Management of Urinary Incontinence with Kegel Gymnastics in Elderly Patients with Urine Elimination Disorders
https://doi.org/10.52235/lp.v6i1.444
Keywords:
senam kegel, lansia, keperawatan gerontikAbstract
Urinary incontinence is a common issue among the elderly caused by pelvic floor muscle weakness and significantly impacts their quality of life. Objective: This study aims to describe the implementation of Kegel exercises to reduce urinary incontinence symptoms in elderly patients at the Tanjung Agung Health Center. Methods: This descriptive study employed a case study approach involving two elderly patients with urinary incontinence. The intervention included education, demonstration, and evaluation of Kegel exercises conducted over four weeks. Results: Both patients showed a significant reduction in urination frequency, from 14-16 times per day to 5-6 times per day. They also reported improved urinary control and a better quality of life. Conclusion: Kegel exercises are an effective intervention to reduce urinary incontinence symptoms in the elderly. Recommendation: Nurses are encouraged to integrate Kegel exercises into geriatric nursing management with family support to enhance therapy outcomes.
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References
Abu Raddaha, A. H., & Nasr, E. H. (2022). Kegel Exercise Training Program among Women with Urinary Incontinence. Healthcare (Basel), 10(12). doi:10.3390/healthcare10122359
Akbar, M. A. (2022). Buku Ajar Konsep-Konsep Dasar Dalam Keperawatan Komunitas. Yogyakarta: Deepublish.
Akbar, M. A. (2023). Dukungan keluarga dengan kualitas hidup pasien diabetes mellitus tipe II. Cendekia Medika: Jurnal Stikes Al-Maarif Baturaja, 8(1), 107-113. doi:10.52235/cendekiamedika.v8i1.227
Cahyani, K. D., & Nursasi, A. Y. (2024). Effectiveness Effectiveness of Wearable Electronic Device for Fall Risk Prevention in Community Elderly: A Literature Review. Lentera Perawat, 5(2), 318-325.
Cho, S. T., & Kim, K. H. (2021). Pelvic floor muscle exercise and training for coping with urinary incontinence. J Exerc Rehabil, 17(6), 379-387. doi:10.12965/jer.2142666.333
Efrianty, N., & Sartika, R. C. T. (2024). Hubungan Tingkat Pengetahuan Dan Sikap Pada Lansia Dengan Hipertensi Dalam Mengontrol Tekanan Darah. Lentera Perawat, 5(1), 178-184.
Erika, E., & Fitri, R. F. (2023). Meningkatkan Pengetahuan Masyarakat Mengenai Kesehatan Menopause Dan Pemberian Dukungan Pada Lansia Di Desa Cinta Rakyat Percut Sei Tuan. Jukeshum: Jurnal Pengabdian Masyarakat, 3(1), 147-159.
Ferdi, R., Akbar, M. A., Charista, R., & Siahaan, J. (2023). Edukasi Penerapan Relaksasi Benson Terhadap Manajemen Stress Pada Pasien Lansia Dengan Hipertensi. Lentera Perawat, 4(1), 8-14. doi:10.52235/lp.v4i1.183
Gacci, M., Sakalis, V. I., Karavitakis, M., Cornu, J. N., Gratzke, C., Herrmann, T. R. W., . . . Gravas, S. (2022). European Association of Urology Guidelines on Male Urinary Incontinence. Eur Urol, 82(4), 387-398. doi:10.1016/j.eururo.2022.05.012
Hamid, A. Y. S., Mustikasari, Akbar, M. A., Amiruddin, I., & Syukrowardi, D. A. (2024). Analisis Kebijakan Keperawatan dan Kesehatan. Malang: Literasi Nursantara.
Harahap, M. A., & Rangkuti, N. A. (2023). Pengaruh Senam Kegel Terhadap Frekuensi Inkontinensia Urine Pada Lansia Di Wilayah Kerja Puskesmas Pijorkoling Kota Padangsidimpuan. Jurnal Education and Development, 8(4), 523-523.
Harris, S., Leslie, S. W., & Riggs, J. (2024). Mixed Urinary Incontinence. In StatPearls. Treasure Island (FL) ineligible companies. Disclosure: Stephen Leslie declares no relevant financial relationships with ineligible companies. Disclosure: John Riggs declares no relevant financial relationships with ineligible companies.: StatPearls Publishing
Copyright © 2024, StatPearls Publishing LLC.
Humburg, J. (2022). Female urinary incontinence: diagnosis and treatment. Ther Umsch, 73(9), 535-540. doi:10.1024/0040-5930/a001038
Jaffar, A., Muhammad, N. A., Mohd Sidik, S., Admodisastro, N., Abdul Manaf, R., Foo, C. N., & Suhaili, N. (2022). Feasibility and Usability of Kegel Exercise Pregnancy Training App (KEPT App) among Pregnant Women with Urinary Incontinence. Int J Environ Res Public Health, 19(6). doi:10.3390/ijerph19063574
Jauhar, M., Lestari, R. P., & Surachmi, F. (2021). Studi Literatur: Senam Kegel Menurunkan Frekuensi Berkemih Pada Lansia. Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia, 9(1), 29-38.
Jochum, F., Garbin, O., Godet, J., Ragueneau, M., Meyer, C., Billecocq, S., . . . Host, A. (2022). Prospective evaluation of the connected biofeedback EMY Kegel trainer in the management of stress urinary incontinence. J Gynecol Obstet Hum Reprod, 51(2), 102280. doi:10.1016/j.jogoh.2021.102280
Kannan, P., Hsu, W. H., Suen, W. T., Chan, L. M., Assor, A., & Ho, C. M. (2022). Yoga and Pilates compared to pelvic floor muscle training for urinary incontinence in elderly women: A randomised controlled pilot trial. Complement Ther Clin Pract, 46, 101502. doi:10.1016/j.ctcp.2021.101502
Kementerian Kesehatan RI. (2023). Analisis Lansia di Indonesia. Jakarta: Kemenkes RI.
