摘要
目的:探讨知信行健康教育在中老年妇女压力性尿失禁中的干预效果。方法:将武汉市东湖医院2019年1月-2020年1月收治的符合纳入和排除标准的60例压力性尿失禁患者按随机数字表法分为对照组(30例)和观察组(30例)。对照组按常规诊疗健康教育进行盆底肌训练,观察组按知信行健康教育模式进行盆底肌训练。对比两组静息态功能尿道长度、尿道中段外括约肌厚度、1 h尿垫试验漏尿量、膀胱残余尿量、国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)评分及临床疗效。结果:治疗12、24周,观察组静息态功能尿道长度[(2.74±0.43)、(2.90±0.39)cm]均长于对照组[(2.55±0.19)、(2.72±0.22)cm],尿道中段外括约肌厚度[(2.62±0.31)、(2.81±0.22)mm]均厚于对照组[(2.45±0.33)、(2.63±0.40)mm],1 h漏尿试验漏尿量[(7.99±1.43)、(4.30±0.39)g]、膀胱残余尿量[(25.61±3.80)、(14.79±2.50)g]均少于对照组[(8.97±1.26)、(8.53±0.98)和(34.53±3.90)、(33.63±4.00)g],ICI-Q-SF评分[(5.32±1.43)、(3.45±1.39)分]均明显低于对照组[(8.66±2.27)、(7.66±1.94)分],差异有统计学意义(P<0.05)。治疗后,观察组总有效率为96.43%,明显高于对照组的55.17%(P<0.05)。结论:知信行健康教育模式指导患者进行盆底肌训练可增加尿道括约肌厚度及功能尿道长度,显著改善患者漏尿症状,提高患者生活质量。
Objective:To explore the intervention effect of knowledge,attitude and practice health education on middle-aged and elderly women with stress urinary incontinence.Method:Sixty patients with stress urinary incontinence who met the inclusion and exclusion criteria in Wuhan Donghu Hospital from January 2019 to January 2020 were divided into the control group (30 cases) and the observation group (30 cases) according to the random number table method.The control group received pelvic floor muscle training according to routine diagnosis and treatment health education,and the observation group was trained according to the health education model of knowledge,attitude and practice.The resting functional urethral length and middle urethral external sphincter thickness,1 hour urine pad test leakage volume,residual urine volume after urination,the score of international consultation on incontinence questionnaire-short form (ICI-Q-SF) and clinical efficacy were compared between the two groups.Result:At 12 and 24 weeks after treatment,the rest functional urethral length[(2.74±0.43),(2.90±0.39) cm]of the observation group were longer than (2.55±0.19),(2.72±0.22) cm of the control group,the thickness of middle urethral external sphincter[(2.62±0.31),(2.81±0.22) mm]of the observation group were thicker than (2.45±0.33),(2.63±0.40) mm of the control group,the urine leakage[(7.99±1.43),(4.30±0.39) g]and bladder residual urine[(25.61±3.80),(14.79±2.50) g]in the 1 hour urine pad test leakage of the observation group were all less than (8.97±1.26),(8.53±0.98),(34.53±3.90) and (33.63±4.00) g in the control group respectively,the ICI-Q-SF scores[(5.32±1.43) and (3.45±1.39) points]of the observation group were significantly lower than (8.66±2.27) and (7.66±1.94) points of the control group,and all the differences were statistically significant (P<0.05).After treatment,the total effective rate of the observation group was 96.43%,which was significantly higher than 55.17% of the control group (P<0.05).Conclusion:The kno
作者
杨红
陈建华
姚文龙
YANG Hong;CHEN Jianhua;YAO Wenlong(Wuhan Donghu Hospital,Wuhan 430074,China;不详)
出处
《中外医学研究》
2022年第4期96-101,共6页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
武汉市卫生计生委科研项目(WG18Z02)。
关键词
知信行
压力性尿失禁
盆底肌训练
干预评价
Knowledge
attitude and practice
Stress urinary incontinence
Pelvic floor muscle training
Intervention evaluation
