Compliance with a pelvic muscle exercise program as a causal predictor of urinary stress incontinence amongst Chinese women

Siu, Katherine; Yip, Shing‐Kai; Chang, Anne M.

doi:10.1002/nau.10110

Cited by 10 publications

(11 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is in agreement with the report from Siu et al, 19 who evaluated the results from treatment and participation of women performing exercises at home for four months, with monthly assessments. They observed a signifi cant decrease in daily episodes of urine leakage.…”

Section: Referencessupporting

confidence: 92%

Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

et al. 2007

View full text Add to dashboard Cite

CONTEXT AND OBJECTIVE: Urinary incontinence is a public health problem that affects more than 200 million people worldwide. Stress incontinence is the most prevalent type. Pelvic floor muscle exercises have been used for treating it, although there is no consensus regarding their application. The aim of this study was to compare the results from treating female stress urinary incontinence with pelvic floor muscle exercises with or without physiotherapist supervision. DESIGN AND SETTING: This was a randomized, prospective, controlled trial in the Urogynecology and Vaginal Surgery Sector, Universidade Federal de São Paulo. METHODS: Forty-four women were randomized to be treated for stress urinary incontinence with pelvic floor exercises for three consecutive months, into two groups: one with and the other without physiotherapist supervision. They were evaluated before and after treatment using a quality-of-life questionnaire, pad test, micturition diary and subjective evaluation. Descriptive analysis was used to evaluate the population. The homogeneity of the two groups was evaluated using the Kruskal-Wallis and Chi-squared tests. The success of the two groups after treatment was evaluated using the Wilcoxon test. RESULTS: The supervised group showed statistically greater improvement in the pad test, micturition diary and quality of life than did the control group. In the subjective evaluation, only 23.8% of the control group patients were satised with their treatment. In the supervised group, 66.8% of patients did not want any other treatment. CONCLUSION: Supervised pelvic floor muscle exercises presented better results in objective and subjective evaluations than did unsupervised exercises.

show abstract

Section: Referencessupporting

confidence: 92%

Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

et al. 2007

View full text Add to dashboard Cite

show abstract

“…Age, self-efficacy, and adherence Although evidence for the influence of age on maintaining exercise has been limited and inconsistent (Siu et al, 2003), women of gestational age tend to adhere less to PFM exercise (Chiarelli, Murphy, & Cockburn, 2003;Dolman & Chase, 1996;Wilson & Herbison, 1998) than do menopausal or postmenopausal women (Siu et al, 2003). Hence, it is reasonable to hypothesize that age would directly and positively influence PFM exercise selfefficacy and positively influence adherence to the exercise when mediated by self-efficacy.…”

Section: Severity Of Urine Loss Self-efficacy and Adherencementioning

confidence: 96%

“…One behavioral treatment of UI is pelvic floor muscle (PFM) exercise (Fantl et al, 1996). The effectiveness of PFM exercise is widely accepted to be dependent on patient adherence to the regimen (Broome, 1999;Sampselle et al, 2005;Siu, Chang, Yip, & Chang, 2003).…”

Section: Introductionmentioning

confidence: 99%

Path Analysis for Adherence to Pelvic Floor Muscle Exercise Among Women With Urinary Incontinence

Chen

Tzeng

2009

Journal of Nursing Research

View full text Add to dashboard Cite

This study developed and tested the accuracy of a model designed to predict adherence to a pelvic floor muscle exercise regimen by Taiwanese women with urinary incontinence. The sample was composed of 106 women treated for urinary incontinence at urban hospitals in central and northern Taiwan from April 2000 to March 2003. All participants had practiced prescribed pelvic floor muscle exercises for at least 6 weeks at the time they completed study measures, which included adherence to pelvic floor muscle exercise, self-efficacy for the exercise, knowledge of the exercise, attitudes toward the exercise, dyadic cohesion, perceived benefits of the exercise, and severity of urine loss. After stepwise multiple regression analysis, a path analysis was conducted, with significant paths retained as modifiers. Self-efficacy for pelvic floor muscle exercise strongly and directly affected adherence to the exercise regimen. Attitudes toward the exercise, dyadic cohesion, and perceived benefits of the exercise affected adherence when mediated by self-efficacy for pelvic floor muscle exercise. Severity of urine loss also directly affected adherence. Exercise knowledge affected neither self-efficacy nor adherence. The model fit the data and accounted for 40% of adherence variance. Findings affirm the significant role of self-efficacy in predicting adherence to pelvic floor muscle exercise. Thus, self-efficacy for exercise can be an indicator for nurses to tailor exercise-training programs for women with urinary incontinence. Nurses can use the study findings to develop interventions to increase women's adherence to the exercise.

show abstract

“…A four-session PFMT program was given at monthly intervals to Chinese women diagnosed with stress incontinence and referred to a continence clinic. A program of 30 contractions performed three times daily resulted in a reduction in mean monthly incontinent episodes from 79.7 to 17.9 (Siu, Chang, Yip, & Chang, 2003). A 12-week intensive PFMT program during pregnancy resulted in significantly fewer women reporting UI at 36 weeks pregnancy (p = .007) and 3 months postpartum (p = .018) in the training group compared to controls (Morkved, Bo, Schei, & Salvesen, 2003).…”

Section: Behavioral Interventions For Uimentioning

confidence: 64%

Adherence to a Behavioral Program to Prevent Incontinence

Hines¹,

Seng

Messer³

et al. 2007

West J Nurs Res

View full text Add to dashboard Cite

This exploratory study assesses factors predicting adherence to a behavioral intervention to prevent urinary incontinence. Community-dwelling, post-menopausal women (N = 164) were taught pelvic floor muscle training (PFMT) and bladder training (BT) and followed with surveys for 1 year. Content analysis of open-ended responses coded descriptions of approaches participants used to incorporate PFMT into daily life. Exploratory bivariate and logistic regression analyses determined predictors of approach used and adherence. Results indicate women incorporated PFMT into their lives using either a routine or ad hoc approach. Those using a routine approach at 3 months were 12 times more likely to adhere (odds ratio [OR] = 12.4, confidence interval [CI] = 4.0-38.8, p < .001) at a high level at 3 months and significantly more likely to maintain that level 12 months post-intervention (OR = 2.7, CI = 1.2-6.0, p < .014). Practicing BT was related to high adherence.

show abstract

Compliance with a pelvic muscle exercise program as a causal predictor of urinary stress incontinence amongst Chinese women

Abstract: Compliance with pelvic muscle exercises significantly contributed to a reduction in urinary stress incontinence.

Cited by 10 publications

References 20 publications

Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

Path Analysis for Adherence to Pelvic Floor Muscle Exercise Among Women With Urinary Incontinence

Adherence to a Behavioral Program to Prevent Incontinence

Contact Info

Product

Resources

About