Effectiveness of Nursing Guidelines on Marital Outcomes of Women with Urinary Incontinence

Abstract

Context: Urinary incontinence is an important multifactorial health problem that affects women's life quality negatively and is related significantly to age, education, occupation, marital status, and body mass index.
Aim: To evaluate the effectiveness of nursing guidelines on marital outcomes of women with urinary incontinence.
Methods: Quasi-experimental (pre/posttest, study/control) design was used. The study was conducted at the urogynecology unit at Ain Shams Maternity University Hospital on a purposive sample of 76 women attending the setting mentioned above. Sample inclusion criteria were women age <40 years, married, diagnosed with urinary tract infection, and free from chronic disease. The study tool included a structured interview questionnaire, Kings’ health questionnaire, women practice checklist.

Results: Findings of the present study showed that 43.4% of the women were housewives, 27.6% completed preparatory school education. There were highly statistically significant differences between study and control groups regarding physical, social, sexual, and psychological dimensions of King's health outcomes post and followed up of guidelines implementation when the p-value was <0.001. The practice of the study group improved significantly than controls.

Conclusion: The study revealed improvement in the total health outcomes and health practice among the study group compared to the controls with an increase in the total practice with the decrease in total health problems of king health, especially sexual problems. Recommendations: Performing training programs for improving women's awareness about urinary incontinence and sexual life. Replication of the study on a larger probability sample for generalizing the findings and studying the factors affecting women's utilization of urodynamic services.