Evidence map›Paper›PMID 42831914›Full record

ReviewInternational urogynecology journal2026

Facilitators and Barriers to Pelvic Floor Muscle Exercise Among Patients with Pelvic Floor Dysfunction: A Meta-Synthesis.

Miao Li, Xue Yang, Hangcheng Liu, Huan Wang, Haiyan Wang, Xixi Li

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In one paragraph

Review in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Miao Li *Department of Nursing, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan Province, China.
Xue Yang *School of Nursing, Chengdu Medical College, Chengdu, Sichuan Province, China.
Hangcheng LiuDepartment of Nursing, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan Province, China.
Huan WangSchool of Nursing, North Sichuan Medical College, Nanchong, Sichuan Province, China.
Haiyan WangDepartment of Nursing, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan Province, China. 1554955288@qq.com.
Xixi LiDepartment of Nursing, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan Province, China. 68218001@qq.com.

Funding

Health Commission of Mianyang City 2024027Philosophy and Social Sciences Key Research Base of Zigong City JKRWY24-17
6 · The paper itself

Abstract

introduction and hypothesisPelvic floor muscle training (PFMT) is a first-line conservative therapy for Pelvic Floor Dysfunction (PFD), yet its effectiveness is often compromised by poor long-term adherence. From the patient's viewpoint, this study explores the facilitators and barriers to exercise compliance, seeking to guide the formulation of scientific and rational PFMT protocols.

methodsThe literature search covered the period from database inception to May 20, 2025, and was performed across nine databases, including PubMed, Web of Science, Embase, CINAHL, the Cochrane Library, CNKI, Wanfang Database, VIP Database, and CBM. The methodological quality of the included studies was assessed with the Joanna Briggs Institute (JBI) checklist for qualitative research, and a thematic synthesis was conducted.

resultsA total of 13 studies were included, yielding 66 research findings, which were categorized into 11 categories and consolidated into two outcomes. The promoting factors of PFMT in patients with PFD (perceived benefits of exercise, strong social support, flexible and diverse training strategies, awareness of the threat of the disease, and self-efficacy promoting internal drive) and hindering factors of PFMT in patients with PFD (doubts about exercise value, insufficient access to information, low exercise self-efficacy, lack of exercise conditions and enjoyment, weak social support systems, and the impact of the disease and low symptom perception).

conclusionsPFMT for women with PFD is influenced by multiple factors. Clinicians should address barriers, strengthen promoting factors, and actively optimize intervention strategies to provide patients with diverse, individualized pelvic floor muscle exercise (PFME) programs.

Indexed as

FemaleMeta-synthesisPelvic floor dysfunctionPelvic floor muscle training

Identifiers

PMID42831914

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.