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KMID : 0806120150450010035
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대한간호학회지
2015 Volume.45 No. 1 p.35 ~ p.45
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Effect of Muscle Strength Training on Urinary Incontinence and Physical Function: A Randomized Controlled Trial in Long-term Care Facilities
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Kang Hye-Kyung
Hong Gwi-Ryung Son
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Abstract
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Purpose: This study was done to determine whether muscle strength training programs have an impact on improving symptoms of urinaryincontinence (UI) and physical function among elderly women with UI who reside in long-term care facilities.
Methods: A randomizedcontrolled trial was conducted. Participants had to be over 65 years, score over 15 score on the mini-mental state examination, andbe able to walk alone or with an assistant. Seventy residents were randomly allocated to either the training group (n=35) or control group(n=35). The program consisted of 50 minutes, twice a week for 8 weeks, and included Kegel’s exercise, Thera-band training and indoorwalking. Main outcomes were UI symptoms, peak vaginal pressure and physical functions measured with timed up and go test (TUG),one leg standing test (OLST), activity of daily living (ADL) and grip strength. Changes in outcome measurements were calculated frombaseline to 4 weeks and to 8 weeks using repeated measures ANOVA.
Results: There were significant differences in peak vaginal pressure(p<.001), TUG (p<.001), OLST (p=.012) and grip strength (p<.001) in the interaction between groups and time.
Conclusion: Futurestudies are suggested to confirm the effect of muscle strength training in long-term care facilities where elderly women with UI reside.
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KEYWORD
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Long-term care facility, Elderly women, Urinary incontinence, Physical function, Muscle strength training program
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