Women's self-care agency to manage urinary incontinence: the impact of nursing agency and body experience.
BACKGROUND
Women with urinary incontinence (UI) report that the disease negatively impacts their quality of life but, paradoxically, under-report symptoms.


METHODS
A predictive model using Orem's self-care deficit theory was developed exploring the effect of body experience on self-care agency to manage UI. A sample of postmenopausal women was drawn from a larger trial. Structural equation modeling was used to test the proposed model.


RESULTS
Minor modification of the model produced a well-fitting model (chi(9) = 3.20, P = .96, n = 235). Results supported the positive effect of nursing agency on self-care agency.


CONCLUSIONS
Group education about UI may increase self-care agency in postmenopausal women.
Hines
Sandra H
SH
University of Michigan, Ann Arbor, MI 48109, USA. sjhh@umich.edu
Sampselle
Carolyn M
CM
Ronis
David L
DL
Yeo
SeonAe
S
Fredrickson
Barbara L
BL
Boyd
Carol J
CJ
D000368:Aged; D000369:Aged, 80 and over; D001828:Body Image; D003430:Cross-Sectional Studies; D004644:Emotions; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D008962:Models, Theoretical; D012648:Self Care / Q000379:methods / Q000523:psychology*; D014549:Urinary Incontinence / Q000451:nursing* / Q000523:psychology