Effect of Kegel and Urinary bladder training exercise program on Severity of Urinary Incontinence among Older adults living alone
Article Sidebar
Main Article Content
Abstract
A condition in which urine leaks uncontrollably, it is a geriatric syndrome and causing health problems affecting
the quality of life of the elderly. Which such symptoms can be the cure, but most people ignore it. The single group pre and post–test designs were employed. The purpose of this study was to examine the effectiveness of the Kegel and Urinary bladder exercise training program on the severity level of urinary Incontinence for older people living alone. The study sample recruited 30 elderly who were living alone, using purposive sampling. The Kegel and Urinary bladder exercise training program was carried out for 13 weeks. Tools used for screening sample groups, include: Chula mental test [CMT]) and assessment to screen for urinary incontinence in the elderly. The tools used to collect data include a general information questionnaire and a form to assess the severity of urinary incontinence Kegel and Urinary bladder training exercise program consisting of a practice manual for those with urinary incontinence, pelvic floor muscle training equipment, form to record time and number of pelvic floor exercises, daily urination record form incontinence of urine screening form in the elderly, urinary incontinence severity assessment form Data analysis using descriptive statistic and paired t–test. Results of the study reveal that after completing in the training program, the study sample had significantly reduced severity level of urinary incontinence (t = 14.14, p < .05). This study suggested that the Kegel and Urinary bladder exercise training program could help an elderly woman manage their stress incontinence, urge incontinence, and mixed incontinence, effectively.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Thai Health Promotion Foundation. Thailand is expected to become a completely aging society [Internet]. 2019 [cite 2019 June 10] . Available from: https://www.facebook.com/thaihealth/photos/ (in Thai)
Panyathorn, K. Healthcare Behaviors of the Elderly living Alone in Ban Tad, Muang, Udon Thani. Nursing, Health, and Education Journal 2018; 2(1): 33 – 8. (in Thai)
Muangsakul, W. The concept of active ageing and capacity development of ageing living alone. Social Research Journal 2015; 38(2): 93 – 112. (in Thai)
Department of older persons, Ministry of social development and human security. Measures to drive the national agenda on the aging society (revised version) 2nd ed. Bangkok: Amarin printing and publishing company limited; 2019. (in Thai)
Biswas B, Bhattacharyya A, Dasgupta A, Karmakar A, Mallick N, Sembiah S. Urinary incontinence, its risk factors, and quality of life: a study among women aged 50 years and above in a Rural Health Facility of West Bengal. Journal of Mid–life Health 2017; 8(3): 130 – 6.
Abrams P, Andersson KE, Apostolidis A, Birder L, Bliss D, Brubaker L, et al. 6th International Consultation on Incontinence. Recommendations of the International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse and faecal incontinence. Neurourol Urodyn 2018; 37(7): 2271 – 2.
Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric 2019; 22(3): 217 – 22.
Chanthabut N, Buntham N, Chantawong A, Sanpun A, Inthidath A, Sertlert U, et al. The prevalence of urinary incontinence among the elderly in the community. The 3rd National conference "Disruptive Innovation", Ubonratchathani:Ratchathani University; 2018. (in Thai)
Nakchauy, P. Urinary incontinence in elderly. Royal Thai Army Medical Journal 2016; 69(1): 39 – 44.
Sujaree C, Sucamvang K, Puengchompoo W. Effect of integrated pelvic floor exercise on severity of urinary incontinence among older females. Royal Thai Navy Medical Journal 2016; 43(3): 1 – 16. (in Thai)
Sujaree, C. Effect of integrated pelvic floor exercise on severity of urinary incontinence among older females. Chiang Mai: Chiang Mai university;2016. (in Thai)
Ratwisai P, Srichaikul B, Songkasri, C. Kegel and urinary bladder training exercise program for urinary incontinent in elderly females at Na Tan subdistrict, Tha Khantho district, Kalasin province. Journal of the Office of DPC 7 Khon Kaen 2017; 24(1): 47 – 57. (in Thai)
Chantachum, W. Nursing research: sampling and sample size determination. Khon Kaen: Department of education, Research and Nursing Administration Faculty of Nursing Khon Kaen University. 2002.
Hulme JA. Research in geriatric urinary incontinence: pelvic muscle force field. Topics in Geriatric Rehabilitation 2000; 16(1): 10 – 21.
Fantl JA, Wyman JF, McClish DK, Harkins SW, Elswick RK, Taylor JR, et al. Efficacy of bladder training in older women with urinary incontinence. Jama 1991; 265(5): 609 – 13.
Lee HE, Cho SY, Lee S, Kim M, Oh SJ. Short–term effects of a systematized bladder training program for idiopathic overactive bladder: a prospective study. Int Neurourol J 2013; 17(1): 11 – 7.
Jitapunkul, S, Kamolratanakul, S, Ebrahim S. The meaning of activities of daily living in a Thai elderly population: Development of a new index. Age and Ageing 1996; 23(2): 97 – 101.
Kangchai, W. Assessment of urinary incontinence in the standards and implementation of quality geriatric clinical manual. Somdet phra sangkharaj yanasangvara institute of medicine for the elderly, Department of medical services, Ministry of public health; 2014. (in Thai)
Hensangvilai K, Pirunsan U, Maneechak Snow W. Effects of pelvic floor exercises on the quality of life in incontinent women. Journal of Associated Medical Sciences 2017; 50(2): 209 – 16.
Department of Physical Education. Sports science and community applications. Bangkok: Sports science bureau Department of physical education, Ministry of tourism and sports; 2015. (in Thai)
Knorst MR, Resende TL, Santos TG, Goldim JR. The effect of outpatient physical therapy intervention on pelvic floor muscles in women with urinary incontinence. Braz J Phys Ther 2013; 17(5): 442 – 9.
Ndreu V, Kamberi F, Sinaj E, Sula A. Effects of combined pelvic floor muscle exercises in patient with urinary incontinence. The Journal of MacroTrends in Health and Medicine 2014; 2(1): 148 – 56.
Mongkolpun, R. Effects of pelvic floor exercises in women on level of strength of the pelvic floor muscles and severity of urinary incontinence [dissertation]. Bangkok. Christian University; 2007.
Williams KS, Assassa RP, Gillies CL, Abrams KR, Turner DA, Shaw C, et al. A randomized controlled trial of the effectiveness of pelvic floor therapies for urodynamic stress and mixed incontinence. BJU Int 2006; 98(5): 1043 – 50.
Donahoe –Fillmore B, Chorny W, Brahler CJ, Ingley A, Kennedy J, Osterfeld V. A comparison of two pelvic floor muscle training programs in females with stress urinary incontinence: a pilot study. The Journal of applied research 2011; 11(2): 73 –83.
Jordre B, Schweinle W. Comparing resisted hip rotation with pelvic floor muscle training in women with stress urinary incontinence: a pilot study. Journal of women's health physical therapy 2014; 38(2): 81 –9.