scholarly journals Penerapan Senam Kegel Untuk Menurunkan Inkontinensia Urine Pada Lansia

2021 ◽  
Vol 1 ◽  
pp. 1849-1854
Author(s):  
Oktavia Khamidah ◽  
Herni Rejeki

AbstractWhen someone is getting older, usually she has some change, whether physical, biological, psychological, and mental ones. One of the physical changes is urinary incontinence disorder. It is uncontrolled release of urine that causes hygiene and social problems. This paper whitten to apply kegel exercises to reduce urinary incontinence disorder in elderly. It focused on two families with elderly who get this disorder. The result shows both cannot control their urination into the restroom. After applying the intervention, the first one still cannot control, yet. However, the second one has succeeded in controlling his urination, until he went to the restroom. Thus, it could be concluded this exercises is able to reduce urinary incontinence in elderly. Therefore, it is expected for them to practice it regularly. Keywords: urinary incontinence, elderly, kegel exercise AbstrakMenua biasanya mengalami perubahan-perubahan, baik perubahan fisik biologis maupun psikologis dan mental. Salah satu perubahan fisik pada lansia yaitu mengalami gangguan inkontinensia urine. Inkontinensia urine adalah keluarnya urin yang tidak terkontrol sehingga menyebabkan gangguan kebersihan dan sosial. Karya Tulis Ilmiah ini bertujuan untuk menerapkan senam kegel untuk menurunkan inkontinensia urine pada lansia. Fokus studi kasus pada karya tulis ilmiah ini adalah 2 keluarga dengan lansia yang mengalami inkontinensia urine. Hasil menunjukkan sebelum intervensi kedua pasien tidak dapat menahan BAK sampai ke kamar mandi. Setelah intervensi pada pasien 1 dapat menahan BAK belum dapat menahan sampai ke kamar mandi. Sedangkan pada pasien 2 dapat menahan BAK sampai ke kamar mandi. Kesimpulannya senam kegel dapat menurunkan inkontinensia urine pada lansia. Saran bagi pasien untuk melakukan senam kegel dengan rutin dan teratur. Kata kunci: Inkontinensia urine; lansia; senam kegel

2014 ◽  
Vol 48 (4) ◽  
pp. 159-163
Author(s):  
Vanita Jain ◽  
Puja Dudeja

ABSTRACT Introduction Urinary incontinence (UI) affects > 60% women. Its management is simple with the use of Kegel exercises. However, very few studies have been done in India about this problem and its solution. Objective To assess the impact of running a behavior therapy room (BTR) for various categories of UI cases in different age groups in obstetrics gynecology outpatient department (OBG-OPD) of a tertiary care hospital. Materials and methods Patients of UI were referred from gynecology OPD to BTR. There was trained staff available in BTR to teach Kegel exercises and related behavior therapy to the patients. Records of the patients were maintained. Follow-up was done through phone calls and personal visits of UI patients. Results A total of 251 cases were registered in BTR over 2 years. Overall 126 patients got relief from urine incontinence and prolapse of pelvic floor organs after BT. Conclusion Establishment of a separate room (BTR) with trained staff can be done in OBG department to teach Kegel exercises and to provide relief to women suffering from UI and pelvic organ prolapse (POP). Recommendation Behavior therapy room should be established in gynecology OPDs of all hospitals. How to cite this article Kaur T, Dudeja P, Sharma M, Jain V, Singh A. Impact of Running a Behavior Therapy Room for Various Categories of Urinary Incontinence Cases in Different Age Groups in Obstetrics-Gynecology Outpatient Department of a Tertiary Care Hospital. J Postgrad Med Edu Res 2014;48(4):159-163.


Author(s):  
Veronique C. Bailey ◽  
Meenakshi Bakaya ◽  
Siyabulela H. Jada ◽  
Kekeletso E. Khalanyane ◽  
Wilhelm J. Steinberg ◽  
...  

Urinary incontinence affects 30% of women by the time they reach 50 years of age and continues to increase thereafter. Symptoms vary in severity and adversely impact on the physical and psychosocial wellbeing of affected individuals. By means of a self-administered questionnaire, the study investigated the prevalence of urinary incontinence and its effects on the quality of life in women working at the Universitas Academic Hospital in Bloemfontein in 2007. Pregnant women were not included in the study. One hundred and nine questionnaires were analysed. Participants were 24–62 years of age (mean age 44.4 years). Of these, 27.5% reported symptoms of urinary incontinence. Only one affected individual was younger than 30 years. Three-quarters of affected women rated their symptoms as light to moderate. In 34.6% of the affected women, the condition did not interfere with everyday activities at all, but 11.5% reported severe interference. Information regarding urinary incontinence, precautionary measures, such as Kegel exercises, and its associated psychosocial consequences, should be disseminated to women of all ages.


