Abstract

An experimental study was conducted in a university and a convalescent hospital using eight female CVA patients with urinary incontinence to test the hypothesis that the experimental technique of icing and brushing LI dermatome skin area would increase the probability that the CVA patient would void within a prescribed time and place. A modified one group method was used in which the patient served as her own control by participating in two types of bladder training programs over an eight to twelve hour period for four consecutive days. Program A used the experimental technique; Program B omitted the experimental technique. Data collected for statistically measuring and testing the effectiveness of the experimental technique were (1) time measurements of how long the patient required to initiate micturition, and (2) number of times the patient was incontinent during the two programs. Other data collected to show the effectiveness of the experimental technique in emptying the bladder were (1) the amount of urine voided, and (2) the residual urine on the first and fourth days. The two way ANOVA test on each patient showed Program A was more effective than Program B in producing micturation in a shorter length of time in seven of the eight patients. The three way ANOVA test on the total sample showed that Program A was not effective for all patients from which the sample was drawn. A larger sample possibly would have shown significance. The t test indicated that Program A was effective in reducing the number of times the patient was incontinent. This was significant at the .005 level for the total four days and at the .05 level for the third and fourth days, showing a decrease in incontinence on the last two days. The aforementioned findings support the hypothesis of the study. Ratio of residual urine to amount of urine voided was in normal range for a balanced bladder. The amount of urine voided measurements were incomplete due to the patient being incontinent during Program B. It was concluded that the experimental technique could be used by nursing as an adjunct to bladder training programs to assist in promoting voluntary micturition within a prescribed time and at a prescribed place and thus reduce the incidents of incontinence in some CVA patients who experience urinary incontinence following a CVA.

LLU Discipline

Nursing

Department

Nursing

School

Graduate School

First Advisor

Patricia Gillit

Second Advisor

Matilda Anabelle Mills

Third Advisor

Phillip H. Reiswig

Degree Name

Master of Science (MS)

Degree Level

M.S.

Year Degree Awarded

1970

Date (Title Page)

5-1970

Language

English

Library of Congress/MESH Subject Headings

Urination; Cerebrovascular Disorders

Type

Thesis

Page Count

vii; 69

Digital Format

PDF

Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Collection

Loma Linda University Electronic Theses and Dissertations

Collection Website

http://scholarsrepository.llu.edu/etd/

Repository

Loma Linda University. Del E. Webb Memorial Library. University Archives

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