Volume 22 Issue 11
Nov.  2024
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ZHANG Hongqin, LIU Beibei, WANG Fei, LU Yingli, LI Jian. Effect of early pelvic floor muscle exercises on urinary incontinence and quality of life after orthotopic ileal neobladder surgery[J]. Chinese Journal of General Practice, 2024, 22(11): 1986-1989. doi: 10.16766/j.cnki.issn.1674-4152.003780
Citation: ZHANG Hongqin, LIU Beibei, WANG Fei, LU Yingli, LI Jian. Effect of early pelvic floor muscle exercises on urinary incontinence and quality of life after orthotopic ileal neobladder surgery[J]. Chinese Journal of General Practice, 2024, 22(11): 1986-1989. doi: 10.16766/j.cnki.issn.1674-4152.003780
shu

Effect of early pelvic floor muscle exercises on urinary incontinence and quality of life after orthotopic ileal neobladder surgery

doi: 10.16766/j.cnki.issn.1674-4152.003780

  • Department of Urology, the First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui 233004, China

Funds:

 KJ2019A0308

 KJ2018A0999

 BYKF1770

  • Received Date: 2024-03-15
    Available Online: 2024-12-31
    Abstract
  •   Objective  To study the effect of early pelvic floor muscle exercises on urinary incontinence and quality of life in patients undergoing orthotopic ileal neobladder surgery for bladder cancer.  Methods  Fifty-six patients with bladder cancer treated in the First Affiliated Hospital of Bengbu Medical University from October 2017 to October 2020 who met the criteria of this study and underwent total cystectomy with orthotopic ileal neobladder surgery were selected as the study objects. According to random number table method, 56 patients were divided into the observation group (n=28) and the control group (n=28). All patients received standardized pelvic floor muscle exercise nursing. Patients in the observation group received standardized pelvic floor muscle exercise nursing from the second day after admission until one week post-surgery, while patients in the control group received standardized pelvic floor muscle exercise nursing from three weeks after catheter removal. The quality of life and nursing satisfaction were evaluated with function asses-ment of cancer therapy-bladder cancer form (FACT-BL) and a satisfaction questionnaire after three months. The incidence of urinary incontinence was recorded in the two groups.  Results  After three months, the incidence of urinary incontinence in the observation group (28.57%, 8/28) was significantly lower than that in the control group 60.17% (17/28, P < 0.05). The total FACT-BL score, functional status scores, and bladder cancer-specific module scores of the observation group were 134.65±8.16, 21.59±2.01, and 39.56±3.15, respectively, which were significantly higher than those of the control group (126.71±6.92, 19.07±2.06, 37.63±3.54, P < 0.05). The satisfaction rate of patients in the observation group with nursing was significantly higher than in the control group (P < 0.05).  Conclusion  Early pelvic floor muscle exercise nursing can improve urination function and quality of life in patients following orthotopic ileal neobladder surgery for bladder cancer. This approach is highly recommended for clinical practice.

     

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