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Using cognitive strategies to enhance bladder control and comfort.
Holistic Nursing Practice
|July 18, 2002
Summary
Cognitive strategies improved comfort and reduced symptoms for adults with compromised urinary bladder syndrome (CUBS), combining frequency and incontinence. This holistic approach enhanced bladder health management in community settings.
Area of Science:
- Urology
- Behavioral Medicine
- Gerontology
Background:
- Compromised urinary bladder syndrome (CUBS), characterized by urinary frequency and incontinence, significantly impacts community-dwelling adults' quality of life.
- Existing treatments often focus on medical interventions, with less emphasis on holistic, behavioral strategies for managing bladder health.
- The need for accessible and effective interventions to improve comfort and reduce urinary symptoms in adults is critical.
Purpose of the Study:
- To evaluate the efficacy of audiotaped cognitive strategies as an adjunct to an educational program for treating CUBS.
- To assess the impact of the holistic intervention on patients' comfort and urinary symptom management.
- To compare outcomes between a treatment group receiving the intervention and a control group.
Main Methods:
- A quasi-experimental design was employed to assess the intervention's effectiveness.
- Audiotaped cognitive strategies were integrated with a standard educational program for the treatment group.
- Voiding diaries and comfort questionnaires were used to operationalize CUBS and bladder health, with measurements taken at four time points.
Main Results:
- The treatment group demonstrated statistically significant improvements in comfort related to bladder health compared to the control group.
- The intervention group showed greater improvement in compromised urinary bladder syndrome symptoms.
- Repeated measures multivariate analyses of variance and nonparametric analyses confirmed these positive outcomes.
Conclusions:
- Audiotaped cognitive strategies, when combined with an educational program, offer a beneficial holistic approach for managing compromised urinary bladder syndrome.
- This intervention can enhance patient comfort and improve urinary symptom control in community-dwelling adults.
- The findings support the integration of behavioral and cognitive strategies into bladder health management programs.
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