Abstract
Background: Aging and gender are risk factors for urine incontinence, which can lead
to psychological, physical, and social complications.
Objective: This community-based study investigates the effectiveness of pelvic floor muscle training
on the severity and quality of urine incontinence and social participation of older women.
Methods: This quasi-experimental community-based study was performed with the participation of
60 older women referring to the Public Health Center in Kerman City, southern Iran. The experiment
group was trained with pelvic floor muscle training in 7 training sessions with distance health
education in the second half of 2021. Before and after the intervention, data were collected based
on: demographic, severity and quality of urine incontinence, and social participation inventories.
Data were analyzed using a t-test and ANOVA (P ≤ 0.05).
Results: The mean scores of severity and quality of urine incontinence and social participation in
the experiment and control groups before receiving the intervention were not statistically significant
(P ≥ 0.05). But after that, a statistically significant difference was observed between the
groups (P <0.05), which showed an improvement in the severity and quality of urine incontinence
scores as well as SP in the experiment group.
Conclusions: Tele-training of the Kegel exercise, even during the pandemic, can play an important
role in improving incontinence and social participation in older women. Therefore, this training can
be used to prevent and improve urine incontinence in public health centers in the community.
Graphical Abstract
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