针对性护理对老年压力性尿失禁女性盆底功能锻炼恢复效果的影响

舒小珉; 化艳; 张维珍; 吴海燕

doi:10.16766/j.cnki.issn.1674-4152.000383

针对性护理对老年压力性尿失禁女性盆底功能锻炼恢复效果的影响

doi: 10.16766/j.cnki.issn.1674-4152.000383

1. 湖北医药学院附属东风医院康复科, 湖北十堰 442000;
2. 湖北医药学院附属东风医院介入室;
3. 湖北医药学院附属东风医院超声科

基金项目:

湖北省教育厅科学研究计划项目(B2014064)

详细信息

通讯作者:
化艳,E-mail:huayan732@163.com

中图分类号: R711.59;R473
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出版历程
- 收稿日期: 2017-09-30
- 网络出版日期: 2022-08-06

Effect of targeted nursing on restoration of pelvic floor exercises in elderly women with stress urinary incontinence

Department of Rehabilitation, Dongfeng Hospital Affiliated to Hubei Medical College, Shiyan, Hubei 442000, China

摘要

摘要: 目的探讨针对性护理对老年压力性尿失禁(SUI)女性盆底功能锻炼恢复效果的影响。方法通过对湖北医药学院附属东风医院2015年5月-2017年6月就诊治疗的96例老年SUI女性患者临床资料做回顾性分析,并根据护理方式的不同分为观察组、对照组(各48例)。对照组给予常规护理,观察组在对照组基础上采用针对性护理干预。比较2组患者干预前、干预后3个月的1 h尿垫实验、自我效能评分、腹压漏尿点压力(ALPP)、最大尿道闭合压及生活质量评分。结果干预后3个月2组患者1 h尿垫实验均较干预前下降,自我效能评分均较干预前升高(均P<0.05),且观察组1 h尿垫实验较对照组下降明显,自我效能评分较对照组上升明显(均P<0.05);干预后3个月2组患者ALPP、最大尿道闭合压均较干预前上升(均P<0.05),且观察组ALPP、最大尿道闭合压较对照组上升明显(均P<0.05);2组患者干预后3个月生理、心理、环境、社会关系各维度评分及生活质量总评分均比干预前高(均P<0.05),且观察组生理、心理、环境、社会关系各维度评分及生活质量总评分均高于对照组(均P<0.05)。结论采用针对性护理可有效促进老年SUI女性患者盆底功能恢复,增加功能锻炼依从性,改善其尿失禁症状及生活质量。
- 针对性护理 /
- 压力性尿失禁 /
- 盆底功能锻炼 /
- 恢复效果
Abstract: Objective To investigate the effect of targeted nursing on restoration of pelvic floor exercises in elderly women with stress urinary incontinence (SUI). Methods The clinical data of 96 elderly female patients with SUI treated in our hospital from May, 2015 to June, 2017 were retrospectively analyzed. The patients were divided into the observation group and the control group with 48 cases in each group according to the different nursing methods. The control group was given routine care and the observation group was given with targeted nursing intervention on the basis of the control group. The 1h urine pad test, self efficacy score, ALPP, maximum urethral closure pressure and quality of life score were compared between the two groups before and 3 months after intervention. Results The result of 1 h urine pad test in two groups at 3 months after the intervention was significantly decreased compared with before intervention and the self-efficacy scores were significantly increased compared with before intervention(P<0.05). The decreased degree of 1 h urine pad test in observation group was significantly higher than that in the control group and the increased degree of self-efficacy scores in observation group was significantly higher than that in the control group (P<0.05). The ALPP and maximum urethral closure pressure in two groups at 3 months after the intervention were significantly increased compared with before intervention (P<0.05). The increased degree of ALPP and maximum urethral closure pressure in the observation group were significantly higher than that in the control group (P<0.05). Each dimension of physiology, psychology, environment and social relations and total score of quality of life in two groups at 3 months after the intervention were higher than that before the intervention (P<0.05). Each dimension of physiology, psychology, environment and social relations and total score of quality of life in observation groups were higher than that of control group (P<0.05). Conclusion Targeted nursing can effectively promote pelvic floor function recovery in elderly women with SUI, increase their compliance with exercise, and improve the symptoms and quality of life in patients with SUI.
- Targeted nursing /
- Stress urinary incontinence /
- Pelvic floor exercise /
- Recovery effect