Knowing the functions of the pelvic floor muscles and the importance of complementary conservative approaches to pelvic floor muscles strengthening in women
DOI:
https://doi.org/10.14528/snr.2018.52.1.198Keywords:
health education, nursing, sexual devices, physical activity, urinary incontinenceAbstract
Introduction: Urinary incontinence is often the result of weakened pelvic floor muscles. The purpose of the study was to establish how much women knew about the pelvic floor muscle functions and how useful they found the complementary conservative approaches for pelvic floor muscles strengthening.
Methods: The exploratory quantitative research method was used. The questionnaire was prepared on the basis of the literature review and was designed with the 1KA online tool. The sample was composed of women aged between 20 and 64 (n = 356). Descriptive statistics and data factor analysis were performed.
Results: 190 of the respondents (52.4 %) did not perform any exercises to strengthen pelvic floor muscles. The results showed that 12 respondents (7 %) use devices for effective strengthening of pelvic floor muscles.
Discussion and conclusion: Factor analysis was used to confirm the usefulness of the instrument used. The surveyed women know the functions of the pelvic floor muscles associated with urinary incontinence well, but they do not do much to strengthen the pelvic floor muscles. They only perceive sexual devices as devices used for fun, but are not aware of the possibility of using them to strengthen the pelvic floor muscles.
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Andoljšek, D., Reingold, M., Berkow, R., Beers, M. H. & Fletcher, J. A. eds., 2002. Veliki zdravstveni priročnik: za domačo uporabo. Ljubljana: Založba Mladinska knjiga, pp. 631–634.
Arvonen, T., Fianu-Jonasson, A. & Tyni-Lenné, R. 2001. Effectiveness of two conservative modes of physical therapy in women with urinary stress incontinence. Neurology and Urodynamics, 20, pp. 591–599. Available at: http://onlinelibrary.wiley.com/doi/10.1002/nau.1011/full [4. 5. 2017].
Ayeleke, R.O., Hay-Smith, E.J.C. & Omar, M.I. 2015. Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women. Cochrane Database of Systematic Reviews, 11. Available at: http://doi:10.1002/14651858.CD010551.pub3 [4. 5. 2017].
Bhat, C., Khan, M., Ballala, K., Kamath, A., & Pandey, D., 2016. Reduced Pelvic Floor Muscle Tone Predisposes to Persistence of Lower Urinary Tract Symptoms after Puerperium. Scientifica, 2016, pp.1-5. Available at: http://doi.org/10.1155/2016/5705186 [12. 3. 2016].
Bizilj, I. In Šćepanović D., 2007. Zavedanje pomena vaj za mišice medeničnega dna med študenti visoke šole za zdravstvo. Obzornik zdravstvene nege, 41 (2/3), pp. 85-91.
Boyle, R., Hay-Smith, E.J.C., Cody, J.D.& Mørkved, S., 2012. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews,10(CD007471)
Available at: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007471.pub2/abstract [4. 5. 2017].
Bratina, N. In Hrovat Bukovšek, A., 2014. Celostna obravnava ženske z urinsko inkontinenco. In: Filej, B., eds. Študenti zdravstvenih ved prispevajo k zdravju družbe: zbornik prispevkov z recenzijo / 6. študentska konferenca s področja zdravstvenih ved, Murska Sobota, 30. maj 2014. Murska Sobota: Alma Mater Europaea-Evropski center, pp. 68-76.
Bø, K., 1995. Pelvic floor muscle exercise for the treatment of stress urinary incontinence: An exercise physiology perspective. International Urogynecology Journal, 6(5), pp. 282–291.
Campos, N./Dr. Nick Campos, 2013. Female Hysteria and the Buzz of an Industry. [Datum dostopa 6. 2. 2016]. Available at: http://www.nickcampos.com/2013/04/female-hysteria-and-the-buzz-of-an-industry/ [12. 3. 2016].
Dinc, A., Kizilkaya, N. &Yalcin, B.O., 2009. Effect of pelvic floor muscle exercises in the treatment of urinary incontinence during pregnancy and the postpartum period. International Urogynecology Journal, 20(10), pp 1223–1231.
