Objective To explore barriers to pelvic floor rehabilitation adherence among nurses who experience urinary incontinence from a Role Conflict perspective, and to provide references for designing precise health management strategies.Methods A descriptive qualitative study based on the Transtheoretical Model and Role Conflict theory was conducted.Purposive sampling recruited 15 nurses with urinary incontinence for semi-structured interviews.Data were analyzed using content analysis.Results Four principal themes were identified:（1）cognitive-behavioral disjunction under role conflict （separation between professional knowledge and personal practice, and a de-prioritization of perceived personal risk）,（2）multidimensional barriers to adherence （depletion of temporal and spatial resources due to work-family tension; individualized trade-offs between treatment costs and perceived health benefits; poor treatment experience and diminished sense of efficacy）, (3) motivational needs for behavior change (demand for external supervision and for more convenient intervention options), and (4) professional identity empowerment-from conflict to integration (internalization of health management into professional identity and recreation of professional value).Conclusion From the Role Conflict perspective, nurses with urinary incontinence face multiple barriers to adhering to pelvic floor rehabilitation, with a notable gap between cognition and practice.Nurse managers should acknowledge these barriers and, guided by the Transtheoretical Model, develop stage appropriate interventions to facilitate nurses′ transition from health educators to active health practitioners.