Effects on urinary outcome of patients and caregivers’ burden of pelvic floor muscle exercises based on the health belief model done at home by post-stroke patients

Arkan, Gülcihan; Beşer, Ayşe; Öztürk, Vesile; Bozkurt, Ozan; Gülbahar, Selmin

doi:10.1080/10749357.2018.1552741

Cited by 16 publications

(13 citation statements)

References 26 publications

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“…These exercise include bladder retraining, pelvic floor muscle exercise, and ROM. Individual/patients who do pelvic floor exercise must have confidence and be motivated to do exercises regularly despite obstacles or difficulties in daily life [33]. Bladder retraining requires patients to be independent and motivated to participate actively in treatment [34].…”

Section: Relationship Between Self-care Deficit Theory Of Nursing and Post-stroke Uimentioning

confidence: 99%

“…Pelvic floor muscle exercises seek to reduce uncontrolled detrusor muscle contractions in patients with better cognitive abilities. Individuals/patients who perform pelvic floor muscle exercises must have confidence and be motivated to perform exercises regularly despite obstacles or difficulties in daily life [33].…”

Section: Improving the Ability To Do Ways To Deal With Post-stroke Uimentioning

confidence: 99%

See 1 more Smart Citation

Development of Management Model Post-Stroke Urinary Incontinence

Heltty¹,

Sitorus²,

Nusdwinuringtyas³

et al. 2022

Pelvic Floor Dysfunction - Symptoms, Causes, and Treatment

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Post-stroke urinary incontinence (UI) is one of the sequelae of stroke. This situation affects all aspects of the patient’s life both physically, psychologically, socially, and spiritually. Post-stroke UI as a chronic disease requires holistic treatment. Many chronic health problems will respond well when handled from a holistic perspective. The holistic health view focuses on the patient’s health care needs, not only needs related to the patient’s physical condition of health, but also subjective aspects related to social representation of his/her health conditions. Developing a holistic post-stroke UI management model and continuous care at the patient’s home needs to be done. This chapter includes model components which are also interventions that can be done to overcome post-stroke UI. These interventions include information and understanding of post-stroke UI; ways to overcome post-stroke UI; conduct self-control and stay motivated; perform daily activities independently according to ability; and get family support and peer attention. This model was developed based on previous qualitative studies and literature studies related to post-stroke urinary incontinence. Intervention in this model is aimed at patients who have passed the acute phase of stroke, when they will be discharge from the hospital and continued at the patient’s home.

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Section: Relationship Between Self-care Deficit Theory Of Nursing and Post-stroke Uimentioning

confidence: 99%

Section: Improving the Ability To Do Ways To Deal With Post-stroke Uimentioning

confidence: 99%

Development of Management Model Post-Stroke Urinary Incontinence

Heltty¹,

Sitorus²,

Nusdwinuringtyas³

et al. 2022

Pelvic Floor Dysfunction - Symptoms, Causes, and Treatment

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show abstract

“…Several studies in neurological patients with neurological diseases and NLUTD have reported a positive effect of PFMT. The diseases include MS [58][59][60][61], Parkinson's disease (PD) [62,63], Spinal Cord Injury (SCI) [64,65] and Stroke [16][17][18][19][20][21][22]66,67]. However, no PFMT studies in neurological patients with NLUTD have used fMRI as an outcome measure to evaluate the effect.…”

Section: Pfmt In Neurological Patientsmentioning

confidence: 99%

“…Pelvic floor muscle training (PFMT) has, over the past two decades, been recommended as first-line treatment for neurologically healthy patients with lower urinary tract symptoms (LUTS) [11][12][13][14][15]. Later on, a positive effect on PFMT in both male and female stroke patients with NLUTD have been reported [16][17][18][19][20]. The data indicating effect were measured on bladder-related outcomes such as bladder diary [16,18], pelvic floor muscles (PFMs) function [16,18], LUTS [16,18,19], sexuality [21] and QoL [19,22].…”

Section: Introductionmentioning

confidence: 99%

“…Later on, a positive effect on PFMT in both male and female stroke patients with NLUTD have been reported [16][17][18][19][20]. The data indicating effect were measured on bladder-related outcomes such as bladder diary [16,18], pelvic floor muscles (PFMs) function [16,18], LUTS [16,18,19], sexuality [21] and QoL [19,22]. But measurement on brain activity seems to be lacking.…”

Section: Introductionmentioning

confidence: 99%

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No Studies in Stroke Regarding Brain fMRI Activity and Pelvic Floor Muscle Training/Activation - Only Studies in Non-stroke Population: A Review of Neuroimaging Studies

