| Summary: | 碩士 === 高雄醫學大學 === 護理學研究所碩士班 === 94 === Objectives:To evaluate the efficacy of bladder training on the improvement of the urinary incontinence episodes and quality of life( urogenital distress and incontinence impact) on community- dwelling women with urinary incontinence. Methods:This was a one- group pretest- posttest quasi- experimental study, using convenience sampling consisted of cases who had chief complain of mixed incontinence or urge incontinence symptoms from community clinic of health examination. The effective case were 34. This study used structural questionnaire including demographic, urogenital distress inventory and incontinence impact questionnaire to measure quality of life. Three-day bladder diaries were used to measure the urinary incontinence episodes. Results: Two major findings were shown: (1)After six weeks of bladder training, there were 67.6% women had not reported any incontinence episodes within three days of the post-test period. The decrease of urinary incontinence episodes had statistical significance(t33=6.99, p<.01). (2) After six weeks of bladder training, the degree of urogenital distress and incontinence impact were decreased(mean difference=8.88 and 6.97).The improvement on the quality of life had statistical significance(t33=6.23, p<.01；t33=3.38,p<.01). Conclusion and suggest: Six weeks of bladder training is effective for women with urinary incontinence, especially on incontinence episodes and quality of life. It is recommended that practitioners can use bladder training as a first-line treatment for women with urinary incontinence.
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