Introduction:Millions of women are afflicted with stress urinary incontinence. Urinary incontinence is mentioned as one of the geriatric syndromes, together with pressure ulcers, functional decline, falls, and low self-esteem. The aim of the present study was to determine the effect of pelvic muscle exercises on urinary incontinency and self- esteem of elderly females with stress urinary incontinency in Shiraz, Iran, 2013.Material and Method:In this interventional study, 50 old females aged 60-74 years were chosen among the members of Jahandidegan center, and they were asked to sign the informed consent form and complete the demographic questionnaire. Then, Quid questionnaire was used for choosing the type of incontinence in the elderly females. Next, the participants completed the ICIQ and self-esteem questionnaires. Then, they were randomly assigned to case and control groups. Each participant took part in 8 training classes. Finally, the subjects filled the ICIQ and self-esteem questionnaires before and 2 months after the intervention.Result:The results is shown that after the intervention, ICIQ score has a significant difference between the two groups (P=0.001). Also, after the treatment, self-esteem average scores of studied unit indicated a significant statistical difference in experimental group. In other words, the training sessions improved the score of self-esteem in the experimental group (P<0.001) versus control group (P=0.08).Conclusion:Pelvic muscle exercises were an empowerment mechanism for incontinent women in improving their quality of life and self-esteem, so recommended that such these exercising programs be used in elderly health care centers as a factor to improve health promotion of elderlies ’that are suffering from urinary incontinence.
Objectives: In order to deal with professional ethical issues successfully, nurses and other providers of clinical care need to rely on professional values that are meant to guide their professional decision-making, actions and behaviors .These values form the basis of nursing. Accordingly, the present study aims to investigate nurses' perception of professional values in the hospitals affiliated with Jahrom University of Medical Sciences. Method: In this descriptiveanalytical study, 100 nurses employed at the university hospitals of Jahrom were selected through simple convenience sampling. To examine the subjects' perception of professional values, the researchers used a two-part questionnaire: part one consisted of questions about the personal and social characteristics of the subjects; part two was the Nurses Professional Values Scale-Revised. The latter consists of 26 items based on American Nurses Association Code of Ethics for Nurses and addresses the following areas: caring (9 items), activism (5 items), trust (5 items), professionalism (4 items) and justice (3 items).Answers are scored based on a 5-point Likert scale: the answer choices "Not important" and "Very important" are assigned 1 point and 5 points respectively. The score range is between 26 and 130-higher scores indicate the respondent's greater familiarity with professional values. Findings: The participants of the study consisted of 99 nurses who were selected from the various parts of the university hospitals of Jahrom. The participants' mean scores for caring, activism, trust, professionalism, justice and total perception of professional values were found to be 32. 15,15.47, 17.37, 13.32,10.66 and 88.98 respectively. The results of the study showed that there was not a significant relationship between the age, gender and marital status of nurses on one hand and their professional values scores on the other (P=0.7). Conclusion: There is need for effective programs to enhance nurses' awareness of certain of their professional duties and improve their professional performance in a wide range of professional areas alongside their duties as care-givers.
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