摘要
目的探讨盆底肌肉锻炼对女性压力性尿失禁患者经阴道无张力尿道中段吊带术后近期生命质量及并发症发生率的影响，为临床护士制订促进患者术后康复措施提供依据。方法根据手术时间将101例压力性尿失禁患者分为对照组51例和试验组50例，对照组患者出院时行常规出院指导，试验组患者在此基础上进行一对一的盆底肌肉锻炼指导。治疗前及干预指导3个月后分别采用尿失禁生命质量调查表评价患者生命质量，并比较2组患者生命质量得分及并发症发生率。结果治疗干预后，共94例患者完成了资料的有效收集，试验组（48例）生命质量总分、限制性行为领域得分、心理社会影响领域得分中位数分别为94．32、90．63、97．22分，对照组（46例）得分中位数分别为90．34、87．50、90．28分，2组比较差异具有统计学意义（Z=3．863、3．227、4．186，均P〈0．01）。试验组发生尿频尿急有16．67％（8／48）少于对照组的36．96％（17／46），2组比较差异有统计学意义（r=4．953，P=0．026）。结论压力性尿失禁患者经阴道无张力尿道中段吊带术术后接受了盆底肌肉锻炼指导对患者总体生命质量的改善优于单纯的手术治疗，尤其是按照指导实施盆底肌肉锻炼后，患者术后尿频尿急的发生率明显降低。
Objective To investigate the impact of pelvic muscle training （PFMT） on the quality of life （QOL） and incidence of postoperative complications in stress urinary, incontinence （SUI） patients after tension-free vaginal tape surgery （TVT）. In order to provide evidence for clinical nurses taking measures to promote rehabilitation of postoperative patients. Methods A total of 101 female SUI patients who underwent TVT surgery were included in this study. 50 patients in the trial group received pelvic muscle training guidance by one-to-one for 3months while 51 patients in the control group were instructed to the routine discharge guidance. All patients were asked to finish the Incontinence-specific Quality of Life questionnaire （I-QOL） at the day before surgery and 3 months after the surgery, respectively. And incidence of postoperative complications were evaluated at 3 months after the surgery. Results A total of 94 participants completed all questionnaires, including 48 patients of the trial group and 46 patients of the control group. The postoperative score of I-QOL in the trial group were higher than that of control group （94.32 vs. 90.34, Z=3.863, P〈0.01）. Further analysis found that avoidance and limiting behaviors domain score （90.63 vs.87.50, Z=3.227, P〈0.01） and psychosocial impacts domain score （97.22 vs. 90.28, Z=4.186, P〈0.01） in the trial group were higher than that of control group. The incidence of postoperative urgency urinary incontinence was significantly difference between the two groups （x^2=4.953,P=0.026）, the proportion were 16.67% （8/48） in the trial group and 36.96% （17/46） in the control group, respectively. According to the results, the patients＇ overall quality of life of the trial group was better than that of control group after surgery. Conclusions Postoperative SUI patients＇ implementation of pelvic muscle training can significantly increase their quality of life and can decrease the incidence of urgency urinary incontinence.
出处
《中国实用护理杂志》
2017年第13期993-997,共5页
Chinese Journal of Practical Nursing
