X U Tuzen
Zhejiang Chinese Medical University, China
Title: A nurse-led long-term pelvic floor muscle training program in the management of female patients with overactive bladder
Biography
Biography: X U Tuzen
Abstract
To investigate the treatment outcomes of a nurse-led long term pelvic floor muscle training in relieving the symptoms and improving the quality of life in female patients with overactive bladder. A total of 107 patients were randomized into two groups. The intervention group ( n = 54) received a 6-month nurse-led long-term pelvic floor muscle training program (three sessions a day, 15-20 times per session) and the control group (n=53) received usual care. All patients received 3-month tolterodine extended release tablets (5 mg - once daily). The treatment outcomes were measured by the Modified Oxford Scale (MOS), Overactive Bladder Symptom Score (OABSS) and the King’s Health Questionnaire (KHQ) at baseline, 3 and 6 months respectively.A total of 46 patients in the intervention group and 45 patients in the control group completed the trial. The trial revealed statistically significant differences between groups in pelvic muscle strength at 3 months following the intervention (P<0.05), but no significant difference was found between two groups in OABSS scores (P>0.05). In regards to quality of life, the experimental group showed significant improvements compared to the control group on 6 of 10 domains (P<0.05). At 6 months, there were significant improvements in OABSS scores and quality of life in the experimental group compared to the control group (P<0.05). A nurse-led long-term (6 months) pelvic floor muscle training program can alleviate OAB symptoms effectively and improve the quality of life more than a short term (3 months) pelvic floor muscle training program combined with solifenacin succinate tablets.