Behavioral Therapy in Post Menopause Patients with Urine Incontinence Problems – Systematic Review
Main Article Content
A journal search was carried out used the keywords "Postmenopausal women AND Cognitive Behavioral therapy AND urinary incontinence AND meta analysis" to collect relevant articles published in the last 10 years from five databases (ProQuest, PubMed, Science Direct, Ebsco and Google Scholar. Criteria inclusions were: nurses, patients, urinary incontinence, intervention, full text articles, studies that focused on nursing assessment, and written in English. Six journal articles were selected and analyzed using PICO. Results, Non-pharmacological therapy with a behavioral therapy approach with the application of MBSR (Mindfulness based stress reduction) and HEP (Health Enhancement program) as well as Yoga Therapy & PFMT (Pelvic Floor Muscle Training) exercises combined with light physical exercise such as walking, cycling, swimming. for 30 minutes as well as diet modifications can help postmenopausal patients with urinary incontinence. Conclusion: The application of MBSR (Mindfulness based stress reduction) and HEP (Health Enhancement program) as well as Yoga Therapy & PFMT (Pelvic Floor Muscle Training) exercises combined with light physical exercise such as walking, cycling, swimming for 30 minutes and diet modification can reduces the number of episodes of urine leakage and improves all types of urinary incontinence problems as well as quality of life and can be beneficial for sexual function in post menopausal women.
Keywords:
Post Menopause Women, Cognitive Behavioral Therapy, Urinary Incontinence
Aoki, Yoshitaka, Brown, Heidi W., Brubaker, Linda, Cornu, Jean Nicolas, Daly, J. Oliver, & Cartwright, Rufus. (2017). Urinary incontinence in women. Nature Reviews Disease Primers, 3(1), 1–20. https://doi.org/10.1038/nrdp.2017.42
Balk, Ethan M., Rofeberg, Valerie N., Adam, Gaelen P., Kimmel, Hannah J., Trikalinos, Thomas A., & Jeppson, Peter C. (2019). Pharmacologic and nonpharmacologic treatments for urinary incontinence in women: a systematic review and network meta-analysis of clinical outcomes. Annals of Internal Medicine, 170(7), 465–479. https://doi.org/10.7326/m18-3227
Batmani, Sedighe, Jalali, Rostam, Mohammadi, Masoud, & Bokaee, Shadi. (2021). Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies. BMC Geriatrics, 21, 1–17. https://doi.org/10.1186/s12877-021-02135-8
Chao, Hsiang Tai, Chang, Pi Chen, Lin, Yen Kuang, Huang, Wen Chen, Wu, Chien Chih, Chang, Lu I., & Liao, Yuan Mei. (2022). Longitudinal effects of a combined program of pelvic floor muscle training and yoga on genitourinary symptoms in asian women of older age: a randomized experimental study. Geriatric Nursing, 46, 27–38. https://doi.org/10.1016/j.gerinurse.2022.04.018
Charandabi, Sakineh Mohammadalizadeh, Rezaei, Nazanin, Hakimi, Sevil, Montazeri, Ali, Taheri, Safoura, Taghinejad, Hamid, & Sayehmiri, Kourosh. (2015). Quality of life of postmenopausal women and their spouses: a community-based study. Iranian Red Crescent Medical Journal, 17(3). https://doi.org/10.5812/ircmj.21599
del Carmen Carcelén-Fraile, María, Aibar-Almazán, Agustín, Martínez-Amat, Antonio, Cruz-Díaz, David, Díaz-Mohedo, Esther, Redecillas-Peiró, María Teresa, & Hita-Contreras, Fidel. (2020). Effects of physical exercise on sexual function and quality of sexual life related to menopausal symptoms in peri- and postmenopausal women: A systematic review. International Journal of Environmental Research and Public Health, 17(8). https://doi.org/10.3390/ijerph17082680
Felsted, Katarina Friberg, & Supiano, Katherine P. (2019). Mindfulness-based stress reduction versus a health enhancement program in the treatment of urge urinary incontinence in older adult women: a randomized controlled feasibility study. Research in Gerontological Nursing, 12(6), 285–297. https://doi.org/10.3928/19404921-20190702-02
Hsiang-Tai Chao, Pi Chen Chang, Yen Kuang Lin, Wen Chen Huang, Chien Chih Wu, Lu-I Chang, Yuan-Mei Liao. (2022). Longitudinal Effects of a Combined Program of Pelvic Floor Muscle Training and Yoga on Genitourinary Symptoms in Asian Women of Older Age: A Randomized Experimental Study. Geriatric Nursing, 46, 27–38. https://doi.org/https://doi.org/10.1016/j.gerinurse.2022.04.018
