복압성 요실금 여성에게 시행한 두 가지 방법의 골반저근육훈련의 효과

서지정보

· 발행기관 : 노인간호학회
· 수록지 정보 : 노인간호학회지 / 1권 / 1호
· 저자명 : 최영희, 성명숙, 백성희

목차

Ⅰ. 서론
Ⅱ. 문헌 고찰
Ⅲ. 연구 방법
Ⅳ. 연구 결과
Ⅴ. 논의
Ⅵ. 결론 및 제언
참고 문헌
Abstract

영어초록

Purposes : We aimed to compare the treatment efficacy of pelvic floor muscle exercises and the functional electrical stimulation (FES)-biofeedback method, which are being widely used as a conservative treatment method for urinary incontinence in women. We also aimed to determine the effects of those treatments on the patients' quality of life.
Materials and methods : We randomly selected 90 female incontinence patients who visited our department and evenly divided them into three groups: control group, pelvic floor muscle (PFM) exercise group, FES-biofeedback group. They were treated for 6 weeks. The objective changes in the severity of incontinence and discomfort in daily and social life were measured using a translated version of the questionnaire by Jackson( Bristol Female Urinary Symptom Questionnaire). Subjective changes of pelvic muscle contraction force were measured by perineometer.
Results : Pre and post treatment maximal pelvic floor muscle contractile pressure (PMC pressure) among the three groups (control, PFM exercise, FES-biofeedback) showed statistically significant differences(p=0.000). Especially, The FES-biofeedback group showed significantly increased maximal PMC pressure compared with other groups(p<0.001). When measured by the questionnaire, pre and post treatment changes in the severity of urinary incontinence and discomfort due to incontinence showed significant differences among the three groups, and FES-biofeedback group showed a significant decrease (p< 0.001). The level of discomfort in daily life, social activity, physical activity, personal relations and discomfort due to urinary symptoms was greatly changed. FES-biofeedback group, in particular, showed a significant decrease in discomfort after treatment.
Conclusion : When PFM exercise and FES-biofeedback were compared in terms of their effects on the patients' quality of life, FES-biofeedback proved more effective than the verbal explanation of the PFM exercises or simple PFM exercises.

참고자료

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