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Continence for women: evidence-based practice

C M Sampselle1, P A Burns, M C Dougherty

  • 1University of Michigan School of Nursing, Ann Arbor 48109-0482, USA.

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|July 1, 1997
PubMed
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Urinary incontinence affects many women, especially during perimenopause. Bladder training and pelvic muscle exercises are effective, non-invasive self-care treatments that nurses can teach patients.

Area of Science:

  • Women's Health
  • Urology
  • Nursing Practice

Background:

  • Urinary incontinence (UI) affects approximately 20% of women aged 25-64.
  • UI symptoms worsen during perimenopause, with 31% experiencing episodes monthly.
  • Current treatments focus on non-invasive self-care strategies.

Purpose of the Study:

  • To present evidence-based guidelines for nursing practice regarding urinary incontinence.
  • To outline educational strategies for teaching self-care techniques 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 exercise.
  • Identification of effective teaching strategies for ambulatory care settings.

Related Experiment Videos

  • Compilation of educational materials for nurses and patients.

    • Main Results:

    • Bladder training increases bladder capacity and voiding intervals.
    • Pelvic muscle exercise enhances muscle strength and reduces urine leakage.
    • These non-invasive techniques are teachable and implementable in self-care.

    Conclusions:

    • Nurses play a crucial role in educating women about managing urinary incontinence.
    • Bladder training and pelvic muscle exercise are effective initial treatments for UI.
    • Empowering women with self-care strategies improves continence and quality of life.