Mikuš, M., Fišter, K., Škegro, B., Buzzaccarini, G., Noventa, M., Laganá, A. S., . . . Banović, V. (2021). Comparison of efficacy of extracorporeal magnetic innervation and Kegel exercises for stress urinary incontinence in adult women: study protocol for a randomized controlled trial. Prz Menopauzalny, 20(4), 193-200. doi:10.5114/pm.2021.110558
Mikuš, M., Kalafatić, D., Vrbanić, A., Šprem Goldštajn, M., Herman, M., Živković Njavro, M., . . . Ćorić, M. (2022). Efficacy Comparison between Kegel Exercises and Extracorporeal Magnetic Innervation in Treatment of Female Stress Urinary Incontinence: A Randomized Clinical Trial. Medicina (Kaunas), 58(12). doi:10.3390/medicina58121863
Milsom, I., & Gyhagen, M. (2022). The prevalence of urinary incontinence. Climacteric, 22(3), 217-222. doi:10.1080/13697137.2021.1543263
Pangaribuan, S. M., Pannyiwi, R., Sinaga, A., Retnani, C. T., Akbar, M. A., & Yuswatiningsih, E. (2023). Asuhan Pada Keluarga Dengan Berbagai Masalah Kesehatan. Jakarta: Nuansa Fajar Cemerlang.
PPNI. (2022). Standar Diagnosis Keperawatan Indonesia: Definisi Dan Indikator Diagnostik (1 ed.). Jakarta: DPP PPNI.
Ratna, W., Kharisma Syahda, W., Olivia Junita, A., Ice Marselina, S., & Tri Asri, R. L. (2021). Pengaruh Pendidikan Kesehatan Hipertensi terhadap Pengetahuan Lansia di Posyandu Lansia Kelurahan Manisrenggo. Journal of Community Engagement in Health, 1(2).
Relida, N., & Ilona, Y. T. (2023). Pengaruh pemberian senam kegel untuk menurunkan derajat inkontinensia urin pada lansia. Jurnal Ilmiah Fisioterapi, 3(1), 18-24.
Ruswati, R. (2022). Pengaruh Senam Kegel Terhadap Frekuensi Inkontinensia Urine Pada Lanjut Usia. Jurnal Ilmiah Kedokteran dan Kesehatan, 1(3), 38-46.
Scott, K. M., Gosai, E., Bradley, M. H., Walton, S., Hynan, L. S., Lemack, G., & Roehrborn, C. (2023). Individualized pelvic physical therapy for the treatment of post-prostatectomy stress urinary incontinence and pelvic pain. Int Urol Nephrol, 52(4), 655-659. doi:10.1007/s11255-019-02343-7
Sharma, K., Gupta, M., Parasher, R. K., & Chawla, J. K. (2023). Comparing the Efficacy of Dynamic Neuromuscular Stabilization Exercises and Kegel Exercises on Stress Urinary Incontinence in Women: A Pilot Study. Cureus, 15(12), e50551. doi:10.7759/cureus.50551
Sheng, Y., Carpenter, J. S., Ashton-Miller, J. A., & Miller, J. M. (2022). Mechanisms of pelvic floor muscle training for managing urinary incontinence in women: a scoping review. BMC Womens Health, 22(1), 161. doi:10.1186/s12905-022-01742-w
Suhartiningsih, S., Cahyono, W., & Egho, M. (2021). Pengaruh Senam Kegel Terhadap Inkontinensia Urin Pada Lansia Di Balai Sosial Lanjut Usia Mandalika Mataram. JISIP (Jurnal Ilmu Sosial dan Pendidikan), 6(3), 33-39.
Sulistyawati, A. I., Abdullah, A., Kasimbara, R. P., & Fau, Y. D. (2022). Pengaruh Latihan Senam Kegel Terhadap Inkontinensia Urine Pada Lansia Di RS Toeloengredjo Pare. Jurnal Keperawatan Muhammadiyah, 7(1), 23-33.
Urvaylıoğlu, A. E., Kutlutürkan, S., & Kılıç, D. (2021). Effect of Kegel exercises on the prevention of urinary and fecal incontinence in patients with prostate cancer undergoing radiotherapy. Eur J Oncol Nurs, 51, 101913. doi:10.1016/j.ejon.2021.101913
Wijaya, D. N. H., & Ramli, R. (2024). Pengaruh Senam Kegel terhadap Inkontinensia Urin pada Lansia. Window of Nursing Journal, 32-39.
Wojcik, M., Jarzabek-Bielecka, G., Merks, P., Plagens-Rotman, K., Pisarska-Krawczyk, M., Kedzia, W., . . . Wilczak, M. (2022). The role of visceral therapy, Kegel's muscle, core stability and diet in pelvic support disorders and urinary incontinence - including sexological aspects and the role of physiotherapy and osteopathy. Ginekol Pol, 93(12), 1018-1027. doi:10.5603/GP.a2022.0136
Yang, X., Wang, X., Gao, Z., Li, L., Lin, H., Wang, H., . . . Shen, J. (2022). The Anatomical Pathogenesis of Stress Urinary Incontinence in Women. Medicina (Kaunas), 59(1). doi:10.3390/medicina59010005
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