Citation :

Samar Shaban Abdelazim Mohamed, Hanan Elzeblawy Hassan, Amel Ahmed Hassan Omran, Elham Abozied Ramadan, 2024. "Elderly Women Urinary Incontinence: Impact of Nurse-Based Kegel and Deep Breathing Exercise Intervention" ESP International Journal of Advancements in Science & Technology (ESP-IJAST)  Volume 2, Issue 1: 45-51.

Abstract :

Since urinary incontinence is a fundamental nursing care concern, nurses need to be more imaginative, brave, and creative when coming up with fresh ideas for managing and preventing urinary incontinence. Aim of the study: The study's objective was to assess how deep breathing exercises and nurse-based kegel exercises affected elderly women's urinary incontinence. Design: Pre- and post-testing were given to one group in this quasi-experimental study design. Sampling strategy: Purposive sampling was used to include 100 menopausal women diagnosed with stress urine incontinence in the study. Setting: Beni-Suef University Hospital's gynecological and urology outpatient clinics. Tools: Data was collected using a structure interviewing questionnaire schedule. Results: It reveals 30% done exercises regularly at the 1st week of the 1st month; it reaches to 92% at the end of the 3rd month. It reveals that severe incontinence decreased from 75% preprogram to 28% post program. By the conclusion of the third month of the intervention, there had been a highly statistically significant improvement in the frequency of urine incontinence, which was inversely correlated with the regularity of deep breathing exercises and Kegel exercises. Conclusion: it shows that women's practices have improved over the course of three months. The women in the study experienced a reduction in the intensity of their urine incontinence both before and after applying deep breathing and kegel exercises. Deep breathing, kegel exercise adherence, and the degree of stress urine incontinence were found to be negatively correlated. Recommendations: programs for in-service training that teach nurses how to manage urine incontinence with Kegel's exercise.

References :

[1] National Association for Continence (2017): Women stress urinary incontinence. 1-800-252-3337.Available from: https://www.nafc.org/womens-stress-urinaryincontinence

[2] Ghanim S., Mohamed S., Mohamed A., Hassan H. (2024): Nurses’ Knowledge and Practice for Reducing Falls among Older Adult Women. Nile journal for geriatric and gerontology, 7(1): 104-126. Doi: 10.21608/NILES.2024.318085.

[3] Mohamed S., Hassan H, Omran A., Ramadan E. (2024): Effect of Urinary Incontinence on Women's Physical Condition. Journal of Community Medicine and Public Health Reports, 5(2): 1-5.

[4] Hassan H., Mohammed S., Mohammed A., Ghanem S. (2024): Study Nurses' Knowledge about Fall Prevention among Elderly Women. Journal of Orthopaedic Science and Research, 5(1): 1-13. https://doi.org/10.46889/JOSR.2023

[5] Ghanem S., Mohammed A., Mohammed S., Hassan H. (2024): Relationship between Nurses' Practices Regarding Fall Prevention among Elderly Women and their personal Characteristics. Journal of Orthopaedic Science and Research, 5(1):1-7. https://doi.org/10.46889/JOSR.2024.5103

[6] Omran A., Hassan H., Ramadan E., Mohamed S. (2024): Effect of Practicing Deep Breathing and Kegel Exercises on Menopausal Urinary Incontinence at Beni-Suef. Public Health Open Access, 8(1): 1-10. DOI: 10.23880/phoa-16000272

[7] Hassan H., Ghanem S., Mohammed A., Mohammed S. (2024): Nurses' Knowledge and Practices about Fall Prevention among Elderly Women: Impact of Socio-demographic Characteristics. Journal of Women Health Care and Issues, 7(1):1-7. DOI: https://doi.org/10.31579/2642-9756/181

[8] Dumoulin C, Cacciari LP, Hay-Smith EJC (2018): Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database of Systematic Reviews 2018, 10(4): 123-135.

[9] Hassan H., Mohamed S., Ramadan E., Omran A. Urinary Incontinence among Menopausal Northern Upper Egyptian Women Impact of Deep Kegel and Breathing Exercises. New Medical Innovations and Research, 2023; 4(9): 1-12. DOI: https://doi.org/10.31579/2767-7370/070

[10] Mohamed S., Hassan H, Omran A., Ramadan E. Effect of Urinary Incontinence on Women's Physical Condition. Journal of Community Medicine and Public Health Reports, 2024; 5(2): 1-5.

[11] Hassan H. (2020): Kegels Exercises: A crucial issue during woman’s lifespan. American Research Journal of Public Health, 3(1):1-5. DOI: 10.21694/2639-3042.20001

[12] Brink CA1, Sampselle CM, Wells TJ, Diokno AC, Gillis GL (2018): A digital test for pelvic muscle strength in older women with urinary incontinence. Nurs Res.; 38(4):196-199.

[13] Mohamed S., Omran A., Hassan H., Abo zied E. (2023): Effect of Deep Breathing and Kegel Exercises on Stress Urinary Incontinence among Elderly Women. Benha Journal of Applied Sciences, 8 (4): 81-89. Doi: 10.21608/bjas.2023.194796.1078

[14] Weber-Rajek M, Mieszkowski J, Podhorecka M, Radzimińska A, Goch A, Kędziora-Kornatowska K (2019): Pelvic floor muscle training in the treatment of postmenopausal urinary incontinence – a review of studies. Gerontologia Polska; 3(1): 143-58.

