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The Effect of Electrical Stimulation Therapy With Pelvic Floor Muscle Exercise on Stress Urinary Incontinence in Middle-Aged Women A Nonequivalent Comparison Cohort Study

Title
The Effect of Electrical Stimulation Therapy With Pelvic Floor Muscle Exercise on Stress Urinary Incontinence in Middle-Aged Women A Nonequivalent Comparison Cohort Study
Authors
Lim, HeeyoungKang, Jung A.Park, Hyojung
Ewha Authors
박효정
SCOPUS Author ID
박효정scopus
Issue Date
2021
Journal Title
JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING
ISSN
1071-5754JCR Link

1528-3976JCR Link
Citation
JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING vol. 48, no. 4, pp. 325 - 331
Keywords
Electrical stimulationMiddle-aged womenStress urinary incontinenceUrinary incontinence-related quality of lifeVaginal contraction pressure
Publisher
LIPPINCOTT WILLIAMS &

WILKINS
Indexed
SCIE; SSCI; SCOPUS WOS scopus
Document Type
Article
Abstract
PURPOSE: The purpose of this study was to evaluate the effects of combined pelvic floor muscle exercises (PFMEs) and a novel electrical stimulation (ES) device versus PFMEs alone on lower urinary tract symptoms, urinary incontinence-related quality of life, and pelvic floor muscle contractions (PFMCs). DESIGN: Nonrandomized comparison cohort study. SUBJECTS AND SETTING: The sample comprised 54 community-dwelling middle-aged women with stress urinary incontinence recruited from churches and cultural centers in Gyeonggi Province, South Korea. Comparisons of demographic and pertinent clinical characteristics revealed no significant differences between the experimental and comparison groups. METHODS: Participants allocated to the combined intervention group (n = 27) performed self-exercises of the pelvic floor muscles 3 times a day under weekly telephone coaching, and they used the ES device twice daily for 8 weeks. Participants in the comparison group (n = 27) received the PFMEs alone without telephone coaching. The 3 main outcomes including lower urinary tract symptoms, urinary incontinence-related quality of life, and PFMCs were measured using the Bristol Female Lower Urinary Tract Symptom instrument (BFLUTS), King's Health Questionnaire (KHQ), and a perineometer, respectively. Study outcomes were measured at baseline and at the end of the 8-week period. RESULTS: Participants in the experimental group achieved significantly greater reductions in lower urinary tract symptoms (t = -4.07, P < .001) and improvement in urinary incontinence-related quality of life (P = .006), peak PFMC pressure (P = .004), mean pelvic muscle contraction (PMC) pressure (P < .001), and duration of PFMCs (P < .001) when compared to participants undergoing PFMEs alone. CONCLUSIONS: Combined ES and pelvic floor exercise was more effective in reducing severity of lower urinary tract symptoms, enhancing health-related quality of life, and increasing PMC pressure in middle-aged women with stress urinary incontinence than PFMEs alone.
DOI
10.1097/WON.0000000000000776
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간호대학 > 간호학전공 > Journal papers
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