title: Nursing intervention to enhance efficacy of home practice of pelvic floor muscle exercises in treating mixed urinary incontinence.
abstract: This study was conducted to evaluate nursing intervention to enhance the efficacy of a home-based pelvic floor muscle exercise (PFME) in treating mixed urinary incontinence among a community-based population. Eighty-eight women with mixed incontinence were recruited for this study and were asked to practice PFME at home as instructed. A registered nurse monitored the study group via telephone checkups twice a week. The Symptoms (LUTS) Questionnaire and a disease-specific questionnaire of impact index were used for repeat measurements before intervention, at 3 and 6 months after PFME. Symptoms such as frequency, nocturia, urge incontinence, and urinary stress incontinence improved significantly in the study group at 6 months. Quality of life with regard to worry about pads/towels leakage and getting wet also improved in the study group at 6 months. Nursing intervention can significantly improve the efficacy of a home-based PFME program in community women with mixed storage symptoms.
authors.affiliation: Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, 110, Section 1, Chien-Kuo N. Road, Taichung 40201, Taiwan.
authors.forename: Soo-Cheen
authors.initials: SC
authors.lastname: Ng
authors.forename: Tzu-Li
authors.initials: TL
authors.lastname: Lin
authors.forename: Su-Jung
authors.initials: SJ
authors.lastname: Chang
authors.forename: Hui-Lung
authors.initials: HL
authors.lastname: Tai
authors.forename: Shu-Woan
authors.initials: SW
authors.lastname: Hu
authors.forename: Gin-Den
authors.initials: GD
authors.lastname: Chen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000503:physiopathology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000451:nursing* / Q000503:physiopathology