combined with EMG-BF at the nurse-led clinic.Both groups received intervention for 3 months,preceded by guidance for PFMT provided by incontinence specialist nurses.The urine leakage in 24-hour pad test,the International Consultation on Incontinence Questionnaire-Short Form(ICIQ-SF),the Incontinence Quality of Life Questionnaires(I-QOL),and the Broome Pelvic Muscle Self-Efficacy Scale(BPMSES)were used to assess objective and subjective incontinence severity,quality of life,and self-efficacy of PFMT on the day of catheter removal and at 1,2,and 3 months post-intervention.Results A total of 46 patients were included in each group.The 24-hour urine leakage volume and I-QOL scores demonstrated significant between-group and over-time effects(P＜0.05),with no interaction effect between groups and time(P＞0.05)The ICIQ-SF and BPMSES scores exhibited interactive ef-fects between time and groups(P＜0.05).At 2 and 3 months post-intervention,the intervention group showed signifi-cantly lower ICIQ-SF scores(P＜0.001),and higher BPMSES scores(P＜0.05),compared to those in the control group.Conclusion PFMT combined with EMG-BF can effectively alleviate the objective and subjective severity of PPI,enhance patients'self-efficacy in PFMT,and improve their postoperative quality of life.
