Title : A study to evaluate the effectiveness of selected nursing interventions on urinary incontinence among the elderly female residing in selected old age homes at Pondicherry
Ageing affects both body and mind. Some age related changes starts as early as the 20s and increasing as the person grows older if it is unnoticed. Urinary incontinence (UI) is such one of the condition among elderly. More over in females, severity of this problem is associated with their health in early years of life. The main aim of this study is to assess the effectiveness of selected nursing interventions on urinary incontinence among elderly females and also type of UI was studied .Quantitative research approach and one group pre test and post test research design was used in this study. The study conducted in two phases. In the first phase, there are 210 samples selected and screened for UI. There were 61 participants selected out of 210 subjects after the screening process. The subjects were selected by cluster random sampling technique for the phase 1 and the interventions such as Pelvic floor muscle exercise and scheduled voiding were provided for the subjects with UI for three months in the second phase of the study.
There are about 64% of the subjects had stress UI and 36% of subjects had urge UI. The outcome variables such as PVR, level of UI, Interval between regular voiding, frequency of urination/day, Dribbling of urine/day and frequency of bed wetting/day were assessed before and after the intervention at the interval of one month for three times respectively during the course of study. It was noticed that the mean level of UI was reduced in the post tests gradually in all these outcome variables and it was found to significant at P <0.001 with ANOVA repeated test .Further, the mean differences between pre and post tests was assessed for all outcome variables of the study and it was found to be significant at P <0.001 with ANOVA repeated contrast test.
In this study, it is proved that the regular and persistent practice of kegel exercise will reduce the severity of UI.