Effects of biofeedback-based sleep improvement program on urinary symptoms and sleep patterns of elderly Korean women with overactive bladder syndrome
Abstract Background The prevalence of overactive bladder syndrome (OAB) increases with age. Sleep disturbances in elderly individuals with OAB is a common problem. The purpose of this study was to examine the effects of a biofeedback-based sleep improvement (BBSI) program on urinary symptoms and sle...
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | BMC Urology |
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| Online Access: | http://link.springer.com/article/10.1186/s12894-019-0540-y |
| _version_ | 1818114944142409728 |
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| author | Jooyeon Park Choal Hee Park Sang-Eun Jun Eun-Ju Lee Seung Wan Kang Nahyun Kim |
| author_facet | Jooyeon Park Choal Hee Park Sang-Eun Jun Eun-Ju Lee Seung Wan Kang Nahyun Kim |
| author_sort | Jooyeon Park |
| collection | DOAJ |
| description | Abstract Background The prevalence of overactive bladder syndrome (OAB) increases with age. Sleep disturbances in elderly individuals with OAB is a common problem. The purpose of this study was to examine the effects of a biofeedback-based sleep improvement (BBSI) program on urinary symptoms and sleep patterns in elderly Korean women with OAB. Methods A non-equivalent control group pre−/post-test design was used. Elderly women with OAB were assigned to an intervention group (n = 20) or a control group (n = 18). The BBSI program was implemented in the intervention group for 12 weeks, while two educational sessions of general sleep hygiene and lifestyle modification were provided to the control group. Using SPSS 23.0, the data were analyzed by descriptive analysis using the chi-square test, Fisher’s exact test, Mann-Whitney test, and Wilcoxon test. Results After the 12-week BBSI program, significant improvements were found in the intervention group’s the square root of the mean squared differences of successive R-R intervals (p = 0.025), low frequency/high frequency ratio (p = 0.006), and epinephrine (p = 0.039). We also observed a significant difference in urinary symptoms, sleep efficiency, wake after sleep onset, number of awakenings, and number of awakenings within 3 h after sleep onset (p < 0.001, p = 0.004, p = 0.001, p = 0.001, and p = 0.048, respectively). However, no significant changes were found in these variables in the control group. Conclusions The BBSI program effectively improved urinary symptoms and sleep patterns of elderly Korean women with OAB. Further longitudinal research is required to investigate the sustainability and effects of the BBSI program. Trial registration KCT0003882. Date of registration: 02/05/2019. Retrospectively registered. |
| first_indexed | 2024-12-11T03:58:46Z |
| format | Article |
| id | doaj.art-1e674539ec8d4653bf8aac3e79abefa0 |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-12-11T03:58:46Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-1e674539ec8d4653bf8aac3e79abefa02022-12-22T01:21:42ZengBMCBMC Urology1471-24902019-11-0119111010.1186/s12894-019-0540-yEffects of biofeedback-based sleep improvement program on urinary symptoms and sleep patterns of elderly Korean women with overactive bladder syndromeJooyeon Park0Choal Hee Park1Sang-Eun Jun2Eun-Ju Lee3Seung Wan Kang4Nahyun Kim5College of Nursing, Keimyung UniversityDepartment of Urology, Keimyung University School of MedicineCollege of Nursing, Keimyung UniversityCollege of Nursing, Keimyung UniversityCollege of Nursing, Seoul National UniversityCollege of Nursing, Keimyung UniversityAbstract Background The prevalence of overactive bladder syndrome (OAB) increases with age. Sleep disturbances in elderly individuals with OAB is a common problem. The purpose of this study was to examine the effects of a biofeedback-based sleep improvement (BBSI) program on urinary symptoms and sleep patterns in elderly Korean women with OAB. Methods A non-equivalent control group pre−/post-test design was used. Elderly women with OAB were assigned to an intervention group (n = 20) or a control group (n = 18). The BBSI program was implemented in the intervention group for 12 weeks, while two educational sessions of general sleep hygiene and lifestyle modification were provided to the control group. Using SPSS 23.0, the data were analyzed by descriptive analysis using the chi-square test, Fisher’s exact test, Mann-Whitney test, and Wilcoxon test. Results After the 12-week BBSI program, significant improvements were found in the intervention group’s the square root of the mean squared differences of successive R-R intervals (p = 0.025), low frequency/high frequency ratio (p = 0.006), and epinephrine (p = 0.039). We also observed a significant difference in urinary symptoms, sleep efficiency, wake after sleep onset, number of awakenings, and number of awakenings within 3 h after sleep onset (p < 0.001, p = 0.004, p = 0.001, p = 0.001, and p = 0.048, respectively). However, no significant changes were found in these variables in the control group. Conclusions The BBSI program effectively improved urinary symptoms and sleep patterns of elderly Korean women with OAB. Further longitudinal research is required to investigate the sustainability and effects of the BBSI program. Trial registration KCT0003882. Date of registration: 02/05/2019. Retrospectively registered.http://link.springer.com/article/10.1186/s12894-019-0540-yOveractive bladder syndromeSleepAutonomic nervous system |
| spellingShingle | Jooyeon Park Choal Hee Park Sang-Eun Jun Eun-Ju Lee Seung Wan Kang Nahyun Kim Effects of biofeedback-based sleep improvement program on urinary symptoms and sleep patterns of elderly Korean women with overactive bladder syndrome BMC Urology Overactive bladder syndrome Sleep Autonomic nervous system |
| title | Effects of biofeedback-based sleep improvement program on urinary symptoms and sleep patterns of elderly Korean women with overactive bladder syndrome |
| title_full | Effects of biofeedback-based sleep improvement program on urinary symptoms and sleep patterns of elderly Korean women with overactive bladder syndrome |
| title_fullStr | Effects of biofeedback-based sleep improvement program on urinary symptoms and sleep patterns of elderly Korean women with overactive bladder syndrome |
| title_full_unstemmed | Effects of biofeedback-based sleep improvement program on urinary symptoms and sleep patterns of elderly Korean women with overactive bladder syndrome |
| title_short | Effects of biofeedback-based sleep improvement program on urinary symptoms and sleep patterns of elderly Korean women with overactive bladder syndrome |
| title_sort | effects of biofeedback based sleep improvement program on urinary symptoms and sleep patterns of elderly korean women with overactive bladder syndrome |
| topic | Overactive bladder syndrome Sleep Autonomic nervous system |
| url | http://link.springer.com/article/10.1186/s12894-019-0540-y |
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