:::

詳目顯示

回上一頁
題名:漸進性骨盆底肌肉運動對應力性尿失禁婦女之影響--前驅性研究
書刊名:護理研究
作者:陳美玲林麗嬋卓俊辰 引用關係白璐
作者(外文):Chen, Mei-lingLin, Li-chanJwo, Jiunn-chernPai, Lu
出版日期:1997
卷期:5:4
頁次:頁353-365
主題關鍵詞:應力性尿失禁骨盆底肌肉運動機構住民Stress incontinencePelvic floor exerciseInstitutionResident
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:3
  • 點閱點閱:30
     本研究之目的在:探討長期照護機構應力性尿失禁住民執行骨盆底肌肉運動之效果。研究方法採單組重復測量的準實驗設計。抽樣方法為立意取樣,樣本來源為臺北地區4個公、私立長期照護機構,總計收案12人。研究對象接受每週3次、為期8週的漸近式骨盆底肌肉運動訓練。研究結果如下:(1)在基本屬性、失禁狀況(失禁嚴重度、失禁期間及失禁頻率)與執行骨盆底肌肉運動效果之關係方面,除失禁狀況(失禁嚴重度、失禁期間及失禁頻率)與執行骨盆底肌肉運動的效果有顯著的相關外,餘均未達統計之顯著水準。(2)實施骨盆底肌肉運動計劃後顯著的減少漏尿童和失禁次數(Friedman test X□=22.17,X□=21.13,p<.01),但對排尿次數無顯著差異。(3)在自許療效方面亦有顯著的差異(中、後測sign test p=.0078,p=.0020)。建議未來從事:運動維持期效用的後續追蹤,與發展非侵入性的測量指標獲得更多客觀資料以擴大對運動訓練的解釋。
     The purpose of this study was to investigate the effectiveness of pelvic floor exercise in treating stress incontinence in residents of long-term care facilities. A repeated measure pre-experimental design was used for this study. Convenience sampling was employed to select 12 subjects who were from four public and private long-term care institutions in the metropolitan Taipei area. Subjects performed graded pelvic floor exercise three times a week for 8 weeks. Data was collected before and after four-week and eight-week programs. Descriptive analysis as well as the X□test, Wilcoxon twosample test, Friedman test, median test, sign test, Spearman correlation, and Wilcoxon signed-rank test were used to analyze the data. The results were as follows: (1) There were correlations between incontinence situation variables (including severity, duration and frequency of incontinence) and the effectiveness of exercise, but no correlations of any significance were found between demographic variables and the effectiveness of exercise; (2) after performing pelvic floor exercise, there were significantly less volume and frequency of urine leakage (Friedman test: x □ = 22.17, X□= 21.13, p < .01), with no significant decrease in the frequency of urination; (3) subjects self~reported significant improvement of urine incontinence (Sign test, p < .01). Further studies on the effectiveness of regularly performing these exercises over longer periods of time and developing less-invasive measures to assess the effectiveness of pelvic floor exercises are recommended.
期刊論文
1.Cammu, H.、DeBruyne, R.、Nylen, M. V.、Amy, J. J.、Derde, M. P.(1991)。Pelvic physiotherapy in genuine stress incontinence。Urology,38(4),333-337。  new window
2.何卿維(19920800)。成年婦女的尿失禁症。臨床醫學,30(2)=176,84-88。new window  延伸查詢new window
3.余宏政、季瑋珠、丘祖毅(19940300)。台北地區社區成年婦女尿失禁的盛行率及危險因子之評估。中華民國泌尿科醫學會雜誌,5(1),24-31。  延伸查詢new window
4.Dougherty, M.、Bishop, K.、Mooney, R.、Gimotty, P.、Williams, B.(1993)。Graded pelvic muscle exercise: effect on stress urinary incontinence。The Journal of Reproductive Medicine,38(9),684-691。  new window
5.Bavendam, T. G.(1990)。Stress urinary incontinence in women。Journal of Enterostomal Therapy,17(2),57-66。  new window
6.Benvenuti, F.、Caputo, G. M.、Bandinelli, S.、Mayer, F.、Biagini, C.、Sommavilla, A.(1987)。Reeducaxive treatment of female genuine siress incontinence。Americal Journal of Physical Medicine,66(4),155-168。  new window
7.Brink, C. A.、Wells, T. J.、Sampselle, C. M.、Taillie, E. R.、Mayer, R.(1994)。A digital rest for pelvic muscle strength in women with urinary incontinence。Nursing Reserach,43(6),352-356。  new window
8.Burgio, K. L.、Matthews, K. A.、Engel, B. T.(1991)。Prevalence, incidence and correlates of urinary incontinence in health, middleaged women。Journal of Urology,146(5),1255-1259。  new window
9.Creason, N. S.、Burgener, S. C.、Farrand, L.(1992)。Guidelines for assessment of incontinence in elderly institutionalized women。Geriatric Nursingt,13(2),76-79。  new window
