Skip to main content
Erschienen in: International Urogynecology Journal 10/2009

01.10.2009 | Original Article

Evaluating patient learning after an educational program for women with incontinence and pelvic organ prolapse

verfasst von: Roxana Geoffrion, Magali Robert, Sue Ross, Daniela van Heerden, Grace Neustaedter, Selphee Tang, Jill Milne

Erschienen in: International Urogynecology Journal | Ausgabe 10/2009

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

This study investigated changes in participant knowledge, symptoms, and condition-specific quality of life after a 2.5-h nurse-ran workshop on pelvic floor health.

Methods

Data were collected prospectively on a convenience cohort of 51 women who completed questionnaires before, immediately after, and 3 months after the workshop.

Results

Participant response rate for questionnaire completion at 3 months was 83%. The median preworkshop knowledge score was 28/39 and median scores immediately postworkshop and at 3 months were 36/39 and 33/39. Knowledge scores were significantly higher immediately postworkshop (p < 0.01) and 3 months post (p < 0.01) when compared with knowledge scores preworkshop. Symptom and quality-of-life scores significantly improved from baseline to 3 months (Pelvic Floor Impact Questionnaire: mean difference = 14.2, p = 0.005, 95% confidence interval (CI) 4.7–23.8; Pelvic Floor Distress Inventory: mean difference = 17.4, p < 0.001, 95% CI 8.3–26.5).