2020 ◽  
Vol 4 (1) ◽  
pp. 77
Author(s):  
Dheni Koerniawan ◽  
Srimiyati Srimiyati ◽  
Aniska Indah Fari ◽  
Sanny Frisca ◽  
Wendi Putra Pratama

Abstrak:Inkontinensia urine menjadi salah satu masalah yang meluas dan merugikan terutama bagi lansia. Salah satu bentuknya seperti lansia akan merasa rendah diri karena selalu basah akibat urine yang keluar, mungkin pada saat batuk, bersin, mengangkat barang berat dan ketidakmampuan menahan buang air kecil. Senam Kegel yang merupakan terapi non farmakologi untuk mengatasi inkontinensia urin. Kegiatan pengabdian yang dilakukan bertujuan untuk melatih lansia untuk melakukan senam Kegel sehingga dapat mengurangi gejala inkontinensia urin. Kegiatan dilakukan dengan pemberian edukasi, latihan senam Kegel, dan pendampingan selama tiga pertemuan. Hasil kegiatan menunjukkan bahwa mitra mengalami penurunan ketidakmampuan menahan kemih dari rerata 8,56 menjadi 6,3 dan penurunan frekuensi berkemih dari rerata 2,07 menjadi 1,44 serta rerata skor total inkontinensia urine menurun dari 10,63 menjadi 7,74. Abstract:Urinary incontinence is a widespread and detrimental problem especially for the elderly. One form such as the elderly will feel inferior because it is always wet due to urine coming out, maybe when coughing, sneezing, lifting heavy objects and the inability to resist urination. Kegel exercises which is a non-pharmacological therapy for overcoming urinary incontinence. Community service activities was aimed to train elderly for doing Kegel exercise thus can reduce symptoms of urinary incontinence. Service were carried out by providing education, Kegel exercises, and mentoring for three meetings. The results of the activity showed that the partners experienced a decrease in the inability to hold urine from an average of 8.56 to 6.3 and a decrease in the frequency of urination from a mean of 2.07 to 1.44 and the mean total urinary incontinence score decreased from 10.63 to 7.74Abstrak:Inkontinensia urine menjadi salah satu masalah yang meluas dan merugikan terutama bagi lansia. Salah satu bentuknya seperti lansia akan merasa rendah diri karena selalu basah akibat urine yang keluar, mungkin pada saat batuk, bersin, mengangkat barang berat dan ketidakmampuan menahan buang air kecil. Senam Kegel yang merupakan terapi non farmakologi untuk mengatasi inkontinensia urin. Kegiatan pengabdian yang dilakukan bertujuan untuk melatih lansia untuk melakukan senam Kegel sehingga dapat mengurangi gejala inkontinensia urin. Kegiatan dilakukan dengan pemberian edukasi, latihan senam Kegel, dan pendampingan selama tiga pertemuan. Hasil kegiatan menunjukkan bahwa mitra mengalami penurunan ketidakmampuan menahan kemih dari rerata 8,56 menjadi 6,3 dan penurunan frekuensi berkemih dari rerata 2,07 menjadi 1,44 serta rerata skor total inkontinensia urine menurun dari 10,63 menjadi 7,74. Kata kunci: Lansia; Inkontinensia urin; Senam Kegel Abstract:Urinary incontinence is a widespread and detrimental problem especially for the elderly. One form such as the elderly will feel inferior because it is always wet due to urine coming out, maybe when coughing, sneezing, lifting heavy objects and the inability to resist urination. Kegel exercises which is a non-pharmacological therapy for overcoming urinary incontinence. Community service activities was aimed to train elderly for doing Kegel exercise thus can reduce symptoms of urinary incontinence. Service were carried out by providing education, Kegel exercises, and mentoring for three meetings. The results of the activity showed that the partners experienced a decrease in the inability to hold urine from an average of 8.56 to 6.3 and a decrease in the frequency of urination from a mean of 2.07 to 1.44 and the mean total urinary incontinence score decreased from 10.63 to 7.74


2020 ◽  
Vol 16 ◽  
Author(s):  
Eric Lawer Torgbenu ◽  
Christopher O. Aimakhu ◽  
Emmanuel Komla Senanu Morhe

Background: Pelvic floor disorders affect many women globally. Objective: To provide a critical appraisal of the literature on the effects of pelvic floor disorders on the quality of life and functioning of pregnant and postnatal women. Methods: Available literature was reviewed and summarized to discuss the definitions, pelvic floor anatomy, dysfunctions, and the mechanism of the condition, and more specifically, on the strengthening exercises for the pelvic floor muscles. Results: Pelvic floor disorder is an important public health concern because of the high prevalence, deleterious effects on pregnancy, and its outcomes as well as impacts on the health care system. They include genuine urinary incontinence, bladder and bowel incontinence, pelvic pain, weakness of the pelvic muscles, weakness of the muscles of the core stability, as well as the prolapse of pelvic organs. Pregnancy and subsequent vaginal delivery are associated causes of pelvic floor muscle disorders. Approximately 60% and 50% of community settlers and residents of nursing homes respectively are affected by urinary incontinence and the numbers increase with hysterectomy. Multiple birth, obesity, chronic coughs, overweight babies, and heavy lifting are associated risk factors. Treatment of pelvic floor muscle disorders should involve an increased physical activity prescription among women diagnosed with weaker pelvic floor muscles, engaging the multidisciplinary team, increasing the quality of life and functioning of women during and after pregnancy. Training aimed at strengthening the pelvic floor muscles is beneficial and prevention of dysfunctions. Conclusion: Structured and well organised pelvic floor muscle training regimen also known as Kegel exercises are important in preventing disorders of the pelvic floor during pregnancy and after delivery.


