Abstract
Background: Urinary incontinence and poor sleep are common in women with diabetes. As a close relationship exists between urinary incontinence and poor sleep, healthcare providers should consider both when providing management. This study examined the intervention effects of a nurse-led behavioral therapy program containing pelvic floor muscle training (PFMT) and Brief Behavioral Treatment for Insomnia (BBTI) on urinary incontinence and poor sleep.
Methods: This study was a prospective, repeated-measures interventional study. We recruited women with diabetes and randomly assigned participants to an experimental group (n=28) or a control group (n=26). Both groups received information about urological health promotion and PFMT. The experimental group received a 4-month behavioral therapy program containing PFMT, BBTI, and nursing guidance. The control group received information and nursing guidance about BBTI after the completion of data collection. Data were collected by a study questionnaire at baseline and 2- and 4-month after baseline. We used generalized estimating equations model analysis to examine the intervention effects.
Results: The experimental group displayed more significant decreases in the urinary incontinence severity index and sleep quality index scores than did the control group (p<0.001). The experimental group displayed more significant proportion changes from experiencing urinary incontinence and poor sleep to not experiencing these conditions than did the control group (p<0.001).
Conclusions: This study showed promising positive effects of a behavioral therapy program on ameliorating urinary incontinence and poor sleep among women with diabetes. Our study results can be a reference for future research, and community-based and primary healthcare services.
Sigma Membership
Non-member
Type
Poster
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Public and Community Health, Urinary Incontinence, Diabetes, Women, Sleep Quality
Recommended Citation
Huang, Pei-Hua; Liao, Yuan-Mei; Liao, Chun-Hou; Ma, Wen-Ya; Lin, Yen-Kuang; and Chou, Cheng-Chen, "Behavioral Therapy on Relieving Urinary Incontinence and Poor Sleep Among Women With Diabetes" (2025). International Nursing Research Congress (INRC). 135.
https://www.sigmarepository.org/inrc/2025/posters_2025/135
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Behavioral Therapy on Relieving Urinary Incontinence and Poor Sleep Among Women With Diabetes
Seattle, Washington, USA
Background: Urinary incontinence and poor sleep are common in women with diabetes. As a close relationship exists between urinary incontinence and poor sleep, healthcare providers should consider both when providing management. This study examined the intervention effects of a nurse-led behavioral therapy program containing pelvic floor muscle training (PFMT) and Brief Behavioral Treatment for Insomnia (BBTI) on urinary incontinence and poor sleep.
Methods: This study was a prospective, repeated-measures interventional study. We recruited women with diabetes and randomly assigned participants to an experimental group (n=28) or a control group (n=26). Both groups received information about urological health promotion and PFMT. The experimental group received a 4-month behavioral therapy program containing PFMT, BBTI, and nursing guidance. The control group received information and nursing guidance about BBTI after the completion of data collection. Data were collected by a study questionnaire at baseline and 2- and 4-month after baseline. We used generalized estimating equations model analysis to examine the intervention effects.
Results: The experimental group displayed more significant decreases in the urinary incontinence severity index and sleep quality index scores than did the control group (p<0.001). The experimental group displayed more significant proportion changes from experiencing urinary incontinence and poor sleep to not experiencing these conditions than did the control group (p<0.001).
Conclusions: This study showed promising positive effects of a behavioral therapy program on ameliorating urinary incontinence and poor sleep among women with diabetes. Our study results can be a reference for future research, and community-based and primary healthcare services.