The development and effectiveness of a care protocol using the stevens star model of knowledge transformation in female patients with stress incontinence: An experimental study

dc.contributor.authorGülnar, Emel
dc.contributor.authorÇalişkan, Nurcan
dc.date.accessioned2025-01-21T16:28:37Z
dc.date.available2025-01-21T16:28:37Z
dc.date.issued2021
dc.departmentKırıkkale Üniversitesi
dc.description.abstractBACKGROUND: Nurse-led pelvic floor muscle exercise and lifestyle education programs are effective first-line interventions for women with stress incontinence (SI). PURPOSE: To develop an evidence-based stress incontinence care protocol (SICP) using the Stevens Star Model of Knowledge Transformation and evaluate its effect on the frequency and quantity of urinary incontinence, quality of life, pelvic muscle self-efficacy levels, and lifestyle variables of women with SI. METHODS: An SICP was developed on the basis of the Star model. The views of an expert were consulted for testing the content validity of the protocol. Using a pretest-posttest experimental design, 68 women with SI who visited an outpatient clinical at a hospital in Turkey were prospectively enrolled in the intervention (n = 34) and control (n = 34) groups. After obtaining baseline demographic and health history information, participants completed the King’s Health Questionnaire, the Broome Pelvic Muscle Exercise Self-Efficacy Scale, a 3-day voiding diary, and a 1-hour pad test. The intervention group received an 8-week program of care according to the Star model-derived SICP, and follow-up assessments were completed by both groups after 8 and 12 weeks. RESULTS: The content validity index for the SICP was 91.9%. The intervention group had a reduced quantity and frequency of urinary leakage, reduced King’s Health Questionnaire scores, and increased Broome Pelvic Muscle Exercise Self-Efficacy Scale scores (P <.05). CONCLUSION: Care provided according to the Star model-derived SICP reduced the quantity and frequency of SI and improved the perceived pelvic muscle exercise self-efficacy and quality of life of the participants. © 2021, HMP Global. All rights reserved.
dc.description.sponsorshipGazi University Scientific Research Projects Department, (47/2017-04)
dc.identifier.doi10.25270/wmp.2021.3.3647
dc.identifier.endpage47
dc.identifier.issn2640-5237
dc.identifier.issue3
dc.identifier.pmid33788774
dc.identifier.scopus2-s2.0-85103744930
dc.identifier.scopusqualityQ1
dc.identifier.startpage36
dc.identifier.urihttps://doi.org/10.25270/wmp.2021.3.3647
dc.identifier.urihttps://hdl.handle.net/20.500.12587/23598
dc.identifier.volume67
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherHMP Global
dc.relation.ispartofWound Management and Prevention
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectClinical study; Effectiveness; Evidence-based practice; Nursing care; Urinary stress incontinence
dc.titleThe development and effectiveness of a care protocol using the stevens star model of knowledge transformation in female patients with stress incontinence: An experimental study
dc.typeArticle

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