Drev, A., 2013. Gibanje: telesno dejavni vsak dan. Ljubljana: Inštitut za varovanje zdravja Republike Slovenije. Available at: http://www.nijz.si/sites/www.nijz.si/files/publikacije-datoteke/gibanje_telesno_dejavni_vsak_dan.pdf [12. 3. 2016].
European Commission, 2014. Raziskava Eurobarometra o športu: visoka stopnja neaktivnosti v EU Available at: http://europa.eu/rapid/press-release_IP-14-300_sl.htm [2. 3. 2016].
Goranitis. I., Barton. P., Middleton L.J, Deeks J. J, Daniels J.P, Latthe, P., et al. 2016. Testing and Treating Women after Unsuccessful Conservative Treatments for Overactive Bladder or Mixed Urinary Incontinence: A Model-Based Economic Evaluation Based on the BUS Study. 11(8) Available at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0160351 [17. 1. 2017]
Harison, G.L. & Memel, D.S., 1994. Urinary incontinence in women: its prevalence and its management in a health promotion clinic. British Journal of General Pracdce, 44, pp. 149-152.
Herbison, G.P. & Dean, N., 2002. Weighted vaginal cones for urinary incontinence. Cochrane Database of Systematic Reviews, http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD002114/full [4. 5. 2017].
Herbenick, D., Barnhart, K. J. Beavers, K. & Benge, S., 2015. Vibrators and Other Sex Toys are Commonly Recommended to Patients, But Does Size Matter? Dimensions of Commonly Sold Products. The Journal of Sexual Medicine, 12 (3), pp. 641-645.
Ibrulj, S., Iglič, U., Jordan, T., Kalar, I., Kastelic, U., Lampič, et. al., 2009. Telesna dejavnost pri študentih medicine. Available at: http://www.mf.uni-lj.si/dokumenti/405766c60ca1fdae9ebff213ba885f69.pdf [12. 3. 2016].
Jančič, A., 2010. Preprečevanje urinske inkontinence pri nosečnicah: diplomsko delo. Maribor: Univerza v Mariboru, Fakulteta za zdravstvene vede, pp. 52–54.
Lawlor, D.A., Taylor, M., & Bedford, C., 2002. Is housework good for health? Levels of physical activity and factors associated with activity in elderly women. Results from the British Women's Heart and Health Study. Journal of Epidemiology & Community Health, 56 (6), pp. 473-478. Available at: http://jech.bmj.com/content/56/6/473.full [4. 5. 2017].
Levi, A., Nasra, R., Shachar I. B. & Braun, N. M., 2016. Medium-term results of Mini-arc for urinary incontinence in ambulatory patients under local anesthesia. International Brazilian journal of Urology, 42(6), pp. 1195-1201. Available at: http://www.intbrazjurol.com.br/pdf/vol42n06/Levi_1195_1201.pdf [4. 5. 2017].
Lousquy, R., Jean-Baptiste, J., Barranger, E., &Hermieux, J.F., 2014. Sport and urinary incontinence in women. Gynecol Obstet Fertil, 42(9), pp. 597-603
Miles, L. , 2007. Physical activity and health. British Nutrition Foundation. pp. 314–363 Available at: http://onlinelibrary.wiley.com/doi/10.1111/j.1467-3010.2007.00668.x/epdf [6. 12. 2016].
Milsom, I., Coyne, K.S., Nicholson, S., Kvasz, M., Chene, C. & Weinf, A.J., 2014. Global Prevalence and Economic Burden of Urgency Urinary Incontinence: A Systematic Review. European Urology, 65(1), pp. 79-95. Available at: https://doi.org/10.1016/j.eururo.2013.08.031 [6. 12. 2016].
Moser, H., Leitner, M., Baeyens, J.P. & Radlinger, L., 2017. Pelvic floor muscle activity during impact activities in continent and incontinent women: a systematic review International Urogynecology Journal and Pelvic Floor Dysfunction. Available at: https://www.ncbi.nlm.nih.gov/pubmed/28884367 [6. 12. 2016].
