Implementing a Behavior Therapy Program in Adults with Overactive Bladder to Improve Quality of Life and Urinary Symptoms Scores
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Overactive bladder syndrome comprises multiple lower urinary tract symptoms. Recommended first-line treatment is behavior therapy; however, drug therapy is often used initially because of the lack of provider time and easily accessible behavior therapy guides. The purpose of this quasi-experimental, pre-post intervention study was to examine the improvement of adult patients’ ability to perform behavior therapy and change negative bladder behavior to increase quality of life and improve urinary symptoms of overactive bladder. Eight participants were recruited from a urology outpatient clinic within a not-for-profit health system from August 2020 to March 2021. The evidenced-based practice intervention included a sequentially guided verbal and written instruction on bladder training principles, fluid management, and pelvic floor therapy. A pre-and six-week post Overactive Bladder Questionnaire with initially defining patient urology symptom goals was administered to assess for improvement of urinary symptoms and accomplishment of patient goals. Descriptive statistics were used to analyze the data. Results showed a reduction in Overactive Bladder Questionnaire scores for all eight participants following the intervention. The implication of this study affects nursing, specifically nurse practitioners, by providing explicit instructions on presenting behavior therapy education to patients.
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