Summary: | 碩士 === 長庚醫學暨工程學院 === 護理學研究所 === 85 === BPH can induce the obstruction of bladder outlet.Many patients
need to resolve their obstructive problem by receiving the
surgery of TURP.Some patients will have the symptoms of
frequency,urgency,dripping etc.after the Foley tube removed.
Patients will get less confidence forth with depression.So it is
very importantto keep the patient voiding normally.Pelvic floor
muscle exercise (PFME) is pat-ient can self-perform,economy,
effective,non-dangerous and non-complication to im-prove for
urinary incontinence.The purposes of this study were to explore
the effect of PFME on the pelvic floormuscle strength(PFMS),
inter-voiding interval,uroflowmetry,urinary incontinence and
satisfaction of life of the TURP patients.A Quasi-experiment
study was des-igned and 75 patients were consecutively assigned
to experimental group<EG>(n=25),control group I<CGI>(n=25) and
control group II<CGII>(n=25).The PFME was implemen-ted on EG
whereas CG received routine care.The results showed as
follows:(1)There was no significant difference in demograp-hic
data between three groups.(2)EG presented better improvement of
PFMS than CG Iat one month after dischage from hospital.(3)EG
presented improvement of intervoid-ing interval than CG I(one
week Vs three week).(4)EG presented better improvementof urinary
incontinence than CG I.(5)There was no significant difference in
uro-flowmetry between two group.(6)EG presented better of social
dimension than CG I.there was no significant difference in
emotional,sexually and total satisfactiondimensions beteen two
group.(7)EG presented increase PFMS then to length of the inter-
voiding interval,the high satisfaction of life and the lessen
urinary inco-ntinence.Obviously,this study suggested that PFME
could enhance the improvement of PFMS,in-ter-voiding interval,
urinary incontinence and satisfaction of life ,so that
pelvicfloor muscle exercise can be a useful intervention for
TURP patients.
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