10.Dowd, T. T.(1991)。Discovering older women's experience of urinary incontinence。Research in Nursing & Healtth,14(3),179-186。  new window
11.Enck, P.(1993)。Biofeedback training in disordered defecation: A critical review。Digestive Diseases and Sciences,38(11),1953-1960。  new window
12.Geldman, M.、Rutherford, I.(1994)。A comparison of upper and lower body strengths after usurious weight training programmes: pilot siudy。Phvsiotherapy,80(11),753-756。  new window
13.Griffin, C.、Dougherxy, M. C.、Yarandi, H.(1994)。Pelvic muscles during rest: Responses to pelvic muscle exercise。Nursing Research,43(3),164-167。  new window
14.Hahn, I.、Sommar, S.、Fall, M.(1991)。A comparative study of pelvic floor training and electrical sumulaiion for the trearment of genuine female stress urinary incontinence。Neurourology and Urodynamics,10(6),545-554。  new window
15.Harrison, G. L.、Memel, D. S.(1994)。Urinary incontinence in women: Its prevalence and iis management in a health promotion clinic。British JouranI of General Practice,44(381),149-152。  new window
16.Henderson, J. S.(1988)。A pubococcygeal exercise program for simple urinary stress incontinence: Applicability to the female client with multiple sclerosis。Journal of Neuroscience Nursing,20(3),185-188。  new window
17.Klarskov, P.、Hald, T.(1984)。Reproducibility and reliability of urinarry incontinence assessmentt with a 60 min test。Scandinavian Journal of Urology and Nephrology,18(4),293-298。  new window
18.Miller, J.、Kasper, C.、Sampselle, C.(1994)。Review of muscle physiology with application to pelvic muscle exercise。Urologic Nursing,14(3),92-97。  new window
19.Newman, D. K.、Burn, P. A.(1994)。Significance and impact of urinary incontinence。Nurse Practitioner Forum,5(3),130-133。  new window
20.Norton, P. A.、MacDonald, L. D.、Sedgwick, P. M.、Stanton, S. L.(1988)。Distress and delay associated with urinary incontinence, frequency and urgency in women。British Medical Journal,297(6657),1187-1189。  new window
21.Palmer, M. H.、German, P. S.、Ouslander, J. G.(1991)。Risk factors for urinary incontinence one year after nursing home admission。Research in Nursing & Health,14(6),405-412。  new window
22.Petros, P. E. P.、Ulmsten, U.(1992)。An analysis of rapid pad testing and the history for the diagnosis of stress incontinence。Acta Obstetricifl et Gynecoloica Scandinavica,,71(7),529-536。  new window
23.Smodlaka, V. N.(1973)。Interval training in rehabilitation medicine。Archives of Physical Medicine & Rehabilitation,54(9),428-431。  new window
圖書
1.Fox, E. L.、Mathews, D. K.(1981)。The physiological basis of physical education and athletics。Philadelphia:Saunders College Publishing。  new window
2.Fleck, S. J.、Kraemer, W. J.(1987)。Designing resistance training programs。Champaign, IL:Human Kinetics。  new window
3.Agency for Health Care Policy and Research(1992)。Urinary incontinence in adults: Clinical practice guideline。Rockville:U.S. Department of Health and Human Services。  new window
4.Basmajian, J. V.、Wolf, S. L.(1990)。Therapeutic Exercise。Baltimore:Williams & Wilkins。  new window
5.Carpenito, L. J.(1992)。Nursing diagnosis: Applicattion to clinical practice。Philadelphia:J. B. Lippincott。  new window
6.Gordon, P. H.、Nivatvongs, S.(1992)。Principles and Practice of Surgery for the Colon, Recium, and Anus。ST. Louis:Quality Medical Publishing。  new window
圖書論文
1.張兆祥(1995)。女性骨盆腔的功能解剖學。女性泌尿學。台北:九州圖書。  延伸查詢new window
2.Moldover, J. R.、Borg-Stein, J.(1994)。Exercise and fatigue。The physiological basis of rehabilitation medicine。Boston:Butterworth-Heinemann。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE