This study evaluated the Comparison of the Effectiveness of Pelvic Floor Muscle exercise and Biofeedback treatment for Genuine Stress Incontinence I assigned 60 participants to 2 groups : 30 to the pelvic floor muscle exercise group and 30 to the biofeedback group. Treatment protocol lasted for 6 weeks. Peak pressure, and duration time of pelvic muscle contraction were evaluated by a perineometer. Lower urinary symptoms, sexual matter and life style scores were achieved by using Jackson's scale. The treatment efficacy of the pelvic floor muscle exercise is compared with the biofeedback group and the main results of the comparison are as follows: 1. Pelvic muscle contraction 1) The peak pressure in the biofeedback group was significantly increased(P=0.000). 2. The frequency and quantity of incontinence 1) The frequency of incontinence in the biofeedback group was significantly decreased(P=0.000). 2) The quantity of incontinence in the biofeedback group was significantly decreased(P=0.000). 3. The lower urinary symptoms Daily frequency(P=0.000), nocturia(P=0.000), urgency(P=0.000), bladder pain(P=0.000), unexplained incontinence(P=0.048), wearing protection(P=0.022), changing outer clothing(P=0.005), hesitancy(P=0.008), intermittent stream(P=0.000), abnormal strength of stream(P=0.004), retention(P=0.000), incomplete emptying(P=0.000), and inability to stop mid steam(P=0.006) of the lower urinary symptoms in the biofeedback group were significantly decreased. 4. The sexual matters The dry vagina(P=0.004) and pain during sexual intercourse(P=0.002) in the biofeedback group was significantly decreased. 5. The life style. The fluid intake restriction(P=0.007), affected daily task(P=0.003), avoidance of places & situation(P=0.003), interference in Physical activity(P=0.002), interference in relationship with other people(P=0.01), and feeling about the rest of life with urinary symptom(P=0.000) in the biofeedback group were significantly decreased. In conclusion, the biofeedback treatment was more effective than the pelvic floor muscle exercise in genuine stress incontinence.

The purpose of this study was to get some basic data for health care for working women, especially for hospital nurses. the number of subjects was 796 nurses from one general hospital and four private educational hospitals. The data were collected from February to April, 1988 using the questionnaire "Symptom Table on fatigue Perception" designed by the Research Committee of Industrial Fatigue in Hygienic Association of Japan Industry. The collected data were analyzed using means and standard deviations for the subjective symptoms of fatigue and each item as an independent variable was analyzed by T-test and ANOVA test. The results are as follows: 1) The mean score for degree of fatigue was 1.89 and the degree of fatigue for physical symptoms had highest score of 2.04, the next was psychological symptoms at 1.89, and euro-sensory symptoms were the lowest ar 1.74. Among the fatigue symptoms, the item scored most frequently was "Legs feel heavy" with a mean score of 2.40 and the least frequent item was "My hand and foot trembled" with a mean score of 1.40/. 2) With the respect to the general characteristics of subjects, there were statistically significant difference according to age(F=17.039, p=.000), state of marriage(t=5.381, p=.000) presence of children(t=5.134, p=.000), clinical experience(F=16.663, p=.000), present position(F=12.598, p=.000), duty time(F=9.068, p=.000), monthly wages(F=7.361, p=.000), satisfaction about the pay and treatment at work(t=-5.511, p=.000), relation the doctors(t=-4.593, p=.000).