Effects of Koryo Hand Therapy on Urinary Incontinence Symptoms, Quality of Sleep and Quality of Life in Elderly Women

INTERVENTION: Others(Koryo Hand Therapy) : A total of 64 older women with urinary incontinence will be recruited and randomly assigned to either the intervention group (n = 32) or the Sham comparator group (n = 32). Koryo Hand Therapy will be administered once weekly for si Xconsecutive weeks. A pressure pellet patch consisting of a 4‐mm metallic pellet attached to a 1.2‐cm adhesive patch will be used for the intervention. A single‐blind design will be employed, whereby participants will be unaware of their group allocation, and both groups will receive visually identical pressure pellet patches. Participants will be instructed to maintain the patch for 4 hours and to repeatedly apply pressure to the pellet using the opposite hand during the application period. In the intervention group, pressure pellets will be applied to acupoints associated with antidiuretic function, sleep regulation, urinary correspondence points, sleep‐related points, urinary‐related points, and basic Koryo Hand Therapy points. In the control group, placebo stimulation will be applied to acupoints unrelated to urinary incontinence or sleep, including points corresponding to the small intestine, large intestine, lung, and spleen. The effects of the intervention will be evaluated by assessing urinary incontinence symptoms, sleep quality, and quality of life before and after the intervention. CONDITION: Symptoms, signs and abnormal clinical and laboratory findings, NEC PRIMARY OUTCOME: ICIQ‐UI SF: International Consultation on Incontinence Questionnaire – Urinary Incontinence Short Form‐Korean SECONDARY OUTCOME: I‐QOL: Incontinence Quality of Life Instrument‐Korean PSQI‐K: Pittsburgh Sleep Quality Index‐Korean INCLUSION CRITERIA: 1. Women aged 65 years or older who understand the purpose of the study and provide written informed consent to participate. 2. Individuals with moderate to severe urinary incontinence symptoms, defined as a score of 6 or higher on the International Consultation on Incontinence Questionnaire–Urinary Incontinence Short Form (ICIQ‐UI SF). 3. Individuals who are able to communicate and understand and respond to the study questionnaires. 4. Individuals who are able to visit a senior welfare center, community welfare facility, or senior center and participate in the intervention once weekly throughout the study period.