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Women's Self-care Agency to Manage Urinary Incontinence: The Impact of Nursing Agency and Body Experience

Hines, Sandra H. PhD; Sampselle, Carolyn M. PhD; Ronis, David L. PhD; Yeo, SeonAe PhD; Fredrickson, Barbara L. PhD; Boyd, Carol J. PhD

doi: 10.1097/01.ANS.0000271107.80161.19

Background Women with urinary incontinence (UI) report that the disease negatively impacts their quality of life but, paradoxically, underreport symptoms.

Method A predictive model using Orem's self-care deficit theory was developed exploring the effect of body experience on self-care agency to manage UI. A sample of postmenopausal women was drawn from a larger trial. Structural equation modeling was used to test the proposed model.

Results Minor modification of the model produced a well-fitting model (χ2(9) = 3.20, P = .96, n = 235). Results supported the positive effect of nursing agency on self-care agency.

Conclusion Group education about UI may increase self-care agency in postmenopausal women.

University of Michigan, Ann Arbor (Drs Hines, Sampselle, Ronis, and Boyd); and the University of North Carolina at Chapel Hill (Drs Yeo and Fredrickson).

Corresponding author: Sandra H. Hines, PhD, University of Michigan School of Nursing, Ann Arbor, MI 48109 (e-mail:

This study is based on the dissertation work of Sandra H. Hines, An Exploratory Study of the Relationship Between Body Experience and Self-care Agency to Manage Urinary Incontinence, at The University of Michigan, defended April 27, 2006.

This study was supported by a larger study funded by the National Institutes of Health–National Center for Nursing Research RO1 NR07618.

© 2007 Lippincott Williams & Wilkins, Inc.