Conclusion

Women’s knowledge, symptoms, and quality-of-life scores significantly improved at 3 months compared to baseline preworkshop scores.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Hay-Smith EJ, Dumoulin C (2006) Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev 1:CD005654PubMed Hay-Smith EJ, Dumoulin C (2006) Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev 1:CD005654PubMed
2.
Zurück zum Zitat Hagen S, Stark D, Maher C, Adams E (2006) Conservative management of pelvic organ prolapse in women. Cochrane Database Syst Rev 4:CD003882PubMed Hagen S, Stark D, Maher C, Adams E (2006) Conservative management of pelvic organ prolapse in women. Cochrane Database Syst Rev 4:CD003882PubMed
3.
Zurück zum Zitat Wallace SA, Roe B, Williams K, Palmer M (2004) Bladder training for urinary incontinence in adults. Cochrane Database Syst Rev 1:CD001308PubMed Wallace SA, Roe B, Williams K, Palmer M (2004) Bladder training for urinary incontinence in adults. Cochrane Database Syst Rev 1:CD001308PubMed
4.
Zurück zum Zitat Milne JL (2004) Behavioral therapies at the primary care level: the current state of knowledge. J Wound Ostomy Cont Nurs 31(6):367–376 Milne JL (2004) Behavioral therapies at the primary care level: the current state of knowledge. J Wound Ostomy Cont Nurs 31(6):367–376
5.
Zurück zum Zitat Mitteness LS (1990) Knowledge and beliefs about urinary incontinence in adulthood and old age. J Am Geriatr Soc 38(3):374–378PubMed Mitteness LS (1990) Knowledge and beliefs about urinary incontinence in adulthood and old age. J Am Geriatr Soc 38(3):374–378PubMed
6.
Zurück zum Zitat Chiarelli P, Murphy B, Cockburn J (2003) Women’s knowledge, practises and intentions regarding correct pelvic floor exercises. Neurourol Urodyn 22(3):246–249PubMedCrossRef Chiarelli P, Murphy B, Cockburn J (2003) Women’s knowledge, practises and intentions regarding correct pelvic floor exercises. Neurourol Urodyn 22(3):246–249PubMedCrossRef
7.
Zurück zum Zitat McLellan M, Melick C, Alten B, Young J, Hoehn M (2005) Patients’ knowledge of potential pelvic floor changes associated with pregnancy and delivery. Int Urogynecol J 17:22–26CrossRef McLellan M, Melick C, Alten B, Young J, Hoehn M (2005) Patients’ knowledge of potential pelvic floor changes associated with pregnancy and delivery. Int Urogynecol J 17:22–26CrossRef
8.
Zurück zum Zitat Fine P, Burgio K, Borello-France D, Richter H, Whitehead W, Weber A et al (2007) Pelvic Floor Disorders Network. Teaching and practicing of pelvic floor muscle exercises in primiparous women during pregnancy and the postpartum period. Am J Obstet Gynecol 197(1):107e1–107e5CrossRef Fine P, Burgio K, Borello-France D, Richter H, Whitehead W, Weber A et al (2007) Pelvic Floor Disorders Network. Teaching and practicing of pelvic floor muscle exercises in primiparous women during pregnancy and the postpartum period. Am J Obstet Gynecol 197(1):107e1–107e5CrossRef
9.
Zurück zum Zitat Shaw C, Das Gupta R, Williams K, Assassa RP, McGrother C (2006) A survey of help-seeking and treatment in women with stress urinary incontinence. Br J Urogynecol Int 97:752–757 Shaw C, Das Gupta R, Williams K, Assassa RP, McGrother C (2006) A survey of help-seeking and treatment in women with stress urinary incontinence. Br J Urogynecol Int 97:752–757
10.
Zurück zum Zitat O’Donnell M, Lose G, Sykes D, Voss S, Hunskaar S (2005) Help-seeking and associated factors among women with urinary incontinence in France, Germany, Spain and the United Kingdom. Eur Urol 47:386–392 O’Donnell M, Lose G, Sykes D, Voss S, Hunskaar S (2005) Help-seeking and associated factors among women with urinary incontinence in France, Germany, Spain and the United Kingdom. Eur Urol 47:386–392
11.
Zurück zum Zitat Milne JL, Moore KN (2006) Factors impacting self-care for urinary incontinence. Urol Nurs 26(1):41–51PubMed Milne JL, Moore KN (2006) Factors impacting self-care for urinary incontinence. Urol Nurs 26(1):41–51PubMed
12.
Zurück zum Zitat Bent AE, Gousse AE, Hendrix SL, Klutke CG, Monga AK, Yuen CK et al (2005) Validation of a two-item quantitative questionnaire for the triage of women with urinary incontinence. Obstet Gynecol 106(4):767–773PubMed Bent AE, Gousse AE, Hendrix SL, Klutke CG, Monga AK, Yuen CK et al (2005) Validation of a two-item quantitative questionnaire for the triage of women with urinary incontinence. Obstet Gynecol 106(4):767–773PubMed
13.
Zurück zum Zitat Barber MD, Walters MD, Bump RC (2005) Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 193:103–113PubMedCrossRef Barber MD, Walters MD, Bump RC (2005) Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 193:103–113PubMedCrossRef
14.
