Publication Date

5-17-2000

Degree Type

Master's Project

Degree Name

Master of Science (MS)

Department

Nursing

First Advisor

Coleen Saylor

Abstract

This study used a quasi-experimental design to evaluate the outcomes of a continence program in a rehabilitation center with patients receiving therapies (N=l2) and to evaluate the knowledge and attitudes of the rehabilitation staff (N=27) before and after reviewing a teaching module about urinary incontinence. Roy's adaptation theory was used as the conceptual framework for this research project. The tools used for data collection were: the Functional Independence Measure {FIM), daily 24 hour incontinence logs, pre/post true and false knowledge tests and pre/post staff attitude questionnaires. Eleven of the 12 patients admitted to the program had improved FIM scores and had gained urinary continence by discharge. Although attitudes did not change, staff knowledge improved by almost 1 test question between pre/posttests. There was a statistically significant difference (n=. 008) between the pre/posttest mean scores on the true/false test with the patient care intervention questions. The Roy adaptation model integrates well into a rehabilitation unit's continence program. Scheduled voiding as a behavioral therapy used with rehabilitation patients is a successful treatment modality in helping gain urinary continence.

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