The Effect of Education and Counseling Program Based on the Health Promotion Model on Self-Esteem, Sexual Satisfaction and Quality of Life in Women With Urinary Incontinence
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 46
- 试验地点
- 2
- 主要终点
- Urinary incontinence severity
研究概览
简要总结
The first phase of the study was carried out to determine the prevalence and risk factors of urinary incontinence in non-menopausal women over 18 years of age registered in a Family Health Center.
The second phase of the study was carried out to examine the effects of the education and counseling program based on the 'Pender's Health Promotion Model' on women's self-esteem, sexual satisfaction and quality of life in women with urinary incontinence.
Research Questions
What is the prevalence of UI in non-menopausal women over the age of 18 who are registered with the Family Health Center? What are the risk factors for urinary incontinence?
Research Hypotheses
H1: There is a difference between the urinary incontinence severity levels of women who received and did not receive education and counseling program based on Pender's health promotion model.
H2: There is a difference between the self-esteem levels of women who received and did not receive a training and counseling program based on Pender's health promotion model.
H3: There is a difference between the sexual satisfaction levels of women who received and did not receive the training and counseling program based on Pender's health promotion model.
H4: There is a difference between the quality of life levels of women who received training and counseling programs based on Pender's health promotion model and those who did not.
In the second stage of the study, the 'Training and Counseling Program Based on Pender's Health Promotion Model' and 'Home Monitoring and Counseling Program' were applied to the intervention group, which was prepared according to Pender's Health Promotion Model.
During the three-month period, the intervention group received 3 home visits one, two and three months after the training program, and 3 phone calls 15 days after the training program and each home visit.
No intervention was made in the control group; Data collection forms were applied simultaneously with the intervention group and they were reminded that they were in the research by making a phone call.
详细描述
The research was carried out in two stages.
In the first phase of the study, in a cross-sectional research design, in order to determine the prevalence and risk factors of urinary incontinence in women who are over 18 years old and who are not menopausal, registered in a Family Health Center; In this study, a pretest-posttest randomized controlled experimental research design was conducted to evaluate the effect of education and counseling program based on Pender's Health Promotion Model on self-esteem, sexual satisfaction and quality of life in women with second-stage urinary incontinence.
In the first phase of the study, 1042 women over the age of 18 who were registered at the Family Health Center and who did not go through menopause were included.
In the first stage, the data; It was collected between 18 January 2021 and 31 May 2021, using the 'Questionnaire on Descriptive Characteristics', 'International Incontinence Inquiry Form' and 'Incontinence Severity Index'.
The second stage of the study continued with 46 women who met the sample selection criteria for the second stage.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Being over 18 years old,
- •Having at least primary education level,
- •Not having any mental problems,
- •Not being in the pregnancy period,
- •No active vaginal or urinary tract infection or gynecological malignancy,
- •Not having received conservative treatment for urinary incontinence in the last 6 months,
- •Not having had pelvic surgery in the last 2 months,
- •No pelvic organ prolapse (POP) on stage 2,
- •Mild to moderate UI,
- •Not having reached menopause (diagnosed with menopause or no menstruation in the last 12 months)
- •Having regular sexual intercourse,
- •Not using drugs that may affect UI.
排除标准
- •Having to take medical or surgical treatment that may affect the intervention due to a problem other than urinary incontinence during the follow-up period,
- •Pregnancy during the follow-up period,
- •Completion of all steps of the research.
结局指标
主要结局
Urinary incontinence severity
时间窗: Change from Urinary Incontinence Severity at 3 months.
'Incontinence Severity Index' was used to measure urinary incontinence severity. ISI was developed by Sandvik et al. (1993) in Norway to assess the severity of UI in women with UI. ISI is a simple assessment method that can be applied easily. The validity and reliability study of ISI was conducted by Hazar and Şirin (2008), Cronbach α coefficient was 0.67; validity coefficient was determined as r=0.963 and r=0.932. In this study, the Cronbach α coefficient of ISI was found to be 0.79. The ISI score is calculated by multiplying the score obtained from the first question with the score obtained from the second question. Although the total score varies between 1-12; If the total ISI score is between 1-2 points, it is considered as mild, between 3-6 points as moderate, between 8-9 points as severe, and if 12 points as very severe incontinence.
次要结局
- Frequency of urinary incontinence(Change from Frequency of urinary incontinence at 3 months.)
- Quality of Life of women with urinary incontinence(Change from Quality of Life at 3 months.)
- Sexual Satisfaction(Change from Sexual Satisfaction at 3 months.)
- Self-esteem(Change from Self-esteem at 3 months.)
研究者
Esra Başkaya
Research Assistant
Ankara Yildirim Beyazıt University