Effect of Pelvic Floor muscle Training Program on Quality of Life among Women with Stress Urinary Incontinence

Ahmed Elmorsey, Alshimaa Mohsen; Ramadan, Soad Abd El-Salam; Ibrahim, Seham Shehata; Reyad, Ibrahim Arafa; Abd El-Aty, Esraa Mostafa

doi:10.21608/pssjn.2024.230091.1285

Effect of Pelvic Floor muscle Training Program on Quality of Life among Women with Stress Urinary Incontinence

Document Type : Original Article

Authors

¹ Maternity, Gynecology, Obstetric Nursing, Faculty of nursing, port said university

² Obstetrics and Gynecological Nursing, Faculty of Nursing, Banha University

³ Maternity, Gynecology and Obstetrics Nursing, Faculty of Nursing, Port Said University

⁴ Obstetrics and Gynecology Medicine, Faculty of Medicine, Port Said University

10.21608/pssjn.2024.230091.1285

Abstract

Background: The most prevalent kind of urine incontinence in word wide, stress urinary incontinence that has an impact on women quality of life at various phases of their lives. According several previous studies, pelvic floor muscle training program is the best way for rehabilitating and strengthening pelvic floor muscles. Aim: To evaluate the effect of pelvic floor muscle training program on quality of life among women with stress urinary incontinence. Subjects and method: Design: A quasi-experimental design was utilized (one group). Subjects: 110 women who have been diagnosed with stress urine incontinence. Setting: This study was applied in gynecologic outpatient clinics at hospitals and primary health care centers that follow comprehensive health insurance. Tools for data collection: A structured interview, woman’s health assessment questionnaire, The Incontinence Impact Questionnaire-Short Form (IIQ) -7, and Follow up assessment sheet. Results: Training program was effective in reducing the severity of urine incontinence in the post- and follow-up periods (5.5% and 6.4%). Mean scores of quality of life were improved at post and follow up phase (18.7±0.3, 18.0±3.1 respectively) after providing training program compared to preprogram phase (8.01±2.9) with highly statistically significant difference (p= .000). Also, mean score of women knowledge were improved at post and follow up phase (12.2± 1.2 and 11.3 ±1.8, respectively). Conclusion: Pelvic floor muscle training program was effective in improving women's quality of life and reduced stress urinary incontinence. Recommendations: Making available manual for ongoing education and training about pelvic floor muscle exercises for all women with stress urinary incontinence.

Keywords

Main Subjects

Maternity, Gynecology & Obstetrics Nursing

References

Abd El-Aty, M., & Hassan, EL. (2021). Effect of Kegel Exercise Training Program On Improving Quality Of Life Among Women With Urinary Incontinence. Egyptian Journal of Health Care, 12(2), 946-964.‏

Almousa, S., & van Loon, A. B. (2018). The prevalence of urinary incontinence in nulliparous adolescent and middle-aged women and the associated risk factors: a systematic review. Maturitas, 107, 78-83.

Akinlusi, F.M., Ottun, T.A., Oshodi, Y.A., Seriki, B.O., Olalere, F.D. H., & Kuye, T.O. (2020). Female Urinary Incontinence: Prevalence, Risk Factors and Impact on the Quality of Life of Gynecological Clinic Attendees in Lagos, Nigeria. Nepal Journal of Obstetrics and Gynecology; 15(1)Pp (31-38).

Bulto, (2021).

Cho, S. T., & Kim, K. H. (2021). Pelvic floor muscle exercise and training for coping with urinary incontinence. Journal of exercise rehabilitation, 17(6), 379.‏

Corrado, B., Giardulli, B., Polito, F., Aprea, S., Lanzano, M., & Dodaro, C. (2020). The impact of urinary incontinence on quality of life: A cross-sectional study in the Metropolitan City of Naples. Geriatrics, 5(4), 96.‏

El-Azab, A. S., & Shaaban, O. M. (2010). Measuring the barriers against seeking consultation for urinary incontinence among Middle Eastern women. BMC women's health, 10(1), 1-6.

El Badawy, R.E., Hassan, S.A.A., Abo El-Seoud. A.R.,& Abd Allah, E.S. (2013). Health Education Intervention for Controlling of Stress Urinary Incontinence among Elderly Women at Zagazig City (Doctoral dissertation, University of Zagazig, Egypt).

Essa, R.M. Hafez, S.K. & Kandeel, H.A.M. (2020). Association between Severity of Stress Urinary Incontinence and Quality Of Life among Menopausal Women. International Journal of Novel Research in Healthcare and Nursing, Vol.7(1) Pp;(778-800).

Hassan, M.M., El-Nemer, A.M.R & Mohamed, H.E. (2015). Effect Of Pelvic Floor Muscle Training On Women Complaining Of Urinary Incontinence. (Doctoral dissertation, University of Mansoura, Egypt).

