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Continence for women: evidence-based practice.

C M Sampselle¹, P A Burns, M C Dougherty

¹University of Michigan, Ann Arbor, USA.

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN

|December 23, 1999

Summary

Urinary incontinence affects many women, especially during perimenopause. Bladder training and pelvic muscle exercises are effective, noninvasive self-care treatments that nurses can teach patients.

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Area of Science:

Women's Health
Urology
Gerontology

Background:

Urinary incontinence (UI) affects approximately 20% of women aged 25-64.
Symptoms often worsen during perimenopause, with 31% reporting monthly incontinent episodes.
UI significantly impacts quality of life and healthcare costs.

Purpose of the Study:

To present evidence-based guidelines for nursing practice regarding UI management.
To outline educational strategies for teaching noninvasive UI treatments to women.
To support the Association of Women's Health, Obstetric and Neonatal Nurses' research utilization project on female continence.

Main Methods:

Review of accumulated research results on bladder training and pelvic muscle exercises.
Compilation of evidence-based guidelines for nursing practice.

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Development of educational strategies for ambulatory care settings.

Main Results:

Bladder training helps women increase bladder capacity and voiding intervals.
Pelvic muscle exercises enhance muscle strength, reducing urine leakage.
These noninvasive techniques are effective and teachable in ambulatory care.

Conclusions:

Bladder training and pelvic muscle exercises are recommended initial treatments for UI in women.
Nurses play a crucial role in educating women about these self-care techniques.
Implementing these evidence-based practices can improve women's continence and well-being.