Application of Information-Motivation-Behavioural Skills Model on Older Women with Urge Urinary Incontinence: A Retrospective Study.

Abstract

Background: Urge urinary incontinence (UUI) commonly occurs in elderly female patients. The application research of the Information-Motivation-Behavioural Skills (IMB) model has been applied in various therapeutic contexts, but research on its application in UUI management is limited.

Methods: Elderly female patients diagnosed with UUI were selected as the research subjects, and they were divided into two groups. All patients were given pelvic floor muscle training. The control group received routine health education management, whereas the observation group received health education management on the basis of the IMB model in addition to routine education. Before and after treatment, the severity of urinary incontinence was evaluated using a 1 h urine pad test. The anxiety and depression statuses were evaluated using Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS). Incontinence Quality-of-Life (I-QOL) was used to evaluate the quality of life of patients.

Results: After treatment, the leakage volume, SAS and SDS scores of both groups significantly decreased (p < 0.001), with the observation group having significantly lower leakage volume, SAS, and SDS scores than the control group (p < 0.001). The I-QOL scores of both groups increased (p < 0.001), and the observation group had significantly higher scores than the control group (p < 0.001).

Conclusions: Health education interventions based on the IMB model can improve urinary leakage in elderly women with UUI, improve their negative emotions and enable them to have an enhanced quality of life.