The effect of a urinary incontinence self-management program for older women in South Korea: A pilot study

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2015-03-01

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© 2015 Chinese Nursing Association.Background Although self-management approaches have shown strong evidence of positive outcomes for urinary incontinence prevention and management, few programs have been developed for Korean rural communities. Objectives This pilot study aimed to develop, implement, and evaluate a urinary incontinence self-management program for community-dwelling women aged 55 and older with urinary incontinence in rural South Korea. Methods This study used a one-group pre- post-test design to measure the effects of the intervention using standardized urinary incontinence symptom, knowledge, and attitude measures. Seventeen community-dwelling older women completed weekly 90-min group sessions for 5 weeks. Descriptive statistics and paired t-tests and were used to analyze data. Results The mean of the overall interference on daily life from urine leakage (pre-test: M = 5.76 ± 2.68, post-test: M = 2.29 ± 1.93, t = -4.609, p < 0.001) and the sum of International Consultation on Incontinence Questionnaire scores (pre-test: M = 11.59 ± 3.00, post-test: M = 5.29 ± 3.02, t = -5.881, p < 0.001) indicated significant improvement after the intervention. Improvement was also noted on the mean knowledge (pre-test: M = 19.07 ± 3.34, post-test: M = 23.15 ± 2.60, t = 7.550, p < 0.001) and attitude scores (pre-test: M = 2.64 ± 0.19, post-test: M = 3.08 ± 0.41, t = 5.150, p < 0.001). Weekly assignments were completed 82.4% of the time. Participants showed a high satisfaction level (M = 26.82 ± 1.74, range 22-28) with the group program. Conclusions Implementation of a urinary incontinence self-management program was accompanied by improved outcomes for Korean older women living in rural communities who have scarce resources for urinary incontinence management and treatment. Urinary incontinence self-management education approaches have potential for widespread implementation in nursing practice.

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10.1016/j.ijnss.2015.01.002

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De Gagne, JC, A So, B Wu, MH Palmer and ES McConnell (2015). The effect of a urinary incontinence self-management program for older women in South Korea: A pilot study. International Journal of Nursing Sciences, 2(1). pp. 39–46. 10.1016/j.ijnss.2015.01.002 Retrieved from https://hdl.handle.net/10161/10186.

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Scholars@Duke

De Gagne

Jennie De Gagne

Clinical Professor in the School of Nursing

Jennie Chang De Gagne, PhD, DNP, RN, NPD-BC, CNE, ANEF, FAAN, is a Clinical Professor and the Director of the Nursing Education Major/Certificate at the Duke University School of Nursing (DUSON). She is dedicated to advancing the science of teaching and learning through the application of instructional technologies, creating a student-centered environment that fosters meaningful and constructive learning experiences. Her expertise in cybercivility positions her at the forefront of this crucial field, leading her to develop and spearhead innovative projects that address incivility in cyberspace among health professionals and students. With over 200 publications, including 120 in peer-reviewed journals, and 150 presentations on topics such as technology integration in the classroom, faculty development in online education, and cybercivility, she has demonstrated exceptional productivity in disseminating her scholarly work. Additionally, she has expertise in providing distance/online instruction for workforce training.

De Gagne is board certified in Nursing Professional Development by the American Nurses Credentialing Center and has earned certification as a nurse educator from the National League for Nursing. She is a member of the National League for Nursing Academy of Nursing Education and the American Academy of Nursing. Throughout her professional and academic career, she has received scholarships and awards. Her expertise has garnered national and international media attention, leading to interviews in both print and digital media.

Wu

Bei Wu

Consulting Professor in the School of Nursing

Bei Wu, PhD, is Pauline Gratz Professor of Nursing, Director for International Research at the School of Nursing, and a member of the Global Health Institute. She is also a senior fellow at the Center for the Study of Aging and Human Development. Dr. Wu’s areas of research expertise include aging and global health.

Dr. Wu received her M.S. and Ph.D. in gerontology from the University of Massachusetts, Boston. She is a fellow of the Gerontological Society of America (GSA) and the Association for Gerontology in Higher Education (AGHE). She is an internationally known expert on China’s long-term care policy and system development. She has worked closely with several schools of public health and schools of nursing in China on educational and research initiatives, such as conducting joint research projects, providing lectures, making presentations, and organizing professional conferences/training workshops. As the Principal Investigator, Dr. Wu has led many National Institutes of Health (NIH) and Center for Disease Control and Prevention (CDC) funded projects on aging and health related issues including long-term care, dementia, caregiving, oral health, and health services utilization. She is also the Methods Core Director for the recently NIH-funded center on Adaptive Leadership in Symptom Science.

McConnell

Eleanor Schildwachter McConnell

Associate Professor in the School of Nursing

Dr. McConnell's program of research focuses on factors that influence functional decline in very frail older adults. She has been funded by the National Institute of Nursing Research and the Department of Veterans Affairs to conduct a series of studies designed to identify modifiable risk factors for worsening self-care disability in long-stay nursing home residents with chronic cognitive impairment. She has also developed and tested a variety of interventions to modify risk factors for worsening disability.  Her research builds upon existing knowledge of the bio-physical determinants of disability as conceptualized in the Nagi Disablement Model. Dr. McConnell's academic interests include frailty in the aged, the role of the environment in promoting function, and the conduct and testing of nursing interventions to prevent decline in those with chronic illness. 


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