Zurück zum Zitat Barber MD, Walters MD, Cundiff GW, PESSRI Trial Group (2006) Responsiveness of the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ) in women undergoing vaginal surgery and pessary treatment for pelvic organ prolapse. Am J Obstet Gynecol 194(5):1492–1498PubMedCrossRef Barber MD, Walters MD, Cundiff GW, PESSRI Trial Group (2006) Responsiveness of the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ) in women undergoing vaginal surgery and pessary treatment for pelvic organ prolapse. Am J Obstet Gynecol 194(5):1492–1498PubMedCrossRef
15.
Zurück zum Zitat Liao YM, Dougherty MC, Liou YS, Tseng IJ (2006) Pelvic floor muscle training effect on urinary incontinence, knowledge, attitudes and severity: an experimental study. Int J Nurs Stud 43:29–37PubMedCrossRef Liao YM, Dougherty MC, Liou YS, Tseng IJ (2006) Pelvic floor muscle training effect on urinary incontinence, knowledge, attitudes and severity: an experimental study. Int J Nurs Stud 43:29–37PubMedCrossRef
16.
Zurück zum Zitat Sampselle CM, Messer KL, Seng JS, Ragunathan TE, Hines SH, Diokno AC (2005) Learning outcomes of a group behavioural modification program to prevent urinary incontinence. Int Urogynecol J 16:441–446CrossRef Sampselle CM, Messer KL, Seng JS, Ragunathan TE, Hines SH, Diokno AC (2005) Learning outcomes of a group behavioural modification program to prevent urinary incontinence. Int Urogynecol J 16:441–446CrossRef
17.
Zurück zum Zitat Bump RC, Hurt WG, Fantl JA, Wyman JF (1991) Assessment of Kegel pelvic muscle exercise performance after brief verbal instruction. Am J Obstet Gynaecol 165(2):322–329 Bump RC, Hurt WG, Fantl JA, Wyman JF (1991) Assessment of Kegel pelvic muscle exercise performance after brief verbal instruction. Am J Obstet Gynaecol 165(2):322–329
18.
Zurück zum Zitat Bo K, Kvarstein B, Nygaard I (2005) Lower urinary tract symptoms and pelvic floor muscle adherence after 15 years. Obstet Gynecol 105:999–1005PubMed Bo K, Kvarstein B, Nygaard I (2005) Lower urinary tract symptoms and pelvic floor muscle adherence after 15 years. Obstet Gynecol 105:999–1005PubMed
19.
Zurück zum Zitat Gallo ML, Staskin DR (1997) Cues to action: pelvic floor muscle exercise compliance in women with stress urinary incontinence. Neurourol Urodyn 16(3):167–177PubMedCrossRef Gallo ML, Staskin DR (1997) Cues to action: pelvic floor muscle exercise compliance in women with stress urinary incontinence. Neurourol Urodyn 16(3):167–177PubMedCrossRef
20.
Zurück zum Zitat Gerard L (1997) Group learning behaviour modification and exercise for women with urinary incontinence. Urol Nurs 17(1):17–22PubMed Gerard L (1997) Group learning behaviour modification and exercise for women with urinary incontinence. Urol Nurs 17(1):17–22PubMed
21.
Zurück zum Zitat McFall SL, Yerkes AM, Cowan LD (2000) Outcomes of a small group educational intervention for urinary incontinence: episodes of incontinence and other urinary symptoms. J Health Aging 12:250–267CrossRef McFall SL, Yerkes AM, Cowan LD (2000) Outcomes of a small group educational intervention for urinary incontinence: episodes of incontinence and other urinary symptoms. J Health Aging 12:250–267CrossRef
22.
Zurück zum Zitat McFall SL, Yerkes AM, Cowan LD (2000) Outcomes of a small group educational intervention for urinary incontinence: health-related quality of life. J Health Aging 12:301–317CrossRef McFall SL, Yerkes AM, Cowan LD (2000) Outcomes of a small group educational intervention for urinary incontinence: health-related quality of life. J Health Aging 12:301–317CrossRef
23.
24.
Zurück zum Zitat Branch LG, Walker LA, Wetle TT, DuBeau CE, Resnick NM (1994) Urinary incontinence knowledge among community-dwelling people 65 years of age and older. J Am Geriatr Soc 42(12):1257–1262PubMed Branch LG, Walker LA, Wetle TT, DuBeau CE, Resnick NM (1994) Urinary incontinence knowledge among community-dwelling people 65 years of age and older. J Am Geriatr Soc 42(12):1257–1262PubMed
25.
Zurück zum Zitat Niewijk AH, Weijts WB (1997) Effects of a multi-media course on urinary incontinence. Patient Ed Counseling 30(1):95–103CrossRef Niewijk AH, Weijts WB (1997) Effects of a multi-media course on urinary incontinence. Patient Ed Counseling 30(1):95–103CrossRef
Metadaten
Titel
Evaluating patient learning after an educational program for women with incontinence and pelvic organ prolapse
verfasst von
Roxana Geoffrion
Magali Robert
Sue Ross
Daniela van Heerden
Grace Neustaedter
Selphee Tang
Jill Milne
Publikationsdatum
01.10.2009
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 10/2009
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-0919-5

Weitere Artikel der Ausgabe 10/2009

International Urogynecology Journal 10/2009 Zur Ausgabe

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.