Effect Of Combination Of Kegel's Exercise And Bladder Training In Reducing Urine Inncontinency Episodes In Elderly In Persahabatan Hospital, Jakarta

Abstract

The aging process is defined by the change in the behavior of organisms according to age, which typically results in a decrease in the ability to survive and take care of themselves. This deterioration can, in humans, be influenced by biological, psychological, social, functional and spiritual factors. Urinary incontinence is a condition that typically affects the elderly, and has a huge impact on the daily lives of sufferers. This study considers the effect of a combination of Kegel’s exercises and bladder training in decreasing episodes of urinary incontinence in the elderly. This study uses a Quasi-experimental design with a Pretest-Posttest with Control Group design. The results demonstrate that there are significant differences in the average frequency of urination, hold time and frequency of urinary incontinence between the first and second measurements in the treatment group (each value p=0.0001). The combination of Kegel’s exercise and bladder training is proven to decrease the episode of urinary incontinence in the elderly.


 


Keywords: Kegel’s Exercise, Bladder Training, Urine Inncontinency

References
[1] Haselhosrt, M., Schmale, J. Giri P. (2008) Retrieved March 14, 2018 from http://www.mckinley.uiuc.edu.


[2] Bhagwath, G. (September, 2004). Retrieved March 14, 2018 from http://medind.nic.in/jac.


[3] Black, J. M. and Hawk, J. H. (2016). Medical Surgical Nursing; Clinical Management for Positive Outcomes (8th ed.). St. Louis: Elsevier. Inc


[4] Booth, W. J. et. al. (2002). Introduction to Urinary Incontinence.


[5] Bren, L. (2005). Controlling Urinary Incontinence. Retrieved from http://www.fda.gov.


[6] Bulechek, G. M. and McCloskey, J. C. (1999). Nursing Interventions Effective Nursing Treatments (3rd ed.). Philadelphia: W. B. Saunders.


[7] Burns, N. and Grove, S. (1999). Understanding Nursing Research (2nd ed.). Philadelphia: W. B. Saunders.


[8] Craven, R. F. and Hirnle, C. J. (2007). Fundamentals of Nursing, Human Health and Function (3rd ed.). Philadelphia: Lippincott Williams & Wilkins.


[9] Culligan, P. J. and Heit, M. H. (2000). Urinary Incontinence: Kegel Exercises for Your Pelvic Muscles. Retrieved from http://familydoctor.org.


[10] Dempsey, A. D. and Dempsey, P. A. (2002). P. Widyastuti and D. Adingsih (Eds.), Riset Keperawatan. Jakarta: EGC.


[11] Doughty, D. B. (2000), Urinary & Fecal Incontinence Nursing Management (2nd ed.). St. Louis: Elsevier.


[12] DuBeau, C. E. (2000). Urinary Incontinence. Retrieved from http://www.americangeriatrics.org.


[13] Hidayat, A. A. (2007). Metode Penelitian Keperawatan dan Teknik Analisis Data. Jakarta: Salemba Medika.


[14] Ismayadi. (2004). Proses Menua (Aging Proses). Retrieved from http://library.usu.ac.id/download.


[15] Japardi, I. (2002). Manifestasi Neurologis Gangguan Miksi. Retrieved from http://.library.usu.ac.id/.


[16] Karon, S. (2005). A Team Approach to Bladder Retraining: A Pilot Study. Retrieved from http://www. medscape.com.


[17] Kementerian Koordinator Bidang Kesejahteraan Rakyat Kedeputian I Bidang Kesejahteraan Sosial. (2008). Lansia Masa Kini Dan Mendatang. Retrieved April 25, 2018 from http://www.menkokesra.go.id.


[18] Kozier, B. et al. (2003). Fundamentals of Nursing, Concepts, Process, and Practice (5th ed.). California: Addison-Wesley.


[19] Luft, J. (1998). Bladder Retraining. Retrieved March 14, 2018 from http://www.ucsf.edu.


[20] Meiner, S. E. and Lueckenotte, A. G. (2014). Gerontologic Nursing (3rd ed.). St. Louis: Elsevier.


[21] Murti, B. (1997). Prinsip dan Metode Riset Epidemiologi. Jogjakarta: Gadjah Mada Univercity Press.


[22] Newman, D. K. (2007). The ABCs of Incontinence Care: Assessment, Behavioral Treatment and Containment. Retrieved March 14, 2018 from http://dhfs.wisconsin.gov/rl_DSL/Training.


[23] Notoatmodjo, S. (2002) Metodologi Penelitian Kesehatan. Jakarta: PT. Rineka Cipta.


[24] Polaski, A. L. and Tatro, S. E. (1996). Core Principles and Practice of Medical-Surgical Nursing. Philadelphia: W. B. Saunders Co.


[25] Rachmawati, M. (2007). Bila “Ngompol” di Usia Senja. Retrieved April 26, 2018 from http://64.203.71. 11/kompas-cetak.


[26] Fanti, J. A. 1996) Overview: Urinary Incontinence in Adults: Clinical Practice Guideline Update. Retrieved March 14, 2018 from http://www.ahrq.gov.


[27] Sabri, L. and Hastono, P. S. (1999). Modul (MA 2600) Biostatistk & Statistik Kesehatan. Depok: Jurusan Kependudukan & Biostatistk FKM UI.


[28] Samino, H. (2003). Menjadi Lansia, Siapa Takut? Retrieved April 25, 2018 from http://www.pdpersi.co.id.


[29] Sastroasmoro, S. and Ismael, S. (2002). Dasar-Dasar Metodologi Penelitian Klinis. (2nd ed.). Jakarta: Sagung Seto.


[30] Simon, H. (2007). Urinary Incontinence. Retrieved March 14, 2018 from http://adam.about.com.


[31] Smeltzer, S. C. and Bare, B. G. (2015). Textbook of Medical-Surgical Nursing. (10th ed.). Philadelphia: Lippincott Williams & Wilkins.


[32] Stanley, M. and Beare, P. G. (2007). Buku Ajar keperawatan Gerontik. (2nd ed.). Jakarta: EGC.


[33] Stendardo, S. (2002). Urinary Incontinence: Assessment and Management in Family Practice. Retrieved March 14, 2018 from http://www.aafp.org.


[34] Sugiyono, P. (2014). Statistika untuk Penelitian. Bandung: CV Alfabeta.


[35] Swaffield, J. (1999). Continence. In M. F. Alexander, J. N. Fawcett and P. J. Runciman (Eds.), Nursing. Practice Hospital and Home the Adult. Churchill Livingstone: Harcourt Brace & Co., pp. 727-728.


[36] Weiss, B. D. (2007). Elder Care a Resource for Providers, Urinary Incontinence— Treatment. Retrieved March 14, 2018 from http://www.geriatrics.medicine.arizona.edu.


[37] Yin, J. and Jacobson, M. (2007). Urinary Incontinence. Retrieved March 14, 2018 from http://www.ocno. health.wa.gov.au.