Prevalence of urinary incontinence and knowledge of pelvic floor muscle training among older women in a Nigerian suburban community.

Uzoamaka Nwakaego Akobundu, Mmunachiso Stephanie Onuzulu, Sochima Johnmark Obiekwe, Christopher Olusanjo Akosile, Jovita Ada Daniel, Mmaduabuchukwu Joseph Nwankwo, Ogochukwu Mary-Theodora Ochiabuto
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Abstract

Background: Urinary incontinence (UI) is a highly prevalent condition in women with a profound influence on their well-being and quality of life. Pelvic floor muscle training (PFMT) is a widely accepted conservative management of incontinence. Adequate knowledge of PFMT can enhance the ability of individuals to perform them effectively unsupervised.

Objectives: This study aimed to determine the prevalence of UI and knowledge of PFMT among older women in a selected suburban community in Nigeria.

Design: A cross-sectional design.

Methods: This study consecutively recruited 121 older women (65 years and above) with a mean age of 68.59 ± 4.94 years in Nnewi North LGA Anambra state, Nigeria. The International Consultation on Incontinence Questionnaire Short Form and an adopted pre-tested questionnaire were used to assess the prevalence of UI and knowledge of PFMT. Data was analyzed using Statistical Package of Social Sciences (SPSS) version 26 Descriptive statistics, and the chi-square test was utilized with significance determined at an alpha level of 0.05.

Results: The results revealed that 33.88% of the respondents experience UI, and 3.3% of them have heard about PFMT. There was significant association between prevalence of UI and number of pregnancies (χ2 = 11.16, p = 0.03) and children (χ2 = 9.77, p = 0.04). There was no significant association between the prevalence of UI and level of education (χ2 = 4.20, p = 0.12) and knowledge of PFMT (χ2 = 0.48, p = 0.42). There was no significant association between knowledge of PFMT and number of pregnancies (χ2 = 04.25, p = 0.37), and number of children (χ2 = 4.02, p = 0.40). There was a significant association between knowledge of PFMT and level of education among the participants (χ2 = 7.46, p = 0.02).

Conclusion: The study showed a significant prevalence of UI and poor knowledge of PFMT in older women. Health professionals should sensitize older women in hospitals and care homes on the benefits of PFMT to improve their knowledge of PFMT.

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尼日利亚郊区社区老年妇女的尿失禁患病率和盆底肌肉训练知识。
背景:尿失禁(UI)是女性的高发疾病,对她们的健康和生活质量有着深远的影响。盆底肌肉训练(PFMT)是一种广为接受的尿失禁保守治疗方法。充分了解盆底肌肉训练可提高个人在无人监督的情况下有效进行盆底肌肉训练的能力:本研究旨在确定尼日利亚部分郊区社区老年妇女的尿失禁患病率和对 PFMT 的了解程度:设计:横断面设计:本研究在尼日利亚阿南布拉州 Nnewi North LGA 连续招募了 121 名老年妇女(65 岁及以上),平均年龄为 68.59 ± 4.94 岁。采用国际尿失禁咨询问卷简表和预先测试过的问卷来评估尿失禁的患病率和对 PFMT 的了解程度。数据采用社会科学统计软件包(SPSS)第 26 版描述性统计和卡方检验进行分析,显著性水平为 0.05:结果显示,33.88%的受访者有尿崩症,3.3%的受访者听说过 PFMT。尿崩症患病率与怀孕次数(χ2 = 11.16,P = 0.03)和子女数(χ2 = 9.77,P = 0.04)之间存在明显关联。UI 患病率与受教育程度(χ2 = 4.20,P = 0.12)和对 PFMT 的了解(χ2 = 0.48,P = 0.42)之间无明显关联。对 PFMT 的了解与怀孕次数(χ2 = 04.25,P = 0.37)和子女人数(χ2 = 4.02,P = 0.40)之间无明显关联。参与者对 PFMT 的了解程度与受教育程度之间存在明显关联(χ2 = 7.46,P = 0.02):研究结果表明,在老年妇女中,尿崩症的发病率很高,而且对 PFMT 的知识知之甚少。卫生专业人员应向医院和护理院的老年妇女宣传 PFMT 的益处,以提高她们对 PFMT 的认识。
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