Ismail, N. I. A. A., Ibrahim, H. I., Rady, S. E., & Habiba, A. I. A. (2019). Effect of Kegel's Exercise on Severity of Urinary Incontinence and Quality of Life among Menopausal Women. Novelty Journals, 6(3), 1288-1308.‏

Jasim, S.M.,& Al‑Rawi, R.Y.K.(2020). Efficacy and Safety of Vaginal CO2 Laser Treatment in Female Stress Urinary Incontinence: Medical Journal of Babylon, Wolters Kluwer – Medknow, Volume 15(3), 251-257

Joseph, C., Srivastava, K., Ochuba, O., Ruo, S.W., Alkayyali, T., Sandhu, J.K., Waqar, A., Jain, A., & Poudel, S. (2021). Stress Urinary Incontinence Among Young Nulliparous Female Athletes. Cureus, 13(9): 8 Pages

Jurášková, M., Piler, P., Kukla, L., Švancara, J., Daňsová, P., Hruban, L., Kandrnal, V., & Pikhart, H. (2020). Association between Stress Urinary Incontinence and Depressive Symptoms after Birth: the Czech ELSPAC Study. National Library of Medicine, 10:6233 | https://doi.org/10.1038/s41598-020-62589-5

Khatun, I., Hossain, M. A., Hossain, K. A., & Urme, N. A. (2021). Effect of Maximum Repetition of Pelvic Floor Stabilization Exercise in Stress Urinary Incontinence. medRxiv, 2021-11.

Li, T., Chen, X., Wang, J., Chen, L., & Cai, W. (2021). Mobile app-based intervention for pregnant women with stress urinary incontinence: protocol for a hybrid effectiveness-implementation trial. JMIR Research Protocols, 10(3), e22771.‏

Lim, R., Liong, M. L., Leong, W. S., Lau, Y. K., Khan, N. A. K., & Yuen, K. H. (2018). The impact of stress urinary incontinence on individual components of quality of life in Malaysian women. Urology J, 112, 38-45.

Lowdermilk, D.L., Perry, S.E., Cashion, K., Alden, K.R., and Olshansky, E.F. (2016). Maternity Women’s Health Care (11^th ed), United States of America: ELSEVIER, BOOKAID International, P(236- 239).

Mohamed, H. G., Hafez, S. K., & Basyouni, N. R. (2018). Effect of Pelvic Floor Muscle Strengthening-Kegel's Exercise-on Severity of Stress Urinary Incontinence and Quality of Life Among Women. International Journal of Novel Research in Healthcare and Nursing, 5(3), 421-438.‏

Moustafa, W. E. (2022). Assessing Women’s Knowledge and Practice Regarding Urinary Incontinence and Pelvic Floor Muscles Exercises. Helwan International Journal for Nursing Research and Practice, 1(1), 195-211.‏

Okeahialam, N. A., Oldfield, M., Stewart, E., Bonfield, C., & Carboni, C. (2022). Pelvic floor muscle training: a practical guide. bmj, 378.‏

Pourmomeny, A. A., Torkzadeh, A., & Zargham, M. (2018). Effects of special pelvic floor muscle training on the quality of life in women with urinary incontinence, a clinical trial. Journal of Rehabilitation Sciences & Research, 5(4), 106-110.‏

Ricci, S.S., (2017): Essentials Of Maternity, Newborn, & Women’s Health Nursing (4^th ed) China. Wolters Kluwer Health. Pp (222-224).

Salmon, V. E., Hay‐Smith, E. C., Jarvie, R., Dean, S., Terry, R., Frawley, H., ... & Pearson, M. (2020). Implementing pelvic floor muscle training in women's childbearing years: a critical interpretive synthesis of individual, professional, and service issues. Neurourology and urodynamics, 39(2), 863-870.‏

Toos, S. N., Youssef, A. M., El-Bandrawy, A. M., & Bahaa, A. M. (2019). Impact of different pelvic floor exercises position on women with stress urinary incontinence. Curr Sci Int, 8(4), 802-9.

Townsend, M.K., Lajous, M., Medina-Campos, R.H., Catzin-Kuhlmann, A., Lopez-Ridaura, R., & Rice, M.S. (2017). Risk factors for urinary incontinence among postmenopausal Mexican women. International urogynecology journal, 28(5), 769-776. DOI 10.1007/s00192-016-3196-0

Uebersax JS., Wyman JF., Shumaker SA. (1995). Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program for Women Research Group. Neurourol Urodyn.;14(2):131-139

Varghese, L., & Viswanath, L. (2023). Pelvic Floor Muscle Exercises for Stress Urinary Incontinence (SUI): A Review Article. Sch Int J Obstet Gynec, 6(2), 79-83.