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Effectiveness of a Behavioral Intervention Program for Urinary Incontinence in a Community Setting
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Hyun Soo Oh, Mi Kyung Kim, Wha Sook Seo
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Journal of Korean Academy of Nursing 2005;35(8):1476-1484. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.8.1476
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Abstract
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Purpose
The purposes of this study were to examine the effectiveness of a behavioral intervention program combining pelvic floor muscle exercise with bladder training for urinary incontinence and also to conduct follow-up assessment after self-training.
Methods
This study was conducted using a non-equivalent control group, pretest-posttest design. The subjects were 60 middle-aged women (control group, n=30; intervention group, n=30) who experienced an episode of urinary incontinence at least once a week. The program was run over a 4 week period (once a week) and composed of urinary incontinence education, pelvic floor muscle exercise, and bladder training.
Results
Overall, there was a significant difference in urinary incontinence symptoms and psycho-social well-being related to urinary incontinence between the treatment and control group. Of the variables, weekly leakage frequencies, leakage amounts on each occasion, leakage index, frequencies of nocturia, and quality of life were significantly different between the groups. Follow-up assessment (9th week) indicated that overall incontinence symptoms and psycho-social well-being were significantly different between the posttest and follow-up assessments. Most variables of incontinence symptoms and psycho-social well-being were significantly improved at follow-up assessment versus posttest.
Conclusions
The program was overall effective in terms of relieving symptoms and improving psycho-social well-being related to urinary incontinence, and this effect continued after a 4-weeks self-training period. In the respect that this is a community-based application study, the results can be meaningful and applicable.
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A Study of the Effects of Behavior Contact in Early Mother-Infant Attachment
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Mi Hae Sung, Mi Kyung Kim
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Journal of Korean Academy of Nursing 2005;35(5):842-849. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.5.842
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Abstract
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Purpose
The main purpose of this study was to establish a nursing intervention data base to improve maternal attachment.
Method
The first group of mothers(control group), experienced their first physical contact with their infants after being discharged from the hospital. The second group (experimental group) practiced early initial mother-infant postpartum contact known as the most sensitive period for founding maternal-infancy attachment. The subjects of this study gave birth to normal infants at M hospital from Aug.25 to Sept.30, 2004. During the same time, data was collected through direct observation, with instruments designed by Cropley et al., to assess the behaviors of normal attachment. The statistical methods for data analysis were percentage, mean, standard deviation and t-test with an SPSS program.
Result
The group practicing initial mother-infant contact, showed a higher degree of physical and functional bonding than the group experiencing the first contact after discharge from the hospital (control group)(p<.01). The group practicing initial mother-infant contact, showed higher degrees of bonding attachment assessments than the group experiencing their first initial contact after their discharge from the hospital(p<.01).
Conclusion
The group practicing early mother-infant contact, showed more maternal-infant interaction than the group experiencing their initial contact after their discharge from the hospital. These results show that maternal attachment behavior increases according with an early initial mother-infant contact.
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Citations
Citations to this article as recorded by 
- Preterm Bebek Annelerinin Maternal Bağlanma, Emzirme Özyeterliliği ve Bakıma Katılım Düzeyleri
Tuğçe AĞAR, Ferdağ YILDIRIM Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi.2023; 8(3): 466. CrossRef - Integrative Review of Nursing Intervention Studies on Mother-Infant Interactions.
Sun Jung Park, Shin Jeong Kim, Kyung Ah Kang Child Health Nursing Research.2014; 20(2): 75. CrossRef - The Effects of Music Therapy on Postpartum Blues and Maternal Attachment of Puerperal Women
Sun Mi Lee Journal of Korean Academy of Nursing.2010; 40(1): 60. CrossRef - Effects of Early Contact on Maternal Infant Attachment
Mi-Hae Sung, Myung-Ran Choi, Ok-Bong Um Korean Journal of Women Health Nursing.2010; 16(2): 177. CrossRef - Effects of a Breast Feeding Promotion Program for Working Women
Ji-Won Yoon, Young-Joo Park Journal of Korean Academy of Nursing.2008; 38(6): 843. CrossRef - Maternal Attachment Inventory: psychometric evaluation of the Korean version
Hyunjeong Shin, Young Hee Kim Journal of Advanced Nursing.2007; 59(3): 299. CrossRef
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Factors Affecting the Severity of Urinary Incontinence and the Quality of Life of Women with Urinary Incontinence
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Hyun Soo Oh, Mi Kyung Kim
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Journal of Korean Academy of Nursing 2005;35(3):469-477. Published online June 30, 2005
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DOI: https://doi.org/10.4040/jkan.2005.35.3.469
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Abstract
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Purpose
This study was conducted to investigate the factors that affect the severity of urinary incontinence and the quality of life of women with urinary incontinence.
