摘要
目的据流行病学资料显示,膀胱过度活动症在我国的发病率为6.0%,疾病引起的相关症状严重影响患者的生活质量。本研究探讨基于格林模式的健康教育对膀胱过度活动症患者排尿行为的干预效果。方法选取2016-04-01-2017-03-31在泰安市中医医院门诊接受规律随访的98例膀胱过度活动症患者,按照患者的年龄、性别匹配的原则分为干预组和对照组各49例。对照组在常规治疗的基础上,进行常规的健康教育,健康教育的内容包括疾病的相关知识的讲解、注意事项等内容,干预组在与对照组相同治疗的基础上,运用基于格林模式的健康教育进行干预。比较两组患者在排尿行为、膀胱活动症状和生活质量3个方面的变化情况。结果干预6个月后,在排尿行为方面,干预组无尿意排尿得分为(2.22±0.82)分,低于对照组的(3.51±0.87)分,差异有统计学意义,t=7.545,P<0.001;干预组憋尿得分为(2.63±0.57)分,低于对照组的(3.20±0.65)分,差异有统计学意义,t=-4.615,P<0.001;干预组用力排尿得分为(2.37±0.64)分,低于对照组的(2.94±0.52)分,差异有统计学意义,t=-4.838,P<0.001;干预组排尿地点得分为(2.27±0.70)分,低于对照组的(2.86±0.50)分,差异有统计学意义,t=-4.801,P<0.001;干预组膀胱过度活动症状得分为(7.14±0.94)分,低于对照组的(9.16±1.16)分,差异有统计学意义,t=-9.059,P=0.001;干预组的生活质量得分为(28.53±2.98)分,高于对照组的(17.88±2.71)分,差异有统计学意义,t=18.508,P=0.001。结论采用基于格林模式的健康教育对膀胱过度活动症患者进行健康教育,能够改善患者的不良排尿行为,提高患者生活质量,具有一定的临床应用前景。
OBJECTIVE According to epidemiological data,the incidence of overactive bladder disease in China is6.0%.The related symptoms caused by this diseases seriously affect the quality of life of patients.This study aims to observe the effect of health education based on Green model on patients with overactive bladder.METHODS A total of98 patients with overactive bladder in outpatient department of Traditional Chinese Medicine Hospital of Taian city from April 1,2016 to March 31,2017 were randomly divided into intervention group and the control group according to baseline data,with 49 cases in each group.Patients in the control group was given routine health education on the basis of routine treatment,the contents of health education included the explanation of disease-related knowledge and matters needing attention.The patients in the intervention group were given the same treatment as the control group as the basis with health education based on Green model.The changes of voiding behavior,bladder motility symptoms and quality of life were compared between the two groups.RESULTS Six month after intervention,in terms of voiding behavior,the score of intentional voiding in intervention group was(2.22±0.82),lower than that in control group(3.51±0.87),t=-7.545,P=0.001.The score of voiding in intervention group was(2.63±0.57),lower than that in control group(3.20±0.65),t=-4.889,P=0.001.The score of forced voiding in intervention group was(2.37±0.64),lower than that in control group(2.94±0.52),t=-5.908,P=0.001.The score of urine location was(2.27±0.70),lower than that in control group(2.86±0.50),t=-5.647,P=0.001.The score of symptoms of overactive bladder in intervention group was(7.14±0.94),lower than that in control group(9.16±1.16),t=-9.059,P=0.001.The score of quality of life in intervention group was(28.53±2.98),higher than that of control group(17.88±2.71),t=30.815,P=0.001.CONCLUSIONS Health education based on Green model for patients with overactive bladder can improve their bad voiding behavior and improv
作者
冯玉玲
FENG Yu-ling(Department of Outpatient,Traditional Chinese Medicine Hospital of Taian city ,Taian 271000,P. R. China)
出处
《社区医学杂志》
2019年第6期364-367,共4页
Journal Of Community Medicine
关键词
格林模式
膀胱过度活动症
排尿行为
健康教育
Green model
overactive bladder
effect
micturition behavior
health education
