Efektivitas Pelvic Floor Muscle Training dan Bladder Training dalam Mengelola Inkontinensia Urine pada Alzheimer: Literature Review

https://doi.org/10.22146/jkkk.95655

Giovanni Iga Firmanda(1*), Aries Wahyuningsih(2), Wahyu Nur Pratiwi(3)

(1) Departemen Keperawatan, Fakultas Kesehatan, Institut Ilmu Kesehatan Bhakti Wiyata
(2) Departemen Administrasi Rumah Sakit, STIKES RS Baptis Kediri
(3) Departemen Keperawatan, Fakultas Kesehatan, Institut Ilmu Kesehatan Bhakti Wiyata
(*) Corresponding Author

Abstract


Background: Urinary incontinence is a common problem in Alzheimer's patients that significantly affects the quality of life and well-being of the sufferers. Non-pharmacological interventions such as Pelvic Floor Muscle Training (PFMT) and Bladder Training have been considered effective methods in managing this condition, but the cognitive limitations of Alzheimer's patients pose special challenges in their implementation. 
Objective: This literature review aimed to analyze the effectiveness of PFMT and Bladder Training in managing urinary incontinence in Alzheimer's patients and to understand the challenges and obstacles faced in implementing these interventions. 
Method: The type of study was a literature search. It was carried out through the EBSCO, Proquest and Science Direct electronic databases that discussed the problem of incontinence in Alzheimer's patients published in 2017-2022. Studies that met the inclusion and exclusion criteria were selected and evaluated using the JBI critical appraisal tool. 
Results: From the search results, 4 studies met the inclusion criteria and were analyzed in this review. The findings indicated that PFMT and Bladder Training can reduce the frequency of urinary incontinence in elderly with Alzheimer's.
Conclusion: PFMT and Bladder Training (BT) play important roles in managing urinary incontinence in Alzheimer's patients. PFMT helps improve pelvic floor muscle control, while BT helps regulate mixed frequency. The combination of these two therapies can provide significant benefits in the management of urinary incontinence in Alzheimer's patients, helping to improve the patient's quality of life and overall well-being.

INTISARI

Latar belakang: Inkontinensia urine merupakan masalah umum pada pasien Alzheimer, yang secara signifikan memengaruhi kualitas hidup dan kesejahteraan penderitanya. Intervensi non-farmakologis seperti Pelvic Floor Muscle Training (PFMT) dan Bladder Training telah dipertimbangkan sebagai metode efektif dalam mengelola kondisi inkontinensia urine ini. Namun, keterbatasan kognitif pada pasien Alzheimer menimbulkan tantangan khusus dalam penerapannya. 
Tujuan: untuk mengevaluasi efektivitas PFMT dan Bladder Training dalam mengelola inkontinensia urine pada pasien Alzheimer, serta memahami tantangan dan kendala yang dihadapi dalam penerapan intervensi ini. 
Metode: Jenis penelitian ini adalah pengkajian literatur. Pencarian literatur dilakukan melalui database elektronik EBSCO, Proquest, dan Science Direct, yang membahas masalah inkontinensia pada pasien Alzheimer, terbitan tahun 2017-2022. Literatur yang memenuhi kriteria inklusi, diseleksi dan dievaluasi menggunakan JBI’s critical appraisal tools. 
Hasil: Dari hasil pencarian, sebanyak 4 literatur memenuhi kriteria inklusi dan dianalisis dalam review ini. Hasil temuan menunjukkan bahwa PFMT dan Bladder Training berpengaruh terhadap pengelolaan inkontinensia urine pada pasien Alzheimer, meningkatkan kontrol otot dan frekuensi miksi, serta meningkatkan kualitas hidup pasien.
Simpulan: Pelvic Floor Muscle Training (PFMT) dan Bladder Trainining (BT) dapat mengurangi frekuensi inkontinensia urine pada lansia dengan Alzheimer. 


Keywords


Alzheimer; behavior therapy; bladder training; inkontinensia urine; pelvic floor muscle training

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References

  1. Chang CW, Juan YS, Yang YH, Lee HY. The Relationship Between Lower Urinary Tract Symptoms and Severity of Alzheimer’s Disease. Am J Alzheimers Dis Other Demen. 2021; 36(100): 1-5. https://doi.org/10.1177/1533317521992657.

  2. Taiki S, Masaki Y, Rei O, et al. Frontal Lobe Function Correlates with One-Year Incidence of Urinary Incontinence in Elderly with Alzheimer Disease. J Alzheimer’s Dis. 2017; 56(2): 567-574. https://doi.org/10.3233/jad-160923.

  3. Lee HY, Li CC, Juan YS, et al. Urinary Incontinence in Alzheimer’s Disease: A Population-Based Cohort Study in Taiwan. Am J Alzheimers Dis Other Demen. 2017; 32(1): 51-55. https://doi.org/10.1177/1533317516680900.

