The Development and Evaluation of an Incontinence Intervention Program for the Elderly Women at Elderly Welfare Center / 간호학회지

PURPOSE: The elderly with UI experienced urine leakage for a long time. The prevalence of UI has increased and it makes costly. Particularly, the elderly were reluctant to visit a hospital or a clinic for the reasons of modesty and poverty. To solve this problem, incontinence intervention programs should be provided at the elderly welfare center. The purpose of this research was to develop Incontinence Intervention Program for the Elderly Women (IIPE) and evaluate in its effect. METHODS: The study design was quasi-experimental with pre and post-test. The study was performed for ten weeks at one elderly welfare center, Seoul, Korea. The subjects were gathered through an official announcement and informed consent was obtained. IIPE, in this study, was consisted of diagnosis, education, exercise and evaluation. The study variables were PFM exercise adherence, pelvic muscle strength, Continence selfefficacy, geriatric depression and incontinence stress. The effects of the IIPE on PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress were also evaluated. RESULTS: The mean age of the subjects was 75.2 years. The average attendance was 6.2 times. The IIPE improved PFM exercise adherence, intra-vaginal contraction power and CSE significantly. But it was not significant in incontinence stress and geriatric depression. Other important results were that the two-finger test and urine stream interruption were more useful for elderly women with rigid vaginas in teaching and evaluating. CONCLUSION: The Findings suggest that IIPE is effective to the community-residing elderly. Further investigation is needed on a long-term basis with control group.

A importancia das reuniöes de esclarecimentos na mudança de comportamento dos pais de alunos do curso de atividades físicas adaptadas a portadores de asma brônquica / The importance of enlightenment meetings in the behaviour alteration of parents of children attending the course of physical activities adapted to asthmatic people

Relata as entrevistas realizadas com 15 mäes de 16 alunos do Curso de Atividades Físicas Adaptadas ao Portador de Asma Brônquica da Escola de Educaçäo Física da Universidade de Säo Paulo. Aborda a contribuiçäo das Reuniöes de Esclarecimentos sobre aspectos específicos da asma brônquica, orientadas por profissionais afins: professor de educaçäo física, médico, fisioterapeuta, enfermeira e psicóloga. Verifica, através dos depoimentos que as reuniöes colaboraram para que houvesse alteraçöes nos comportamentos dos alunos e de seus familiares.