Katarina, F. F., & Supiano, K. P. (2019). Mindfulness-based stress reduction versus a health enhancement program in the treatment of urge urinary incontinence in older adult women: A randomized controlled feasibility study. Research in Gerontological Nursing, 12(6), 285–297. https://doi.org/https://doi.org/10.3928/19404921-20190702-02
Khan, Samreen, Ansari, M. Athar, Vasenwala, Shaista M., & Mohsin, Zehra. (2017). The influence of menopause on urinary incontinence in the women of the community: a cross-sectional study from North India. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 6(3), 911–918. https://doi.org/10.18203/2320-1770.ijrcog20170555
Kołodyńska, Gabriela, Zalewski, Maciej, & Rożek-Piechura, Krystyna. (2019). Urinary incontinence in postmenopausal women–causes, symptoms, treatment. Menopause Review/Przegląd Menopauzalny, 18(1), 46–50. https://doi.org/10.5114/pm.2019.84157
Lukacz, Emily S., Santiago-Lastra, Yahir, Albo, Michael E., & Brubaker, Linda. (2017). Urinary incontinence in women: a review. Jama, 318(16), 1592–1604. https://doi.org/10.1001/jama.2017.12137
Nguyen, Thi Mai, Do, Thi Thanh Toan, Tran, Tho Nhi, & Kim, Jin Hee. (2020). Exercise and quality of life in women with menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials. International Journal of Environmental Research and Public Health, 17(19), 1–20. https://doi.org/10.3390/ijerph17197049
Radzimińska, Agnieszka, Strączyńska, Agnieszka, Weber-Rajek, Magdalena, Styczyńska, Hanna, Strojek, Katarzyna, & Piekorz, Zuzanna. (2018). The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review. Clinical Interventions in Aging, 957–965. https://doi.org/10.2147/CIA.S160057
Rogo-Gupta, Lisa J., Yang, Lingyao, Stefanick, Marcia L., Hedlin, Haley, Wallace, Robert, Woods, Nancy, Breyer, Benjamin N., Sorensen, Mathew D., & Chen, Bertha. (2022). Low-fat dietary pattern reduces urinary incontinence in postmenopausal women: post hoc analysis of the Women’s Health Initiative Diet Modification Trial. AJOG Global Reports, 2(1), 100044. https://doi.org/10.1016/j.xagr.2021.100044.
Russo, Eleonora, Caretto, Marta, Giannini, Andrea, Bitzer, Johannes, Cano, Antonio, Ceausu, Iuliana, Chedraui, Peter, Durmusoglu, Fatih, Erkkola, Risto, & Goulis, Dimitrios G. (2021). Management of urinary incontinence in postmenopausal women: An EMAS clinical guide. Maturitas, 143, 223–230. https://doi.org/10.1016/j.maturitas.2020.09.005.
Rutkowska, Anna, Salvalaggio, Silvia, Rutkowski, Sebastian, & Turolla, Andrea. (2022). Use of virtual reality-based therapy in patients with urinary incontinence: a systematic review with meta-analysis. International Journal of Environmental Research and Public Health, 19(10), 6155. https://doi.org/10.3390/ijerph 19106155
Xue, Kaikai, Palmer, Mary H., & Zhou, Fang. (2020). Prevalence and associated factors of urinary incontinence in women living in China: a literature review. BMC Urology, 20, 1–26. https://doi.org/10.1186/s12894-020-00735-x
Balk, Ethan M., Rofeberg, Valerie N., Adam, Gaelen P., Kimmel, Hannah J., Trikalinos, Thomas A., & Jeppson, Peter C. (2019). Pharmacologic and nonpharmacologic treatments for urinary incontinence in women: a systematic review and network meta-analysis of clinical outcomes. Annals of Internal Medicine, 170(7), 465–479. https://doi.org/10.7326/m18-3227
Batmani, Sedighe, Jalali, Rostam, Mohammadi, Masoud, & Bokaee, Shadi. (2021). Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies. BMC Geriatrics, 21, 1–17. https://doi.org/10.1186/s12877-021-02135-8
Chao, Hsiang Tai, Chang, Pi Chen, Lin, Yen Kuang, Huang, Wen Chen, Wu, Chien Chih, Chang, Lu I., & Liao, Yuan Mei. (2022). Longitudinal effects of a combined program of pelvic floor muscle training and yoga on genitourinary symptoms in asian women of older age: a randomized experimental study. Geriatric Nursing, 46, 27–38. https://doi.org/10.1016/j.gerinurse.2022.04.018
Charandabi, Sakineh Mohammadalizadeh, Rezaei, Nazanin, Hakimi, Sevil, Montazeri, Ali, Taheri, Safoura, Taghinejad, Hamid, & Sayehmiri, Kourosh. (2015). Quality of life of postmenopausal women and their spouses: a community-based study. Iranian Red Crescent Medical Journal, 17(3). https://doi.org/10.5812/ircmj.21599
