BEHAVIORAL THERAPY FOR UI IN AFRICAN AMERICAN WOMEN

本项目旨在实现健康促进和疾病防治 通过激励护理研究来实现国家的预防目标 通过发展RN的研究事业来解决健康问题 调查员。这个项目正在解决的健康问题是尿路问题 大小便失禁。研究的目的是：增加对复杂事物的认识 研究设计和分析；制定持续的研究计划，以 促进护理知识；提高非洲人的生活质量 美国女性通过行为疗法治疗尿崩症。目的 本研究旨在确定行为疗法管理的有效性。 降低大小便失禁严重程度和提高尿失禁质量的计划 非裔美国女性的生活。设计是随机的准试验性设计。 分配给组。这项研究的人群是非洲裔美国女性 年龄在50岁及以上。将从以下项目中选出200个便利样本 妇女健康倡议的观察性研究。研究的目的是 为了比较生物反馈教授骨盆肌肉锻炼的效果， 口头传授骨盆肌肉锻炼和不治疗在严重程度中的作用 检查运动方法对尿失禁的影响 生活质量，并比较以下对象的依从性和复发率 接受VPME、BTPME治疗，不接受治疗。数据将在基线和 治疗后(六周后)大小便失禁病史和盆腔 检查、膀胱日记、大小便失禁问卷和生活质量 比例。治疗后每隔3、6、9和12个月进行一次随访，以 确定依从率和复发率。将使用描述性方法分析数据 用来表示频率和中心趋势的其他衡量标准的统计数据。 将对膀胱日记进行编码和分析，以满足研究目标和 将进行适当的统计分析，包括方差分析。

This project is designed to achieve the health promotion and disease prevention goals of the nation by stimulating nursing research into health problems through the development of a research career of an RN investigator. The health problem being addressed in this project is urinary incontinence (UI). The research aims are: to increase knowledge of complex research designs and analysis; to develop an ongoing research program that will contribute to nursing knowledge; and to improve the quality of life for African American women with UI through the use of behavioral therapy. The purpose of this study is to determine the effectiveness of a behavioral therapy management program in reducing the severity of incontinence and improving the quality of life in African American women. The design is quasi-experimental with random assignment to groups. The population for this study is African American women 50 years of age and above. A convenience sample of 200 will be selected from the Observational Study of the Women's Health Initiative. The research aims are to compare the effectiveness of Biofeedback taught pelvic muscle exercise, verbal taught pelvic muscle exercise and no treatment in the severity of urinary incontinence, to examine the impact of the methods of exercises on the quality of life, and compare adherence and relapse rates of subjects that receive VPME, BTPME and no treatment. Data will be collected at baseline and post treatment (six weeks later) from incontinence history and pelvic examination, Bladder Diary, Incontinence Questionnaire, and Quality of Life Scale. Follow up will occur at 3, 6, 9 and 12 month intervals post treatment to determine adherence and relapse rates. Data will be analyzed using descriptive statistics to denote frequencies and other measures of central tendency. Bladder Diaries will be coded and analyzed to address the research aims and appropriate statistical analysis will be conducted including ANOVA.