2021 ◽  
Vol 1 (3) ◽  
pp. 284-296
Author(s):  
Elsa Refany ◽  
Resmi Pangaribuan ◽  
Jemaulana Tarigan

ABSTRACT: FULFILLMENT OF URINE INCONTINENCE NEEDS FOR ELIMINATION WITH KEGEL EXERCISE AT BINJAI ELDERLY SOCIAL SERVICE UPT Background: Urinary incontinence means the spontaneous expulsion of urine at any time against the will (involuntary). Elderly is the process of slowly losing the ability of tissues to repair themselves/replace and maintain their normal function.Purpose: Kegel exercises are exercises to strengthen the pelvic muscles or exercises that aim to strengthen the pelvic floor muscles, especially the pubococcygeal muscles so that a woman can strengthen the urinary tract muscles.Methods: This research method is descriptive with a nursing process approach. The subject of the study was conducted on 2 patients with the same case, namely in patients who experienced urinary incontinence.Results: The results of the urinary incontinence assessment were associated with decreased bladder and detrusor muscle tone. The nursing interventions and implementation are monitoring the pattern and ability to urinate, identifying the causes of urinary incontinence, explaining the definition, types, and causes of urinary incontinence, recommending limiting fluid consumption 2-3 hours before bedtime, encouraging clients to do Kegel exercises and collaborating with medical and physiotherapists to overcome urinary incontinence. Kegel exercises were carried out in stages to the patient 2 days a day, morning and evening.Conclusion: The evaluation was carried out for 3 days and the results were that the patient was able to urinate and was controlled. The research is expected that the elderly UPT Binjai will improve more skills and always coordinate with other health teams in providing nursing care in accordance with Standard Operating Procedures (SOP). Keywords: Elimination Needs, Urinary Incontinence, Kegel Exercises INTISARI: PEMENUHAN KEBUTUHAN ELIMINASI PADA INKONTINENSIA URINEDENGAN KEGEL EXERCISE DI UPT PELAYANAN SOSIAL LANJUT USIA BINJAI Latar Belakang: Inkontinensia urin berarti pengeluaran urin secara spontan pada sembarang waktu diluar kehendak (involunter). Lansia adalah proses hilangnya secara perlahan-lahan kemampuan jaringan untuk memperbaiki diri/mengganti dan mempertahankan fungsi normalnya.Tujuan: Senam kegel adalah senam untuk menguatkan otot panggul atau senam yang bertujuan untuk memperkuat otot-otot dasar panggul terutama otot pubococcygeal sehingga seorang wanita dapat memperkuat otot-otot saluran kemih.Metode: Metode penelitian ini adalah deskriptif dengan pendekatan proses Keperawatan. Subjek penelitian dilakukan pada 2 orang pasien dengan kasu yang sama yaitu pada pasien yang mengalami inkontinensia urin.Hasil: Hasil pengkajian inkontinensia urin berhubungan dengan penurunan tonus kandung kemih dan otot detrusor. Intervensi dan implementasi keperawatanya itu memonitor pola dan kemampuan berkemih, mengidentifikasi penyebab inkontinensia urine, menjelaskan definisi, jenis dan penyebab inkontinensia urine, menganjurkan membatasi konsumsi cairan 2-3 jam menjelang tidur, menganjurkan klien untuk senam kegel dan melakukan kolaborasi dengan medis dan fisioterapi untuk mengatasi inkontinensia urine. Senam kegel dilakukan secara bertahap kepada pasien 2 hari sehari pagi dan sore hari.Kesimpulan: Evaluasi dilakukan selama 3 hari dan  didapatkan hasil yaitu pasien dapat berkemih dan dikontrol. Penelitian diharapkan UPT lanjut usia Binjai meningkatkan keterampilan yang lebih dan selalu berkoordinasi dengan tim kesehatan lainnya dalam memberikan asuhan keperawatan sesuai dengan Standart Operasional Prosedur (SOP). Kata Kunci: Kebutuhan Eliminasi, InkontinensiaUrin, Senam Kegel


2014 ◽  
Vol 35 (4) ◽  
pp. 407-410 ◽  
Author(s):  
S. Cavkaytar ◽  
M. K. Kokanali ◽  
H. O. Topcu ◽  
O. S. Aksakal ◽  
M. Doğanay

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