Efficacy of biofeedback on stress urinary incontinence in women receiving pelvic floor muscle training: a meta-analysis

Background:To systematically evaluate the effect of pelvic floor muscle training with biofeedback v.s.pelvic floor muscle exercise alone on stress urinary incontinence in women.Methods:PubMed,the Cochrane Library,Web of Science,Ovid,Ebsco,PEDro,WanFang Data,VIP and CNKI databases were electronically searched to collect randomized controlled trials that meet inclusion criteria.After quality assessment,meta-analysis was conducted by RevMan 5.3 software.Results:A total of 8 randomized controlled trials were included.The results of meta-analysis supported the effectiveness of biofeedback on improving pelvic floor muscle strength(MD=4.67,95%CI(1.86,7.49),P=0.001),increasing short(up to 1 hour)pad test(SMD=−1.11,95%CI(−1.84,−0.37),P=0.003),enhancing quality of life(SMD=−0.34,95%CI(−0.67,−0.01),P=0.04)and social activity index(MD=0.1,95%CI(0.06,0.15),P<0.001).Conclusion:Pelvic floor muscle training with biofeedback could improve pelvic floor muscles’strength and help these patients integrate into society,more high quality studies are required to verify above conclusions.

Real experience among undergraduate nursing students in learning the course of geriatric nursing : a qualitative study

Objective:To understand the real experience of nursing students majoring in geriatric nursing in learning the course of geriatric nursing,so as to provide reference for the design of this course.Methods:The semi-structured int erview was used to interview 27 sophomore nursing students in the department of geriatric nursing in a a Chinese medicine college to understand their experience of learning the course of"Geriatric Nursing",and to apply a seven-step phenomenological analy sis method for data analysis.Results:Refined 8 themes:Lack of cognition of physiological aging;focus on social issues and daily life care;adopting a blended teaching style to stimulate nursing students'interest in learning;understanding the life of the elderly from a professional point of view after class;reverence for life and realisation of life values;little attention is paid to the career of the elderly in China;Geriatric Nursing program expands the scope of employment;and fostering nursing s tudents'willingness to engage with the elderly.Conclusion:The nursing students can understand and experience to the elderly and their lives through learning the course of Geriatric Nursing,but lack the motivation to learn actively.Teachers should guid e nursing students to pre-study before class,enrich the course content,expand their knowledge outside of class,and adopt blended teaching to cultivate their perception of the elderly.