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摘要
外文摘要
引文資料
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
/
白璐
作者(外文):
Chen, Mei-ling
/
Lin, Li-chan
/
Jwo, Jiunn-chern
/
Pai, 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 incontinence
;
Pelvic floor exercise
;
Institution
;
Resident
原始連結:
連回原系統網址
相關次數:
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:
4
共同引用:
3
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。
以文找文
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.
以文找文
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。
2.
何卿維(19920800)。成年婦女的尿失禁症。臨床醫學,30(2)=176,84-88。
延伸查詢
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
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。
5.
Bavendam, T. G.(1990)。Stress urinary incontinence in women。Journal of Enterostomal Therapy,17(2),57-66。
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。
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。
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。
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。
10.
Dowd, T. T.(1991)。Discovering older women's experience of urinary incontinence。Research in Nursing & Healtth,14(3),179-186。
11.
Enck, P.(1993)。Biofeedback training in disordered defecation: A critical review。Digestive Diseases and Sciences,38(11),1953-1960。
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。
13.
Griffin, C.、Dougherxy, M. C.、Yarandi, H.(1994)。Pelvic muscles during rest: Responses to pelvic muscle exercise。Nursing Research,43(3),164-167。
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。
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。
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。
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。
18.
Miller, J.、Kasper, C.、Sampselle, C.(1994)。Review of muscle physiology with application to pelvic muscle exercise。Urologic Nursing,14(3),92-97。
19.
Newman, D. K.、Burn, P. A.(1994)。Significance and impact of urinary incontinence。Nurse Practitioner Forum,5(3),130-133。
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。
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。
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。
23.
Smodlaka, V. N.(1973)。Interval training in rehabilitation medicine。Archives of Physical Medicine & Rehabilitation,54(9),428-431。
圖書
1.
Fox, E. L.、Mathews, D. K.(1981)。The physiological basis of physical education and athletics。Philadelphia:Saunders College Publishing。
2.
Fleck, S. J.、Kraemer, W. J.(1987)。Designing resistance training programs。Champaign, IL:Human Kinetics。
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。
4.
Basmajian, J. V.、Wolf, S. L.(1990)。Therapeutic Exercise。Baltimore:Williams & Wilkins。
5.
Carpenito, L. J.(1992)。Nursing diagnosis: Applicattion to clinical practice。Philadelphia:J. B. Lippincott。
6.
Gordon, P. H.、Nivatvongs, S.(1992)。Principles and Practice of Surgery for the Colon, Recium, and Anus。ST. Louis:Quality Medical Publishing。
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
2.
Moldover, J. R.、Borg-Stein, J.(1994)。Exercise and fatigue。The physiological basis of rehabilitation medicine。Boston:Butterworth-Heinemann。
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