Journal of American Science 2010;6(10) The Impact of Nursing Interventions on the Control of Urinary Incontinence among Women

Abstract: Urinary incontinence is one of the greatest problems that affect about third of adult women's quality of life. It also affects the sufferer's confidence, self respect, personal relationships and cause patients to cease employment, increase dependence on caregivers and restrict activities of daily life. Urinary incontinence is a basic nursing care issue, so nurses must be more creative, inventive, and bold in developing new approaches to preventing and managing urinary incontinence. The main objective of this study was to determine the impact of nursing interventions on the control of urinary incontinence (stress, urge, and/or mixed) among adult female patients. This study was conducted in the urodynamic outpatient clinic at Alexandria Main University Hospital. The subjects of the study consisted of 60 adult female patients. In relation to incontinence associated urinary symptoms, the results showed that, the majority of the studied patients were aware of the act of incontinence, and were not able to delay voiding. As regards measuring pelvic floor muscle tone, the results showed that, (16.7%) of the studied patients had poor contractions before applying the nursing interventions. As regards the amount of leakage (difference in pad weight using provocation test), the results revealed that (80%) of patients had damp pad (<0.5-7 gm). The reduction in incontinence episodes was most pronounced early in the second week and had its greatest effect at sixth week. There was a significant improvement in the pelvic floor muscle ' tone, and the mean percent improvement was 38.8%. In respect to percent reduction in incontinence episodes, the majority of patients (55%) achieved complet