The Effect of Group Counseling on the Health Promotion of Women with Stress Urinary Incontinence: A Randomized Controlled Trial

  • سال انتشار: 1403
  • محل انتشار: مجله مامایی و بهداشت باروری، دوره: 12، شماره: 1
  • کد COI اختصاصی: JR_JMREH-12-1_006
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 54
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نویسندگان

Mahtab Mahvashi

Master student of Midwifery Counseling, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Iran

Hadi Tehrani

Associate Professor, Department of Health Education, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran

Jamshid Jamali

Assistant Professor, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran

Nahid Jahani Shoorab

a) Assistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Leila Pourali

Associate Professor, Pelvic Floor Disorders Fellowship, Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Kobra Mirzakhani

a) Assistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

چکیده

Background & aim: Pender's model promotes healthy behaviours by changing one's lifestyle. There have been few studies on using this model to improve the health of women with stress urinary incontinence. This study aimed to determine the effect of group counseling based on the Pender’s model on the health promotion of women with stress urinary incontinence.Methods: This randomized clinical trial comprised two groups, with a total of ۷۰ women, who were selected through convenient sampling and then were randomly allocated into either the control or intervention group using permutation block randomization. The intervention group received a structured program of six group counseling sessions based on Pender's model. Data collection instruments included demographic characteristics questionnaire; the Questionnaire for Urinary Incontinence Diagnosis (QUID); Depression, Anxiety and Stress Scales-۲۱ (DASS-۲۱) and a researcher-developed questionnaire aligned with the constructs of Pender's model. Both groups completed the questionnaires before, immediately following the intervention, and again two months later. Data analyzed by independent t-test, Mann-Whitney, and repeated measure regression using SPSS version ۲۵.Results:  Prior to the intervention, there was no statistically significant difference in the average total scores of the health promotion between the two groups (P=۰.۵۶۱). However, following the intervention and at the two-month follow-up, the intervention group exhibited a significant increase in their total scores on the health promotion compared to the control group (P< ۰.۰۰۱).Conclusion: Group counseling based on the Pender’s model is an effective counselling approach enhancing the health promotion of women suffering from stress urinary incontinence. Therefore, its utilization is recommended in the clinical settings.

کلیدواژه ها

Counseling, Model, health promotion, Stress Urinary Incontinence

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