Afhandling--Copenhagen. / "Also published as a supplement to volume 16, 1969 of Danish Medical Bulletin." Summary in Danish. Bibliography: p. 139-150.

The main objective of the present study was to provide an adequately controlled experimental and clinical study to assess the efficacy of hypnotherapy in the treatment of nocturnal enuresis. Hypnotherapy was operationally defined in terms of current research in hypnosis. Subjects were 48 nocturnal enuretic boys, aged 8 to 13. Treatment consisted of six standardised sessions, one hourly session per subject per week. Results indicated that hypnotherapy was significantly more effective in decreasing (a) nocturnal enuresis, compared with both pretreatment base line enuresis frequency and a no treatment control (b) maladjustment. Secondary enuretics were found to be more maladjusted than primary enuretics, responded better to hypnotherapy, yet relapsed more after treatment. Comparisons with other studies indicated that hypnotherapy was a desirable short term clinical alternative to more established psychotherapeutic, psychopharmacological and conditioning methods of treatment.

Thesis (Ph. D.)--University of Virginia, 2008. / Includes bibliographical references. Also available online through Digital Dissertations.

Thesis (M.N.)--University of Alberta, 2009. / A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Master of Nursing, Faculty of Nursing. Title from pdf file main screen (viewed on November 8, 2009). Includes bibliographical references.

The purpose of this descriptive study was to determine the existence of a relationship between perceptions of global self-esteem and stress incontinence episodes in a group of older women participating in a bladder retraining protocol. A convenience sample of fifteen older women was obtained. The participants constituted a group of well older women who ranged in age from 63 years to 82 years. All participants were living in the community and experiencing urinary incontinence. The University of British Columbia Model for Nursing was the conceptual framework which guided the focus of the study. The model views the individual as a behavioural system composed of nine interrelated and interdependent subsystems. This study focused on the interrelationship of the excretory and ego-valuative subsystems. The theory of self-efficacy, as outlined by Bandura provided the method by which this study was operationalized. Self-efficacy is the product of personal efficacy—an individual's judgement of the effectiveness of an executed course of action in achieving a desired outcome. The enactive, persuasive, and emotive modes of influence were utilized to provide efficacy information. Data were collected on three occasions using four instruments. The first instrument involved collection of selected demographic variables and was completed during the initial interview. A continence assessment and the Rosenberg self-esteem scale were completed during the initial and final interviews. An interview guide was used during a telephone contact. The telephone contact occurred four days following the first interview; the final interview occurred fourteen days after the first. The data were summarized, compared and described using measures of central tendency and frequency distributions. Paired t-tests were performed on selected variables to determine if there was a difference between pre and post intervention interview score. These tests demonstrated no significant differences in scores. Study findings indicated that at the end of the two week trial 53% of the women were able to identify a change in their voiding habits. Four of the participants (26.7%) stated that they were completely continent at the completion of the two week trial and four other participants (26.7%) indicated that $ some type of positive change had occurred. Three women (20%) identified a negative change in their continence status. Global self-esteem scores, as measured by the Rosenberg self-esteem scale, remained relatively stable during the two week trial period. Scores appeared to be unaffected by a change in continence status. This may be due to the many successful normalizing strategies subjects had developed to hide the evidence of the symptom of urinary incontinence. / Applied Science, Faculty of / Nursing, School of / Graduate

Introduction While urinary incontinence is a condition that affects men and women of all ages, it is more prevalent amongst post-menopausal women. Chinese women have been under-represented at the uro-gynaecology clinic at the Royal Hospital for Women for reasons yet unknown. Objectives What are the reasons for this under-representation? Do the Chinese women in Sydney not know of the services available for urinary incontinence, or, do they not want to seek help? What are their beliefs on urinary incontinence, and how do these beliefs affect their health seeking behaviour, if at all? Methodology Informal interviews with continence specialists and other healthcare professionals determined the selection of Qualitative research methodology, using Grounded Theory and Ethnography. Focus group discussion and interviews were the data collection techniques used for this research. Chinese women that had been in Australia for less than 5 years, more than 5 years and those born in Australia were recruited to participate. Results & Conclusions The knowledge, attitudes, and beliefs of Chinese women in Sydney differ depending on whether or not they were born in Australia, and the length of time in Australia. With Australian born Chinese being more acculturated, having greater knowledge of the services available for urinary incontinence and more likely to seek help for urinary incontinence compared to overseas born Chinese women. While those women who had been in Australia for more than 5 years were more informed about the available services, they did not necessarily use the available services.

Aims: The aim of this thesis was to identify the most cost effective urogynaecological treatment from a range of five standard therapies of 217 female patients, and to test the hypothesis that the conservative treatment of urinary incontinence was more cost effective than surgical or pharmacological interventions, using the cost per Quality Adjusted Life Year (QALY) as a common assessment. Methods: The first step in this process was to determine whether a generic cost effectiveness instrument, the York Quality of Life Questionnaire was sufficiently sensitive to allow its use in the field of urogynaecology. The York Questionnaire was compared with several other quality of life questionnaires and outcome measures that have been previously utilised in urinary incontinence, and was found to be equally sensitive in detecting change in quality of life as a result of treatment. The next step was to measure the costs required to produce this change in quality of life and to calculate the QALY's for five urogynaecological treatments in three prospective trials comprising of: a randomised trial of Nurse Continence Advisor versus Urogynaecologist conservative treatment of urinary incontinence (n=143), a prospective trial of laparoscopic versus open colposuspension (n=62), and the pharmacological treatment of detrusor instability (n=12). Costs assessed included consultation fees, investigations, theatre costs, hospital stay, patient time off work & travel expenses, and reduction in protective pad costs. Results: The cost/QALY for 5 years as a result of each of the five treatments varied from $28,009 for the Nurse Continence Advisor conservative treatment to $134,069 for the open colposuspension treatment. Conclusions: This finding suggests that the conservative treatment of urinary incontinence is the most cost effective, and should be utilised as the first form of treatment. As a consequence, financial resources would be more efficiently utilised in the conservative treatment of urinary incontinence, such as increasing the availability of services offered by Nurse Continence Advisors and physiotherapists.

Thesis (Ph. D.)--University of Texas at Austin, 2002. / Vita. Includes bibliographical references.

No description available.

Introduction While urinary incontinence is a condition that affects men and women of all ages, it is more prevalent amongst post-menopausal women. Chinese women have been under-represented at the uro-gynaecology clinic at the Royal Hospital for Women for reasons yet unknown. Objectives What are the reasons for this under-representation? Do the Chinese women in Sydney not know of the services available for urinary incontinence, or, do they not want to seek help? What are their beliefs on urinary incontinence, and how do these beliefs affect their health seeking behaviour, if at all? Methodology Informal interviews with continence specialists and other healthcare professionals determined the selection of Qualitative research methodology, using Grounded Theory and Ethnography. Focus group discussion and interviews were the data collection techniques used for this research. Chinese women that had been in Australia for less than 5 years, more than 5 years and those born in Australia were recruited to participate. Results & Conclusions The knowledge, attitudes, and beliefs of Chinese women in Sydney differ depending on whether or not they were born in Australia, and the length of time in Australia. With Australian born Chinese being more acculturated, having greater knowledge of the services available for urinary incontinence and more likely to seek help for urinary incontinence compared to overseas born Chinese women. While those women who had been in Australia for more than 5 years were more informed about the available services, they did not necessarily use the available services.