2020

J Phys Med Rehabil

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Background: Positive effect on pelvic floor muscle training (PFMT) has been reported in poststroke patients with neurogenic lower urinary tract dysfunction (NLUTD). The effects were measured by bladder diary, pelvic floor muscle function, lower urinary tract symptoms, sexuality, and quality of life. However, measurement on brain activity seems to be missing. Objective:To identify studies which report brain activity measured by functional magnetic resonance imaging (fMRI) as a response to voluntary pelvic floor muscles (PFMs) contractions and PFMT.Methods: A literature search in which six databases was screened for this review.Results: Fourteen studies were identified all published during 2005 -2020. Twelve studies reported data of brain activity as a response to voluntary PFMs contractions and two as a response to PFMT. The participants (n=277) were respectively healthy adults (n=172, 62%), males with prostate cancer (n=22, 8%), females with stress urinary incontinence (n=10, 4%), older women with urge urinary incontinence (n=62, 22%), and Multiple sclerosis (MS) patients with detrusor sphincter dyssynergia (n=11, 4%). No studies in stroke patients were identified.All identified studies focused primarily on the cerebral control of micturition circuit, whereas the brain activity as response to voluntary PFMs contractions only played a role in the investigations. Conclusions:The identified studies indicate that fMRI even provide valuable outcome data supporting clinical outcome data and provide knowledge of the underlying mechanisms in the brain and its control of the bladder by PFMs contractions and PFMT. However, no studies in stroke patients were identified.There is a call for studies using fMRI, providing knowledge of the brain activity as a response to voluntary PFMs contractions and PFMT in stroke patients with NLUTD.

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Incidence and influencing factors of urinary incontinence in stroke patients: A meta‐analysis

Wang,

Kang,

Wang

et al. 2024

Neurourology and Urodynamics

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BackgroundThe incidence of stroke in China ranks first in the world and is the leading cause of death and disability in adults. Urinary incontinence is an independent risk factor leading to poor prognosis of stroke. However, studies on the incidence of urinary incontinence in stroke patients and its influencing factors are different, fluctuate greatly, and there is no unified basis.ObjectiveTo quantitatively analyze the incidence of urinary incontinence in stroke patients and its related influencing factors, and further make public health strategic decisions to reduce the occurrence of adverse outcomes.MethodsComputer searches were conducted in PubMed, Medline, Web of Science, Cochrane Library, Embase, CLNAHL Complete, China National Knowledge Infrastructure (CNKI), Chinese Biomedical database(CBM), Wan Fang Database, VIP Database, observational studies such as cohort studies, case‐control studies or cross‐sectional studies on the incidence or influencing factors of urinary incontinence in stroke patients from the establishment of the database to the publication in August 2023. Studies selection, quality evaluation and data extraction were conducted independently by two researchers according to the established search strategy. Stata 14.0 statistical software was used for meta‐analysis.ResultsA total of 21 manuscripts were included, with a cumulative sample size of 7327 cases, including 2887 patients with urinary incontinence. Meta‐analysis results showed that the incidence of urinary incontinence in stroke patients was 38% [95% confidence interval (34%, 41%)], including married patients and lacunar infarction were the protective factors for urinary incontinence in stroke patients, while age, chaperone, low educational level, chronic cough, lesion sites (parietal lobe, frontal lobe, and temporal lobe), stroke type (cerebral hemorrhage, subarachnoid hemorrhage and cerebral hemorrhage complicated with subarachnoid hemorrhage), dysfunction (aphasia dyslexia, dysphagia, eye movement abnormalities, leg muscle disorders), post‐stroke depression, the higher the NIHSS score, the lower the Bachmann index (BI) score, OCSP classification (total anterior circulation infarction) and other 11 items were risk factors for urinary incontinence in stroke patients.ConclusionThe incidence of urinary incontinence in stroke patients is 38%. Marriage and lacunar infarction are the protective factors of urinary incontinence. Age, carer, low educational level, chronic cough, lesion site (parietal, frontal and temporal lobes), stroke type (cerebral hemorrhage, subarachnoid hemorrhage, cerebral hemorrhage combined with subarachnoid hemorrhage), dysfunction (aphasia and dysarthria syndrome, dysphagia, eye movement abnormalities, leg muscle disorders), post‐stroke depression, and higher NIHSS score, Lower BI score and OCSP classification (total anterior circulation infarction) were risk factors for urinary incontinence in stroke patients.

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Effects on urinary outcome of patients and caregivers’ burden of pelvic floor muscle exercises based on the health belief model done at home by post-stroke patients

Cited by 16 publications

References 26 publications

Development of Management Model Post-Stroke Urinary Incontinence

Development of Management Model Post-Stroke Urinary Incontinence

No Studies in Stroke Regarding Brain fMRI Activity and Pelvic Floor Muscle Training/Activation - Only Studies in Non-stroke Population: A Review of Neuroimaging Studies

Incidence and influencing factors of urinary incontinence in stroke patients: A meta‐analysis

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