del Carmen Carcelén-Fraile, María, Aibar-Almazán, Agustín, Martínez-Amat, Antonio, Cruz-Díaz, David, Díaz-Mohedo, Esther, Redecillas-Peiró, María Teresa, & Hita-Contreras, Fidel. (2020). Effects of physical exercise on sexual function and quality of sexual life related to menopausal symptoms in peri- and postmenopausal women: A systematic review. International Journal of Environmental Research and Public Health, 17(8). https://doi.org/10.3390/ijerph17082680
Felsted, Katarina Friberg, & Supiano, Katherine P. (2019). Mindfulness-based stress reduction versus a health enhancement program in the treatment of urge urinary incontinence in older adult women: a randomized controlled feasibility study. Research in Gerontological Nursing, 12(6), 285–297. https://doi.org/10.3928/19404921-20190702-02
Hsiang-Tai Chao, Pi Chen Chang, Yen Kuang Lin, Wen Chen Huang, Chien Chih Wu, Lu-I Chang, Yuan-Mei Liao. (2022). Longitudinal Effects of a Combined Program of Pelvic Floor Muscle Training and Yoga on Genitourinary Symptoms in Asian Women of Older Age: A Randomized Experimental Study. Geriatric Nursing, 46, 27–38. https://doi.org/https://doi.org/10.1016/j.gerinurse.2022.04.018
Katarina, F. F., & Supiano, K. P. (2019). Mindfulness-based stress reduction versus a health enhancement program in the treatment of urge urinary incontinence in older adult women: A randomized controlled feasibility study. Research in Gerontological Nursing, 12(6), 285–297. https://doi.org/https://doi.org/10.3928/19404921-20190702-02
Khan, Samreen, Ansari, M. Athar, Vasenwala, Shaista M., & Mohsin, Zehra. (2017). The influence of menopause on urinary incontinence in the women of the community: a cross-sectional study from North India. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 6(3), 911–918. https://doi.org/10.18203/2320-1770.ijrcog20170555
Kołodyńska, Gabriela, Zalewski, Maciej, & Rożek-Piechura, Krystyna. (2019). Urinary incontinence in postmenopausal women–causes, symptoms, treatment. Menopause Review/Przegląd Menopauzalny, 18(1), 46–50. https://doi.org/10.5114/pm.2019.84157
Lukacz, Emily S., Santiago-Lastra, Yahir, Albo, Michael E., & Brubaker, Linda. (2017). Urinary incontinence in women: a review. Jama, 318(16), 1592–1604. https://doi.org/10.1001/jama.2017.12137
Nguyen, Thi Mai, Do, Thi Thanh Toan, Tran, Tho Nhi, & Kim, Jin Hee. (2020). Exercise and quality of life in women with menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials. International Journal of Environmental Research and Public Health, 17(19), 1–20. https://doi.org/10.3390/ijerph17197049
Radzimińska, Agnieszka, Strączyńska, Agnieszka, Weber-Rajek, Magdalena, Styczyńska, Hanna, Strojek, Katarzyna, & Piekorz, Zuzanna. (2018). The impact of pelvic floor muscle training on the quality of life of women with urinary incontinence: a systematic literature review. Clinical Interventions in Aging, 957–965. https://doi.org/10.2147/CIA.S160057
Rogo-Gupta, Lisa J., Yang, Lingyao, Stefanick, Marcia L., Hedlin, Haley, Wallace, Robert, Woods, Nancy, Breyer, Benjamin N., Sorensen, Mathew D., & Chen, Bertha. (2022). Low-fat dietary pattern reduces urinary incontinence in postmenopausal women: post hoc analysis of the Women’s Health Initiative Diet Modification Trial. AJOG Global Reports, 2(1), 100044. https://doi.org/10.1016/j.xagr.2021.100044.
Russo, Eleonora, Caretto, Marta, Giannini, Andrea, Bitzer, Johannes, Cano, Antonio, Ceausu, Iuliana, Chedraui, Peter, Durmusoglu, Fatih, Erkkola, Risto, & Goulis, Dimitrios G. (2021). Management of urinary incontinence in postmenopausal women: An EMAS clinical guide. Maturitas, 143, 223–230. https://doi.org/10.1016/j.maturitas.2020.09.005.
Rutkowska, Anna, Salvalaggio, Silvia, Rutkowski, Sebastian, & Turolla, Andrea. (2022). Use of virtual reality-based therapy in patients with urinary incontinence: a systematic review with meta-analysis. International Journal of Environmental Research and Public Health, 19(10), 6155. https://doi.org/10.3390/ijerph 19106155
Xue, Kaikai, Palmer, Mary H., & Zhou, Fang. (2020). Prevalence and associated factors of urinary incontinence in women living in China: a literature review. BMC Urology, 20, 1–26. https://doi.org/10.1186/s12894-020-00735-x
