Pelvic Floor Muscle Exercise Education and Factors Associated with Implementation among Antenatal Women in Hospital Universiti Sains Malaysia
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Background: Pelvic floor muscle exercise is effective for pelvic floor muscle dysfunction. Despite the high prevalence of pelvic floor muscle dysfunction in women in the community, pelvic floor muscle exercise recognition is low in Malaysian society; thus, this intervention is not frequently used . This study assessed the knowledge of, attitudes towards, and use of pelvic floor muscle exercise among antenatal women before and after educational classes. The study also determined factors associated with exercise practice. Methods: An interventional study was conducted in 121 antenatal women selected through systematic random sampling between June and December 2010. Baseline knowledge of, attitude towards, and practice of pelvic floor muscle exercise were assessed using self-administered validated questionnaires at first visit and at 2 months postpartum. All participants attended two exercise education classes on their next two visits before delivery. A paired t-test and multivariate analysis were used for data evaluation. Results: The mean pre-intervention scores for knowledge, attitudes, and practice were 24.98, 24.25, and 3.51, re-spectively, with statistically significant mean score increments after intervention (P<0.001). The mean differences were 4.67 (95% confidence interval [CI], 3.86–5.49), 3.77 (95% CI, 3.05–4.50) and 3.45 (95% CI, 2.90–4.00) for knowl-edge, attitudes, and practice, respectively. Lack of baseline information on pelvic floor muscle exercise was signifi-cantly associated with practice change following an educational class. Conclusion: Education is effective in improving knowledge of, attitude towards, and practice of pelvic floor muscle exercise. There is a need for greater effort to increase exercise awareness in our community, especially during antenatal class.
Abstract
Background: Pelvic floor muscle exercise is effective for pelvic floor muscle dysfunction. Despite the high prevalence of pelvic floor muscle dysfunction in women in the community, pelvic floor muscle exercise recognition is low in Malaysian society; thus, this intervention is not frequently used . This study assessed the knowledge of, attitudes towards, and use of pelvic floor muscle exercise among antenatal women before and after educational classes. The study also determined factors associated with exercise practice. Methods: An interventional study was conducted in 121 antenatal women selected through systematic random sampling between June and December 2010. Baseline knowledge of, attitude towards, and practice of pelvic floor muscle exercise were assessed using self-administered validated questionnaires at first visit and at 2 months postpartum. All participants attended two exercise education classes on their next two visits before delivery. A paired t-test and multivariate analysis were used for data evaluation. Results: The mean pre-intervention scores for knowledge, attitudes, and practice were 24.98, 24.25, and 3.51, re-spectively, with statistically significant mean score increments after intervention (P<0.001). The mean differences were 4.67 (95% confidence interval [CI], 3.86–5.49), 3.77 (95% CI, 3.05–4.50) and 3.45 (95% CI, 2.90–4.00) for knowl-edge, attitudes, and practice, respectively. Lack of baseline information on pelvic floor muscle exercise was signifi-cantly associated with practice change following an educational class. Conclusion: Education is effective in improving knowledge of, attitude towards, and practice of pelvic floor muscle exercise. There is a need for greater effort to increase exercise awareness in our community, especially during antenatal class.
