Study Of Clinical Effects Of Cognitive Interventions On Women With Urinary Incontinence

Objective To compare the effects of the combination therapy of non-surgical treatment and cognitive interventions with the non-surgical treatment in women with urinary incontinence, and to examine the influences of cognitive interventions on the clinical effects of non-surgical treatment in women with urinary incontinence.Methods 50 women with urinary incontinence were enrolled and randomly divided into a control group (25 cases) and an experimental group (25 cases). The non-surgical treatment including pelvic floor muscle training and medication were implemented in both groups, In addition, the experimental group was treated with cognitive interventions. The cognitive interventions include health education, assessing the cognition, emotion and behavior of the patients, building relevant positive intervention strategies, and telephone follow-up. The observation index includes the incontinence quality of life scale (I-QOL) and international consultation on incontinence questionnaire-urinary incontinence short form(ICIQ-UI SF). The observation index were measured before the treatment and at the end of a three-month treatment. Based on all the valid questionnaires, the databases were established and analyzed by using SPSS 12.0 software package. The chi-square test and t-test were used in determining the difference comparision of data among groups.Results Thirty-nine patients completed the three-month study. After three months of the treatment, both the control group and the experimental group showed statistical significantly decrease in the score of the international consultation on incontinence questionnaire-urinary incontinence short form(ICIQ-UI SF) (p<0.05), and statistical significantly increase in the avoidance and limiting behavior subscale score and the total-score of quality of life (p<0.05), the experimental group also showed statistical significantly increase in the psychosocial impact and social embarrassment subscales score of quality of life (p<0.05), but the control group did not show statistical significantly improvement in the psychosocial impact and social embarrassment subscales score of quality of life (p>0.05). Compared with the control group, the experiment group showed statistical significantly decrease in the score of the international consultation on incontinence questionnaire-urinary incontinence short form (p<0.05), and statistical significantly increase in the avoidance and limiting behavior subscale score, psychosocial impact subscale score, social embarrassment subscale score and the total-score of quality of life after treatment (p<0.05).Conclusions Compared with the non-surgical treatment (pelvic floor muscle training and medication), the the combination therapy of non-surgical treatment and cognitive intervention caused significant improvement in the degree of urinary incontinence and the quality of life. The cognitive interventions can improve the clinical effects of the non-surgical treatment (pelvic floor muscle training and medication) in women with urinary incontinence.