本研究目的在探討基隆市社區尿失禁婦女Kegel’s運動介入之成效及相關因素，採類實驗性實驗設計，樣本取自基隆市兩社區婦女尿失禁之病患，年齡在60歲以下者共210位，研究樣本每週接受3次，每次2小時，為期12週的Kegel’s運動訓練，在運動介入前、後均以訪談收集資料，資料以SPSS 12.0套裝軟體進行描述性及t-test分析，研究結果顯示，在Kegel’s運動介入後，有60位病患有明顯改善，有36位患者未見改善，更有12位患者反而較常前出現尿失禁次數增加情形；另經Kegel’s運動後，尿失禁患者之漏尿次數雖未有明現下降，但研究結果顯示，只要確實執行正確且持續的Kegel’s運動是可以改善尿失禁患者之情況；又Kegel’s運動對尿失禁婦女的嚴重度、症狀改善和陰道肌肉強度有顯著的成效(均具統計上差異P<0.05至0.01)。 建議凡是有尿失禁之高危險因子之婦女，可主動給予Kegel’s運動之健康指導，可降低其接受手術之機率及達到預防重於治療之成效；建議增設門診衛教中心，可將Kegel’s運動推廣至其他之人口。 The purpose of this study was to explore the efficacy and relative factors of Kegel’s exercise in Keelung community women with urinary incontinence. The design of Quasi-experiment research, sample of incontinent women were collected in Keelung community,. There were 210 patients under age 60 years old. They received a training of Kegel’s exercise 2 hours each time, three times a week for 12 weeks. The constructive questionnaire were used to collect information before and after they volunteer the exercise. Data was analyzed by SPSS 12.0, the methods of statistics were descriptive statistics and t-test. The result appeared: (1) 60 patients in serious degree were improved and 36 patients were not improved and 12 patients were more worse than before (2) All patients’ symptoms after Kegel’s exercise were improved. (3) Through the test of vaginal manometry, Kegel’s exercise can enhance the strength of vaginal muscle. All factors were statically significant (P<0.05 to P<0.01). The research suggest that women with high risk factors of urinary incontinence should start to learn Kegel’s exercise as sooner as possible, and incontinent women should receive teaching to promote health and prevent medical wasting.
