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Factors that predict non-adherence to pelvic floor muscle exercise
Author
Source
Al-Manarah For Research and Studies
Issue
Vol. 13, Issue 6 (30 Sep. 2007)27 p.
Publisher
Al al-Bayt University Deanship of Academic Research
Publication Date
2007-09-30
Country of Publication
Jordan
No. of Pages
27
Main Subjects
Abstract AR
الخصائص المرتبطة بعدم الالتزام بالعلاج السلوكي لدى النساء اللواتي يعانين من السلس البولي غير معروفة.
و الغرض الأساسي من هذه الدراسة هو فحص العوامل التي تتنبأ بعدم الالتزام بممارسة تمارين عضلات الحوض (PFME).
تم إجراء تحليل ثانوي باستخدام قاعدة بيانات جمعت خلال مراحل العلاج في دراستين تجريبيتين عشوائيتين تم عملهما لمعرفة تأثير ممارسة تمارين عضلات الحوض في سلس البول.
و كانت مائة و اثنتان و ثمانون امرأة مؤهلات للمشاركة في هذه الدراسة .
شروط المشاركة بالدراسة كانت : 1) أن تكون أثنى.
2) العمر 60 سنة فما فوق.
3) أكملت العلاج السلوكي.
و 4) سليمة عقليا (على مقياس MMSE أكثر أو يساوي 24).
الطريقة الإحصائية التي تم استخدامها هي Logistic Regression و قد أظهر نتائج إحصائية هامة = (X2 model [2] 0.99, p) = 0.06 عوامل الخطورة لعدم الالتزام بممارسة تمارين عضلات الحوض كانت: الاكتئاب [OR = 0.86, 95 % CI = (0.75, 0.99) P = .03]، شدة الأعراض البولية (OR = 3.01, 95 % CI = (1.17, 7.77), P = .02) و تشير النتائج أن على مقدمي الرعاية الصحية أن يقوموا بفحص الأشخاص الذين يعانون من السلس البولي لأعراض الاكتئاب قبل تعليمهم العلاج السلوكي.
Abstract EN
Characteristics associated with non-adherence to behavioral therapy in women with urinary incontinence are poorly understood.
The primary purpose of this study was to examine the factors that predict non-adherence to pelvic floor muscle exercises (PFME).
Secondary analysis was conducted utilizing baseline and longitudinal data that were collected during the treatment phases of two randomized clinical trials.
One hundred eighty-two women were eligible for the current study.
Subjects from the parent studies were included in this study if they: 1) were female, 2) 60 years of age or older.
3) completed the behavioral therapy, and 4) were cognitively intact (MMSE≥ 24).
Using binary logistic regression, two variables were significantly associated with non-adherence to PFME χ2model [2] = 9.25, p = .06).
In this model, depressive symptoms [OR= 0.86, 95 % CI = (0.75, 0.99), p=.03)] and UI severity (OR = 3.01, 95 % CI = (1.17, 7.77), p = .02) were risk factors for non-adherence.
More depressed symptoms and fewer urinary accidents at baseline increased the likelihood that subjects would be non-adherent to the PFME.
This model demonstrated a good fit to the data χ2 H-L [8] = 8.53, p = .38) and was able to correctly classify 87.8 % of the women.
Findings suggest that healthcare providers should screen persons with UI for depressive symptoms prior to teaching them behavioral therapies to enhance adherence to PFM exercise.
Future research should use multiple measure of efficacy when examination characteristics associated with response to PFME training.
American Psychological Association (APA)
al-Shishani, Kawkab Ramadan. 2007. Factors that predict non-adherence to pelvic floor muscle exercise. Al-Manarah For Research and Studies،Vol. 13, no. 6.
https://search.emarefa.net/detail/BIM-10603
Modern Language Association (MLA)
al-Shishani, Kawkab Ramadan. Factors that predict non-adherence to pelvic floor muscle exercise. Al-Manarah For Research and Studies Vol. 13, no. 6 (Sep. 2007).
https://search.emarefa.net/detail/BIM-10603
American Medical Association (AMA)
al-Shishani, Kawkab Ramadan. Factors that predict non-adherence to pelvic floor muscle exercise. Al-Manarah For Research and Studies. 2007. Vol. 13, no. 6.
https://search.emarefa.net/detail/BIM-10603
Data Type
Journal Articles
Language
English
Notes
Includes bibliographicd references.
Record ID
BIM-10603