Background
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does the introduction of a nurse practitioner in the treatment of UI in women in primary care lead to an improvement of the UI severity and the quality of life after three months therapy?
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what are reasons for women not to complete the treatment program given by a trained nurse practitioner and are their differences in patient characteristics between the group that completed treatment and the drop-out group?
Methods
Design
Setting
Participants
Data collection
Outcome measures
Primary outcome
Secondary outcome
Sample size calculation
Statistical methods
Ethical approval
Results
Descriptive data
Characteristic | N (%) | Presented morbidity in women (age 45–65) in standard population (CMR)a (%) |
---|---|---|
Age mean (SD) | 55.0 (±14.6) | |
Incontinence | ||
Stress | 52 (50.5) | |
Urge | 15 (14.7) | |
Mixed | 36 (34.8) | |
Severity of UI (Sandvik score) | ||
Mild | 11 (10,7) | |
Moderate | 69 (67,0) | |
Severe | 22 (21,4) | |
Very severe | 1 (0,9) | |
Impact on daily life (IIQ) | ||
Activities | 1.61 (SD 2.50) | |
Social | 1.32 (SD 2.62) | |
Emotional | 1.37 (SD 2.07) | |
Travelling | 1.76 (SD 2.54) | |
Impression of severity (PGIS) | ||
Negligible | 36 (34,9) | |
Mild | 40 (39,2) | |
Moderate | 23 (19,8) | |
Severe | 4 (2,1) | |
Co-morbidity | ||
Neurologic disease | 8 (7.5) | (1.9)b |
COPD/chronic cough/asthma | 10 (9.4) | (6.8) |
Diabetes mellitus | 8 (7.5) | (4.3) |
Heart failure | 4 (3.8) | (2,0) |
Hypertension | 25 (23.6) | (14.5) |
Obesity | 27 (25.5) | (11.9) |
Use of medication | ||
Diuretics | 15 (14.2) | (14.7)c |
Antidepressants | 12 (11.3) | (2.1)d |
Other | 29 (27.4) |
−
|
Outcome data
Intake (T0) (SD) | 3 months (T1) (SD) | Change | Paired T-test (p-value) | |
---|---|---|---|---|
IIQ total | 6.05 (8.41) | 3.51 (6.03) | 2.54 | 0.012* |
IIQ activities | 1.61 (2.50) | 0.88 (1.57) | 0.73 | 0.032* |
IIQ Social | 1.32 (2.62) | 0.72 (1.72) | 0.60 | 0.030* |
IIQ emotional | 1.37 (2.07) | 0.74 (1.56) | 0.63 | 0.031* |
IIQ travelling | 1.76 (2.54) | 1.19 (2.00) | 0.57 | 0.082 |
Reason | N |
---|---|
Lack of improvement, referral to physiotherapist | 5 |
Lack of improvement, referral to urologist/gynaecologist | 5 |
Difficulties performing exercises or adherence to the program | 5 |
Other health problems | 4 |
Other priorities | 1 |
Unrealistic expectations of the program | 1 |
Reasons unknown | 12 |