Dissertation
The effect of pelvic floor re-education on comfort in women having surgery for urinary incontinence
Doctor of Nursing Practice (D.N.P.), Drexel University
Dec 2008
DOI:
https://doi.org/10.17918/etd-3112
Abstract
The purpose of this study was to examine the effect of a pelvic floor re-education intervention on comfort and stress urinary incontinence in women opting for surgical correction and to explore the patient's feelings regarding the ease and benefit of attending the pelvic floor re-education intervention. The following research hypotheses were tested: H1 = comfort scores will increase across time and amount of urine leaks will decrease across time in women having surgery for stress urinary incontinence. H2 = women in the pelvic floor re-education intervention group will have greater comfort as compared to women in the control group who do not have the pelvic floor re-education intervention and H3 = women in the pelvic floor re-education intervention group will have less stress incontinence as compared to women in the control group who do not have the pelvic floor re-education intervention. Stress urinary incontinence is a significant women's health problem because of its prevalence, cost and social implications. Current treatment strategies consist of pelvic floor re-education, behavior modification or surgical correction. Surgery for stress urinary incontinence yields a high objective cure. However, many women indicate dissatisfaction with surgical outcome related to voiding dysfunction and discomfort. Therefore, comfort is a nursing goal that can be used as a holistic outcome measurement in women having surgery for stress incontinence. This was a preliminary exploratory study using a quasi-experimental mixed model design. Twenty-eight women scheduled for corrective surgery for stress urinary incontinence wererandomly assigned to the control and treatment groups. Subjects were measured at three time points on comfort and stress urinary incontinence. The primary statistical analysis was mixed model analysis of variance (ANOVA). Results from the Greenhouse-Geisser corrected mixed model ANOVA revealed that only the main effect of time was significant for differences in comfort scores. Knowledge gained from this study can be used to direct further research. A larger study with adequate sample size and power will contribute to the advancement of nursing science and may translate into improved patient outcomes in the practice settings.
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Details
- Title
- The effect of pelvic floor re-education on comfort in women having surgery for urinary incontinence
- Creators
- Joan E. Zaccardi - DU
- Contributors
- Linda Wilson (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 3112; 991014632309604721