摘要:

ObjectiveTo develop an evidence-based protocol for initial evaluation and treatment of urinary incontinence and to design procedures that would facilitate the protocol's implementation into clinical practice.DesignDescriptive report of the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) Continence for Women Project.SettingTwenty-one public, private, and other women's health sites.ParticipantsWomen in ambulatory care settings (N = 1474) provided demographic statistics.MethodsThe protocol was developed, sites were selected, site coordinator training was provided, data collection was facilitated by project-specific teleforms, and the overall process was evaluated by the science team.Main outcome measuresSite representation, patient representation, site coordinator feedback on the training program, and site coordinator experience during project implementation.ResultsThe process yielded a representative mix of site and patient diversity appropriate for testing of the protocol. Site coordinators felt well-prepared to implement the protocol and experienced increased professional satisfaction because of therapeutic benefits achieved for patients and positive collaboration with physicians.ConclusionsThe Continence for Women Project demonstrated the potential for developing and testing evidence-based protocols for clinical practice when the resources of an organization such as AWHONN and the research community are combined.

ISSN:1071-5754    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

ObjectiveTo test the effectiveness of an evidence-based protocol for urinary incontinence in increasing identification of women with the condition and improving their outcomes.DesignProspective formative evaluation study.SettingTwenty-one public, private, and other women's health care sites.ParticipantsWomen in ambulatory care settings (N = 1474) provided descriptive statistics. Clinical outcomes were tested in 132 cases for whom pre- and posttreatment data were available.InterventionsStandardized screening and baseline follow-up forms were used to minimize time burden on clinicians; bladder and pelvic floor muscle training materials were provided to clinicians for distribution.Main outcome measuresSelf-reported frequency, volume, and quality of life related to incontinence and cost of self-management were used to assess protocol effectiveness.ResultsFrequency of incontinence episodes, estimated volume lost per episode, and the cost of self-management decreased. Quality of life improved, as reflected in decreased bother attributed to incontinence and in the number of women avoiding activities such as shopping, exercising, or travel because of incontinence.ConclusionsThis simple program of pelvic floor muscle and bladder training, as it has been systematically implemented in a variety of ambulatory women's health care settings, has benefitted women's continence status. The results of this project strongly support widespread application.

ISSN:1071-5754    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1071-5754    

出版商:OVID    

年代:2000

数据来源: OVID