BEHAVIORAL THERAPY FOR UI IN AFRICAN AMERICAN WOMEN

该项目旨在实现健康促进和疾病预防 国家的预防目标，刺激护理研究， 通过RN的研究生涯发展解决健康问题 调查员该项目所解决的健康问题是泌尿系统 尿失禁（UI）。本研究的目的是： 研究设计和分析;开发一个正在进行的研究计划，将 有助于护理知识;并提高非洲人的生活质量 美国女性UI通过使用行为疗法。的目的 本研究旨在确定行为治疗管理的有效性 减少尿失禁的严重程度和提高 非洲裔美国女性的生活该设计是随机的准实验设计 分配到组。这项研究的人群是非洲裔美国妇女 50岁及以上。将从以下人员中选出200名便利样本： 妇女健康倡议的观察性研究研究目的是 为了比较生物反馈训练骨盆肌肉锻炼的有效性， 口头教骨盆肌肉锻炼，没有治疗的严重程度， 尿失禁，检查锻炼方法对尿失禁的影响 生活质量，并比较受试者的依从性和复发率， 接受VPME、BTPME，不接受治疗。将在基线时收集数据， 治疗后（6周后），从尿失禁史和骨盆 检查、膀胱日记、胰岛素问卷和生活质量 规模随访将在治疗后3、6、9和12个月进行， 确定依从性和复发率。将使用描述性方法分析数据 统计数据来表示频率和其他集中趋势的度量。 将对膀胱日记进行编码和分析，以解决研究目的， 将进行适当的统计分析，包括ANOVA。

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.