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박성희 ( Park Seong-Hi ) - 배재대학교 간호학과
조윤수 ( Cho Yun-Su ) - 고려대학교 안암병원 간호부
곽미정 ( Kwack Mi-Jeong ) - 고려대학교 안암병원 적정진료관리팀
이희선 ( Lee Hee-Seon ) - 고려대학교 안암병원 간호부
강창범 ( Kang Chang-Bum ) - 한국건강증진재단 연구개발팀
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Abstract
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Purpose: This study is reviewed of the available literature to identify the evidence of the value of Kegel exercise programs as an intervention to decrease urinary incontinence and the improvement of the quality of life following a radical prostatectomy in localized prostate cancer. Methods: We searched studies of randomized controlled trials that utilized the Kegel exercise programs with patient with a radical prostatectomy. The review was conducted electronic bibliographic database of Ovid-Medline, Embase, Scopus, KoreaMed and NDSL, etc. Of 630 publications identified, seven studies that met the inclusion criteria, and all studies analyzed by meta-analysis. To ensure the quality of the studies, we used Cochrane’s Risk of Bias. Results: Kegel exercise helped patient to achieve continence more quickly (after 1, 3, 6, 12 months) than men not using Kegel exercises. Especially, Kegel exercise significantly reduced the development of urinary incontinence at one month after prostatectomy. The effectiveness of Kegel exercise after prostatectomy was found to improve the quality of life at a significant level. Conclusion: Based on available evidence, Kegel exercise that nurses can teach improved the return to continence more than usual care in men with prostatectomy urinary incontinence.
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KeyWords
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요실금, 골반저근 운동, 전립선적출술, 체계적 문헌고찰
Urinary incontinence, Exercise therapy, Prostatectomy, Review
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원문 및 링크아웃 정보
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등재저널 정보
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