Methods
An exploratory correlation research design was applied and the sixty women who responded that they currently experience involuntary urine leakage at least once per week were invited to participate in the study.
Results
According to the study results, the factors that significantly contribute to the severity of urinary incontinence were age, number of parity, and number of normal deliveries. Other influencing factors, such as obesity, menopausal state, hysterectomy, and number of episiotomies, were not significant to predict the severity of urinary incontinence. Urinary incontinence frequency per week and duration of experiencing urinary incontinence were shown to be factors that significantly affect quality of life.
Conclusion
In women above 60 years old, multiparity, and multiple experiences of vaginal delivery tended to present a higher level of severity of urinary incontinence. In addition, women with higher frequencies of urinary incontinence per week and a longer duration of urinary incontinence showed a lower level of quality of life.
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Citations
Citations to this article as recorded by 
- Effect of Pila-dance to Ease Urinary Incontinence of Middle-aged Women
Hye-Jeon Hong The Korean Journal of Physical Education.2018; 57(2): 431. CrossRef - Health-related quality of life and mental health in older women with urinary incontinence
YeunHee Kwak, HaeJin Kwon, YoonJung Kim Aging & Mental Health.2016; 20(7): 719. CrossRef - Association between Muscle Loss and Urinary Incontinence in Elderly Korean Women
Hyun-Jung Park, Se-Ryung Choo, Sang-Hyuk Kim, Hyun-Ki Lee, Ki Young Son Korean Journal of Family Medicine.2015; 36(1): 22. CrossRef - A Study on Urinary Incontinence Related Health Problems in Women above Middle Age in Rural Areas and Their Coping with the Problems
Chunmi Kim, Hung Sa Lee, Eun Man Kim Journal of Korean Academy of Community Health Nursing.2013; 24(3): 368. CrossRef - The Life Stories of Elderly Korean Women with Urinary Incontinence: A Narrative Study Approach
Bong-Sook Yih, Myungsun Yi Journal of Korean Academy of Nursing.2009; 39(2): 237. CrossRef
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The Effects of prompted Voiding Therapy on Urinary Incontinence Control of Elderly Patients
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Kyung Ja Lee, Mi Kyung Kim, Hee Young Song
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Journal of Nurses Academic Society 1997;27(4):943-952. Published online March 30, 2017
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DOI: https://doi.org/10.4040/jnas.1997.27.4.943
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Abstract
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This study was done to analyze the effects of prompted voiding therapy on urinary incontinence in elderly patients in an elderly care hospital. Specifically, this study looks to evaluate the effects of prompted voiding as an intervention for improving independent voiding and also identified the relationship of urinary continence to cognitive, emotional, and physical factors. The study was based on a pre-experimental design used to evaluate the effects of prompted voiding therapy on an experimental group without a control group. An experimental group of 143 patients was selected through convenience sampling from patients in an elderly care hospital. The data was collected from November 4 to December 14, 1996. Prompted voiding therapy is a behavioral therapy for managing incontinence and it is applied to patients who are cognitively impaired and dependent. In this study, the patients were asked at each designated time whether or not they had to urinate. If they answered yes, they were either given a bedpan or were assisted to the bathroom, and if the patient answered no, their diaper was checked to determine whether or not it was wet. The results were then recorded on the patients urinary voiding record. The urinary voiding score based on the model presented by Burton(1984), Burke and Walsh(1992), Chenitz, Stone and Salisbury(1991 was modified and used as a tool in this study. After forty six out of the total of 143 patients were selected for interviews through random sampling the levels of cognitive functions, mental depression and ADL(activities of daily life) within the given time frame were measured. In this study, the cognitive function was measured using the scale developed by Kabhn, Goldfarb, Pollack and Peck(1960), elderly mental depression, using the tool developed by Sheikh and Yesavage(1986), and the ADL(activities of daily living, through the Barthel Index. The data was analyzed through SPSS windows for descriptive statistics, repeated measured ANOVA and Pearson's correlation. According to the results of the study, the application of the prompted voiding therapy can improve the voiding pattern of patients. It was shown especially that incontinence could be controlled by the intervention developed according to the individual voiding pattern. In terms of the relationship between cognitive function, mental depression and ADL and the voiding function score, a close correlation was not found. It was shown that urinary incontinence can be improved through therapy even though patients have problems with their cognitive, mental and physical functions.
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