Effects of a Two-Step Approach in Improving Knowledge, Attitude, and Behavior, and the Severity of Urinary Incontinence for Community Women with Simple Urinary Incontinence

2.50
Hdl Handle:
http://hdl.handle.net/10755/156018
Type:
Presentation
Title:
Effects of a Two-Step Approach in Improving Knowledge, Attitude, and Behavior, and the Severity of Urinary Incontinence for Community Women with Simple Urinary Incontinence
Abstract:
Effects of a Two-Step Approach in Improving Knowledge, Attitude, and Behavior, and the Severity of Urinary Incontinence for Community Women with Simple Urinary Incontinence
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Yu, Shu, PhD, RN
P.I. Institution Name:National Yang-Ming University
Title:Professor
Co-Authors:Tze-Feng Wang, MS, RN and I-Ju Chen, PhD, RN
[Evidence-based Practice Session - Paper or Poster Presentation] Stress urinary incontinence (SUI) is the major type of urinary incontinence (UI) for women; client-centered programs are needed to improve the quality of care especially for community women. In this study, we developed a two-step approach (including health education needs assessment and instruction, and Kegel's exercise training) to help community women who had diagnosed by physicians based on bladder function tests and clinical signs to reduce the severity of UI and improve their knowledge, attitude, and behavior. An experimental research design was conducted in this study. Questionnaires and measurements were used to collect data. Each subject needed complete two tests: at baseline (pretest) and one month following the intervention (posttest). Of 100 women with SUI, 78 completed this study (34 in the experimental group, 44 in the control group). At the pretest, there were no significant differences between the two groups in personal factors (including demographic characteristics, body mass index, locus of control, medication use, personal histories of labor, diseases, surgeries, and medical treatment), knowledge, attitude (including three dimensions: seeking treatment, self-acceptance, and perceived acceptance and support from significant others), behavior, and the severity of UI (measuring by one 1-hour period extended pad test, self-rated severity, and self-rated impacts on daily living). Regarding the effects of intervention, this approach significantly improved the subjects' knowledge and behaviors (p< .001) however did not significantly change their attitudes. As to the severity, significant decrease in urine volume measuring by 1-hour period extended pad test was found in experimental group. Based on our findings, health education needs assessment and instruction, and Kegel's exercise training are effective to improve SUI women's knowledge, behavior, and the severity of UI. However, more effective intervention still should be developed in future to significantly change attitude and then to build a more active and positive attitude toward UI.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffects of a Two-Step Approach in Improving Knowledge, Attitude, and Behavior, and the Severity of Urinary Incontinence for Community Women with Simple Urinary Incontinenceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156018-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effects of a Two-Step Approach in Improving Knowledge, Attitude, and Behavior, and the Severity of Urinary Incontinence for Community Women with Simple Urinary Incontinence</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Yu, Shu, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">National Yang-Ming University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">yushu@ym.edu.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Tze-Feng Wang, MS, RN and I-Ju Chen, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Practice Session - Paper or Poster Presentation] Stress urinary incontinence (SUI) is the major type of urinary incontinence (UI) for women; client-centered programs are needed to improve the quality of care especially for community women. In this study, we developed a two-step approach (including health education needs assessment and instruction, and Kegel's exercise training) to help community women who had diagnosed by physicians based on bladder function tests and clinical signs to reduce the severity of UI and improve their knowledge, attitude, and behavior. An experimental research design was conducted in this study. Questionnaires and measurements were used to collect data. Each subject needed complete two tests: at baseline (pretest) and one month following the intervention (posttest). Of 100 women with SUI, 78 completed this study (34 in the experimental group, 44 in the control group). At the pretest, there were no significant differences between the two groups in personal factors (including demographic characteristics, body mass index, locus of control, medication use, personal histories of labor, diseases, surgeries, and medical treatment), knowledge, attitude (including three dimensions: seeking treatment, self-acceptance, and perceived acceptance and support from significant others), behavior, and the severity of UI (measuring by one 1-hour period extended pad test, self-rated severity, and self-rated impacts on daily living). Regarding the effects of intervention, this approach significantly improved the subjects' knowledge and behaviors (p&lt; .001) however did not significantly change their attitudes. As to the severity, significant decrease in urine volume measuring by 1-hour period extended pad test was found in experimental group. Based on our findings, health education needs assessment and instruction, and Kegel's exercise training are effective to improve SUI women's knowledge, behavior, and the severity of UI. However, more effective intervention still should be developed in future to significantly change attitude and then to build a more active and positive attitude toward UI.</td></tr></table>en_GB
dc.date.available2011-10-26T14:22:33Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:22:33Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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