  4. Ryuji S. Editorial Comment to Urinary incontinence in patients with Alzheimer’s disease: Relationship between symptom status and urodynamic diagnoses. Int J Urol. 2014. https://doi.org/10.1111/iju.12436

  5. Bartolone SN, Sharma P, Chancellor MB, Lamb LE. Urinary Incontinence and Alzheimer’s Disease: Insights From Patients and Preclinical Models. Front Aging Neurosci. 2021; 13(December): 1-7. https://doi.org/10.3389/fnagi.2021.777819.

  6. Vijay K, Kolinjivadi. Alzheimer’s disease. 2023. https://doi.org/10.1016/b978-0-323-91890-9.00020-9.

  7. Lim SC. Managing the Elderly with Urinary Incontinence and Dementia. Int Arch Urol Complicat. 2017; 3(2). https://doi.org/10.23937/2469-5742/1510027.

  8. Jung HB, Choi DK, Lee SH, Cho ST, Na HR, Park MH. Correlation between overactive bladder symptom score and neuropsychological parameters in Alzheimer’s disease patients with lower urinary tract symptom. Int Braz J Urol. 2017; 43(2): 256-263. https://doi.org/10.1590/S1677-5538.IBJU.2015.0664.

  9. Leo, Clinton C, John, Azubuike E, Sylvester, Chika O, et al. Advances in the pathogenesis of Alzheimer’s disease: A re-evaluation of the Amyloid cascade hypothesis. World J Adv Res Rev. 2023. https://doi.org/10.30574/wjarr.2023.17.2.20200335.

  10. Corrêa da Silva BM, Maia Lima CF da, Caldas CP. Behavioral therapy for urinary incontinence in elderly women: an experience of trans personal care. MOJ Gerontol Geriatr. 2021; 6(1): 13-16. https://doi.org/10.15406/mojgg.2021.06.00260.

  11. Atri A. The Alzheimer’s Disease Clinical Spectrum: Diagnosis and Management. Med Clin North Am. 2019; 103(2): 263-293. https://doi.org/10.1016/j.mcna.2018.10.009.

  12. Luísa, María, Gómez M, Anna, Caroline, Ribeiro, de M, Rayanne, Moreira, da C, Vilena, Barros, de F, Mayle, Andrade M, Simony, Lira, do N. Behavioral therapy in the treatment of urinary incontinence: quality of life and severity. Fisioter em Mov. 2022; 35. https://doi.org/10.1590/fm.2022.356014

  13. Sandhya P. Effectiveness of Behavior Therapy. 2022; 1(1). https://doi.org/10.31579/2835-7949/003.

  14. Vaz CT, Sampaio RF, Saltiel F, Figueiredo EM. Effectiveness of pelvic floor muscle training and bladder training for women with urinary incontinence in primary care: a pragmatic controlled trial. Brazilian J Phys Ther. 2019; 23(2): 116-124. https://doi.org/10.1016/j.bjpt.2019.01.007.

  15. Tan J, Markland AD. Nonsurgical Management of Urinary Incontinence in Older Women. Curr Geriatr Reports. 2017; 6(2): 54-63. https://doi.org/10.1007/s13670-017-0200-6.

  16. Bakan AB, Aslan G, Yıldız M. Effects of the Training Given to Older Adults on Urinary Incontinence. Ageing Int. 2021; 46(3): 324-336. https://doi.org/10.1007/s12126-020-09390-x.

  17. Laura M-L, Ana, Isabel P-MM, Solís-Muñoz. Nursing care for patients with urinary incontinence based on behavioural therapies. 2020; 30(5): 349-353. https://doi.org/10.1016/J.ENFCLE.2020.03.005.

  18. Carrion C, Folkvord F, Anastasiadou D, Aymerich M. Cognitive Therapy for Dementia Patients: A Systematic Review. Dement Geriatr Cogn Disord. 2018; 46(1-2): 1-26. https://doi.org/10.1159/000490851.

  19. Valenzuela JP. Theory of Nursing Intuition and Its Philosophical Underpinnings. Int J Nurs Sci. 2019; 9(1): 19-23. https://doi.org/10.5923/j.nursing.20190901.03.

  20. Liumei L, Xi C, Hui X, Jiaquan Z, Li L. Development and evaluation of a rehabilitation training compliance scale for patients with urinary incontinence. BMC Nurs. 2023; 22(1): 147. https://doi.org/10.1186/s12912-023-01326-5.

  21. Kübra, Nur M, Nazlı, Gamze B, İdil D, Sude K, Türker Ş, Nilgun C. Association between perceived social support and physical activity level of alzheimer family caregivers. Alzheimers Dement. 2023; 19(S5): 1-2. https://doi.org/10.1002/alz.064907.

  22. Wein AJ. Re: The Role of Local Hormone Replacement in Overactive Bladder. J Urol. 2020; 204(5): 1101-1102. https://doi.org/10.1097/JU.0000000000001264



DOI: https://doi.org/10.22146/jkkk.95655

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