针对性护理对女性压力性尿失禁患者康复效果的影响

Influence of Targeted Nursing on the Rehabilitation Effect of Female Stress Urinary Incontinence Patients

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摘要目的探讨针对性护理对女性压力性尿失禁患者康复效果的影响.方法选取该院2018年5月—2020年5月收治的96例女性压力性尿失禁患者,按随机数字表法分为两组,各48例.对照组采用常规护理,观察组采用针对性护理.比较两组干预前后1 h尿垫试验漏尿量、自我效能、尿动力学参数、尿失禁程度及生活质量.结果干预前,两组1 h漏尿量、盆底肌肉锻炼自我效能量表(BPMSES)评分比较,组间差异无统计学意义(P>0.05);干预后,观察组1 h漏尿量(1.83±0.52)g少于对照组,BPMSES评分(86.34±8.37)分高于对照组,组间差异有统计学意义(P<0.05).干预前,两组腹压漏尿点压力(ALPP)、最大尿道闭合压(MUCP)、尿失禁程度比较,组间差异无统计学意义(P>0.05);干预后,观察组ALPP、MUCP均高于对照组,尿失禁程度轻于对照组,组间差异有统计学意义(P<0.05).干预前,两组世界卫生组织生活质量简表(WHOQOL-BREF)评分比较,差异无统计学意义(P>0.05);干预后,观察组WHOLQ-BREF中生理、心理、环境及社会关系领域评分分别为(56.76±5.69)分、(60.35±8.26)分、(61.36±8.84)分、(59.54±9.05)分,均高于对照组,组间差异有统计学意义(P<0.05).结论针对性护理能有效提高女性压力性尿失禁患者盆底功能锻炼自我效能,改善尿失禁症状及尿流动力学参数,提高生活质量. Objective To explore the effect of targeted nursing on the rehabilitation effect of female stress urinary incontinence patients.Methods A total of 96 cases of female stress urinary incontinence patients admitted to the hospital from May 2018 to May 2020 were selected and divided into two groups according to the random number table method,with 48 cases in each group.The control group received routine nursing,and the observation group received targeted nursing.To compare the volume of urine leakage,self-efficacy,urodynamic parameters,degree of incontinence and quality of life of the two groups before and after the intervention on the 1-hour urine pad test.Results Before the intervention,there were no significant differences in the 1-hour urine leakage and pelvic floor muscle exercise self-efficacy scale(BPMSES)score between the two groups(P>0.05);after the intervention,the 1-hour urine leakage in the observation group was(1.83±0.52)g less than that in the control group,and the BPMSES score(86.34±8.37)points was higher than that in the control group,and the differences between the groups were statistically significant(P<0.05).Before the intervention,there were no significant difference between the two groups in abdominal pressure leakage point pressure(ALPP),maximum urethral closure pressure(MUCP),and the degree of urinary incontinence(P>0.05);after intervention,ALPP and MUCP in the observation group were higher than those in the control group,and the degree of urinary incontinence was lighter than that in the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no significant difference in the scores of the World Health Organization quality of life-BREF(WHOQOL-BREF)between the two groups(P>0.05);after the intervention,the scores of physiology,psychology,environment and social relations in the WHOLQ-BREF of the observation group were(56.76±5.69)points,(60.35±8.26)points,(61.36±8.84)points,and(59.54±9.05)points,respectively,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Targeted nursing can effectively improve the self-efficacy of female stress urinary incontinence patients with pelvic floor function exercise,improve urinary incontinence symptoms and urodynamic parameters,and improve the quality of life.

作者薛红丽 XUE Hongli(Department of Gynecology,Qingdao Huangdao District Central Hospital,Qingdao Shandong,266555,China)

机构地区青岛市黄岛区中心医院妇科

出处《反射疗法与康复医学》 2022年第16期133-136,共4页 Reflexology And Rehabilitation Medicine

关键词压力性尿失禁针对性护理盆底功能锻炼漏尿量自我效能尿流动力学 Stress urinary incontinence Targeted nursing Pelvic floor function exercise Leakage of urine Self-Efficacy Urodynamics

分类号 R473.71 [医药卫生—护理学]

作者简介薛红丽(1968-),女,山东青岛人,本科,副主任护师,研究方向:妇科护理。