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Ana L Rodrigues Inácio1, Cristine Alves Costa de Jesus1, Diana L Moura Pinho1

  • 1Universidade de Brasília, Brasilia, Brasil.

Journal of Wound Care
|September 24, 2021
PubMed
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This study proposes a behavioral model to help nurses manage urinary incontinence treatment. It focuses on patient-centered strategies like bladder training and pelvic floor exercises for better outcomes.

Area of Science:

  • Nursing
  • Behavioral Science
  • Urology

Background:

  • Urinary incontinence (UI) significantly impacts women's quality of life.
  • Current treatment models often lack a comprehensive behavioral approach.
  • Nola Pender's Health Promotion Model (HPM) provides a framework for understanding health behaviors.

Purpose of the Study:

  • To present a theoretical model for the behavioral evaluation and intervention of UI in women.
  • To integrate key behavioral measures into a structured intervention framework.
  • To support nurses in guiding patients toward effective UI management.

Main Methods:

  • Development of a theoretical model based on Nola Pender's HPM.
  • Identification of critical behavioral measures: constipation control, bladder training, urination posture, fluid intake modification, and pelvic floor muscle training.
Keywords:
enfermeríahealth promotionincontinencia urinariamodelmodelonursingnursing theorypromoción de saludteoría de la enfermeríaurinary incontinence

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  • Definition of specific intervention points addressing personal, interpersonal, and situational factors influencing behavior change.

    • Main Results:

    • The proposed model integrates multiple behavioral components for UI treatment.
    • It outlines specific actions to assess and modify behaviors related to UI.
    • The model considers factors like self-efficacy, perceived benefits, and barriers to behavioral change.

    Conclusions:

    • The theoretical model offers a structured approach for nurses to address behavioral aspects of UI.
    • It facilitates the development of achievable, individualized treatment plans.
    • Implementation of this model can enhance goal achievement in UI management.