The Influence Of Kegel Exercise On Urine Incontinension Reduction In Elderly

Abstract

The elderly is a period of time when various health problems influence their lives, in general, the elderly complaint about various kinds of symptoms that are felt due to the condition of body organs that have a setback. One of the health problems often suffered by the elderly is urinary incontinence. This needs a special attention along with the increasing elderly population in Indonesia. Urinary incontinence is the process of uncontrolled urinary discharge at an undesirable time regardless of frequency and amount, due to weak pelvic floor contraction which will cause social and hygienic problems of the sufferer. Kegel Exercise or Kegel Exercise is a gymnastic activity that aims to strengthen the pelvic floor muscles, especially the pubococcygeal muscles so that a woman can strengthen the urinary tract muscles and can cure the inability to hold urine urination/incontinence. The purpose of this study was to determine the effect of kegel training on decreasing urinary incontinence in the elderly lived in nursing home. This is a quasi-experiment research with the Pretest-Postest One Group approach. The population of this study were all elderly at Tresna Werdha Budi Mulia Nursing Home Ciracas in East Jakarta who had urinary incontinence. 23 samples were taken in nonrandom. Data were gathered using an observation instrument by conducting active observations and filling out the checklist about 24-hour urination filled directly by the elderly every day during the study. Data analysis used non-parametric statistics with Paired T-test or Wilcoxon Signed Rank Test. The results of the T-dependent test, it was found that P-value was 0,000 (p<0.05) which showed that there was an effect of kegel training on the frequency of urinary incontinence There is a significant difference between urinary incontinence before exercise and urinary incontinence as a Kegel exercise. The results of this study are expected to contribute, both for the elderly who live in nursing homes and for health service institutions and educational institutions as well as for the development of nursing science in providing nursing care for elderly who experience urinary incontinence.