Oblasser, C., Christie, J., McCourt, C., 2015. Vaginal cones or balls to improve pelvic floor muscle performance and urinary continence in women post partum: A quantitative systematic review. Journal of advanced nursing, 32(11). Available at: http://www.sciencedirect.com/science/article/pii/S0266613815002296 [6. 12. 2016].
Oblasser, C., McCourt, C., Hanzal, E. & Christie, J., 2016. Vibrating vaginal balls to improve pelvic floor muscle performance in women after childbirth: a protocol for a randomised controlled feasibility trial. Journal of advanced nursing, 72(4), pp. 900-914. Available at: http://doi: 10.1111/jan.12868 [5. 4. 2016].
Palkovič, V., 2012. Inkontinenca - pogosta spremljevalka starejših. In: Štemberger Kolnik, T., et al. Eds. Zbornik predavanj z recenzijo / Strokovno srečanje Jesen življenja - stoma, rana, inkontinenca, Rimske terme, 16. in 17. marec 2012. Ljubljana: Zbornica zdravstvene in babiške nege, pp. 1-184.
Ravnik, D., Ketiš, Ž., Gerjol, N., Čosić, J., Miftaraj Binc, S. & Štravs, P., 2015. Predstavitev vibracijskih spolnih pripomočkov v zdravstveno preventivne namene. In: Železnik, D. et al. eds. Vrednote posameznika-ogledalo družbe: vpliv vrednot na obravnavo uporabnikov zdravstvenih in socialnih storitev: zbornik predavanj z recenzijo. 5. znanstvena konferenca z mednarodno udeležbo s področja zdravstvenih in socialnih ved, 15. september 2015. Slovenj Gradec: Visoka šola za zdravstvene vede, pp. 118-125.
Ravnik, D., 2016. Preventiva urinske inkontinence s pomočjo modernih spolnih pripomočkov. In: Štemberger Kolnik, T., eds. Holistična obravnava pacienta v enterostomalni terapiji - od preventive do urgentnih stanj : zbornik prispevkov z recenzijo. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Sekcija medicinskih sester v enterostomalni terapiji, pp. 50–56.
Seifert Lavelle, E. & Zyczynski, H.M., 2016. Stress Urinary Incontinence. Obstetrics & Gynecology Clinics of North America, 43(1), pp 45-57.
Sheva Marcus, B., 2011. Changes in a Woman's Sexual Experience and Expectations Following the Introduction of Electric Vibrator Assistance. The Journal of Sexual Medicine, 8 (12) pp. 3398-3406.
Šćepanović, D. & Hlebš, S., 2003. Zavedanje pomena vaj za mišice medeničnega dna med slovenskimi srednješolskimi mladostniki. In: Vrečar, I., eds. X. kongres fizioterapevtov Slovenije, Terme Čatež, 22. do 24. maj 2003. Ljubljana: Društvo fizioterapevtov Slovenije, pp. 75-86.
Šćepanović, D., 2010. Konzervativna obravnava motenega delovanja medeničnega dna pri odraslih osebah. Rehabilitacija, 9 (1), pp. 40–47.
Šćepanović, D., 2011. Konservativno zdravljenje urinske inkontinence pri ženskah. In: MAJCEN Dvoršak, S., et al. eds. Stome, rane, inkontinenca-aktivnosti v zdravstveni negi: simpozij z mednarodno udeležbo, 3., 4. in 5. marec 2011. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Sekcija medicinskih sester v enterostomalni terapiji, pp. 1-217.
Witek, A., Drosdzol Cop, A., Nowosielski K., Solecka, A. & Mikus, K., 2012. Long-term impact of surgical repair for stress urinary incontinence on female sexual functions, distress and behaviours. Journal of Clinical Nursing, 22 (11-12), pp. 1591–1598.
World Health Organization, 2010. Global recommendations on physical activity for health. Švica: World Health Organization, pp. 8. Available at: http://apps.who.int/iris/bitstream/10665/44399/1/9789241599979_eng.pdf [25. 3. 2016].
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