[15] Suhr R, Lahmann NA (2018): Urinary incontinence in home care: a representative multicenter study on prevalence, severity, impact on quality of life, and risk factors. Aging Clin Exp Res.; 30(6):589–94.

[16] Radzimińska A, StrączyńskaA, Weber-Rajek M, Styczyńska H, StrojekK, Piekorz Z. (2018): The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review. Clinical Interventions in Aging; 13: 957–965

[17] uentes-Aparicio, L, Balasch-Bernat, M, López-Bueno, L (2021): Add-on Effect of Postural Instructions to Abdominopelvic Exercise on Urinary Symptoms and Quality of Life in ClimactericWomen with Stress Urinary Incontinence. A Pilot Randomized Controlled Trial. Int J. Environ. Res. Public Health, 18, 928.

[18] El-Deen, A.N (2020): Efeect of Kegel's Exercises on First Degree Pelvic Organ Prolapse Among Women, Nursing Practice, 33rd World Congress on Advanced Nursing Practice.5(5).

[19] Goda AA, Fawaz MA, Ghonem J., Mostafa, MI , Metaweaa. H (2015): Effect of Pelvic Floor Muscle Exercise Training Protocol For Pregnant Woman during 3rd Trimester on Labor Duration. Journal of Health, Medicine and Nursing; 15.

[20] Hassan H. (2019): Integrative Nursing Science in Women’s Pre-conceptional Wellness. International Journal of Health and Biological Sciences; 2(1): 17-18.

[21] Masters K. (2013): Edgar Dale’s Pyramid of Learning in medical education: A literature review, Medical Teacher; 35(11): e1584-e1593. https://doi.org/10.3109/0142159X.2013.800636

[22] Hassan H., Mohamady Sh., & Abd El-Gawad N. (2017): Protocol for improving nursing performance towards placental examination at labor units. Clinical Nursing Studies; 5(2): 1-11. http://dx.doi.org/10.5430/cns.v5n2p1.

[23] Gamel W., Genedy A., Hassan H. Impact of Puerperal Sepsis Self-Care Nursing Guideline on Women's Knowledge and Practices. American Journal of Nursing Research, 2020; 8(2): 132-141. doi:10.12691/ajnr-8-2-1

[24] Hassan H, Nasr E. (2017): Improving nurses’ knowledge and skills regarding tocolytics for inhibiting preterm labor. Clinical Nursing Studies; 5(1): 1-12. https://doi.org/10.5430/cns.v5n1p1.

[25] Nady F., Said M., Youness E., Hassan H. Impact of Tailored Educational Program of Quality of Life Improvement on Women Undergoing Breast Cancer Treatment at El-Minia Region, Egypt. American Research Journal of Gynaecology. 2017; 1(1): 1-17. doi:10.21694/2577-5928.17001

[26] Hung H-C, Chih S-Y, Lin H-H, Tsauo J-Y. (2019): Exercise adherence to pelvic floor muscle strengthening is not a significant predictor of symptom reduction for women with urinary incontinence. Arch Phys Med Rehabil; 93:1795-1800.

[27] Bø, K (2020): Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction. World Journal Urology; 12(3): 437-43.

[28] Chen SY, Tzeng YL (2019): Path analysis for adherence to pelvic floor muscle exercise among women with urinary incontinence. J Nurs Res., 17: 83-92.

[29] Chitra J., Anil Kumar J., Zehra M., (2019). Role of postpartum Kegel exercises in the prevention and cure of stress incontinence. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 5(3):669-673.

[30] Hartini, T., Bharaty, E and Sulastri, E. (2018): The Influence of Kegel Exercise on Urine Incontinension Reduction in Elderly. Asian Journal of Applied Sciences, 6(5).

[31] Fitz F, Cost, TH., MariYamamoto, D., Resende,A., et al., (2021): Impact of pelvic floor muscle training on the quality of life in women with urinary incontinence. Rev. Assoc. Med. Bras; 58 (2):155-159.

[32] Mohamed, HG, Hafez, S & Basyouni, N R (2018): Effect of pelvic floor muscle strengthening-kegel's exerciseon severity of stress urinary incontinence and quality of life among women. International Journal of Novel Research in Healthcare and Nursing, 5(3): 421-438.

[33] Hassan H., Zedan H., Farag D. (2024): Successful Vaginal Birth Subsequent to Cesarean Section. Mansoura Nursing Journal, 11(1): DOI: 10.21608/mnj.2024.216259.1325

[34] Mohamed S., Omran A., Ramadan E., Hassan H. (2024): Effect of Kegal and Breathing Exercise adherence on Obstetrical History of Elderly Women with Urinary Incontinence. Journal of Women Health Care and Issues, 7(2): 1-8. DOI:10.31579/2642-9756/187

[35] Hassan H., Ghanem S., Mohammed S., Mohammed A. (2024): Study Nurses' Practices Regarding Fall Prevention among Elderly Women. Clinics in Nursing, 3(1): 1-11. DOI: https://doi.org/10.31579/ 2835-8147/048.

Keywords :

Deep Breathing, Elderly Women, Kegel Exercise, Stress Urinary Incontinence.