참고문헌 (30)
- Hay-Smith EJ, "The silent, private exercise : experiences of pelvic floor muscle training in a sample of women with stress urinary incontinence", Physiotherapy, 93, pp.53~61 (2007)
- Dumoulin C, "Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women", Cochrane Database Syst Rev, (5), pp.CD005654~ (2014)
- Bo K, "Can pelvic floor muscle training prevent and treat pelvic organ prolapse", Acta Obstet Gynecol Scand, 85, pp.263~268 (2006)
- Bo K, "ACPWH conference 2010: can pelvic floor muscle training prevent and treat pelvic organ prolapse?", J Assoc Chart Physiother Womens Health, 108, pp.12~ (2011)
- Ferreira M, "Severe stress urinary incontinence : pelvic floor muscle training program", Int J Med Med Sci, 5, pp.430~433 (2013)
- Hay-Smith J, "Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women", Cochrane Database Syst Rev, (4), pp.CD007471~ (2008)
- Hunskaar S, "The prevalence of urinary incontinence in women in four European countries", BJU Int, 93, pp.324~330 (2004)
- Milsom I, "Global prevalence and economic burden of urgency urinary incontinence : a systematic review", Eur Urol, 65, pp.79~95 (2014)
- Al-Mehaisen LM, "Prevalence and frequency of severity of urinary incontinence symptoms in late pregnancy : a prospective study in the north of Jordan", Arch Gynecol Obstet, 279, pp.499~503 (2009)
- Francis WJ, "The onset of stress incontinence", J Obstet Gynaecol Br Emp, 67, pp.899~903 (1960)
- Zarina B, "Prevalence and factors associated with urinary incontinence in adult women attending family medicine clinic", Int Med J Tokyo, 12, pp.303~310 (2005)
- Dariah MY, "Postnatal urinary incontinence : prevalence and factors associated with it in a Malaysian population", Med Health, 9, pp.22~32 (2014)
- Rozihan I, "Pelvic organ prolapse in women attending menopause clinic : prevalence and risk factors", Malays J Obstet Gynaecol, 8, pp.86~92 (2008)
- Bo K, "Do pregnant women exercise their pelvic floor muscles", Int Urogynecol J Pelvic Floor Dysfunct, 18, pp.733~736 (2007)
- Whitford HM, "A cross-sectional study of knowledge and practice of pelvic floor exercises during pregnancy and associated symptoms of stress urinary incontinence in North-East Scotland", Midwifery, 23, pp.204~217 (2007)
- El-Azab AS, "Measuring the barriers against seeking consultation for urinary incontinence among Middle Eastern women", BMC Womens Health, 10, pp.3~ (2010)
- Geoffrion R, "Evaluating patient learning after an educational program for women with incontinence and pelvic organ prolapse", Int Urogynecol J Pelvic Floor Dysfunct, 20, pp.1243~1252 (2009)
- Chiarelli P, "Women’s knowledge, practises, and intentions regarding correct pelvic floor exercises", Neurourol Urodyn, 22, pp.246~249 (2003)
- Temml C, "Urinary incontinence in both sexes : prevalence rates and impact on quality of life and sexual life", Neurourol Urodyn, 19, pp.259~271 (2000)
- Rosediani M, "Knowledge, attitude and practice towards pelvic floor muscle exercise among pregnant women attending antenatal clinic in Universiti Sains Malaysia Hospital, Malaysia", Int Med J, 19, pp.37~38 (2012)
- Gallo M, "Key components of patient education for pelvic floor stimulation in the treatment of urinary incontinence", Urol Nurs, 17, pp.10~16 (1997)
- Wilson PD, "A randomized controlled trial of pelvic floor muscle exercises to treat postnatal urinary incontinence", Int Urogynecol J Pelvic Floor Dysfunct, 9, pp.257~264 (1998)
- Hagen S, "Individualised pelvic floor muscle training in women with pelvic organ prolapse(POPPY) : a multicentre randomised controlled trial", Lancet, 383, pp.796~806 (2014)
- Liao YM, "Pelvic floor muscle training effect on urinary incontinence knowledge, attitudes, and severity : an experimental study", Int J Nurs Stud, 43, pp.29~37 (2006)
- Geoffrion R, "Women’s knowledge of pelvic floor muscle", Expert Rev Obstet Gynecol, 5, pp.471~477 (2010)
- Subak LL, "The effect of behavioral therapy on urinary incontinence : a randomized controlled trial", Obstet Gynecol, 100, pp.72~78 (2002)
- Sampselle CM, "Learning outcomes of a group behavioral modification program to prevent urinary incontinence", Int Urogynecol J Pelvic Floor Dysfunct, 16, pp.441~446 (2005)
- Ashworth PD, "The meaning of incontinence : a qualitative study of non-geriatric urinary incontinence sufferers", J Adv Nurs, 18, pp.1415~1423 (1993)
- Himelfarb EC, "Improving health care providers knowledge attitudes and practices in reproductive health in rural Romania" (2004), Population Council
- Alewijnse D, "Predictors of long-term adherence to pelvic floor muscle exercise therapy among women with urinary incontinence", Health Educ Res, 18, pp.511~524 (2003)