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知信行护理模式在压力性尿失禁患者中的应用效果

李海燕 吴蓉蓉 郑建秋 冯瑶 叶翔翔

李海燕, 吴蓉蓉, 郑建秋, 冯瑶, 叶翔翔. 知信行护理模式在压力性尿失禁患者中的应用效果[J]. 中华全科医学, 2022, 20(10): 1805-1808. doi: 10.16766/j.cnki.issn.1674-4152.002707
引用本文: 李海燕, 吴蓉蓉, 郑建秋, 冯瑶, 叶翔翔. 知信行护理模式在压力性尿失禁患者中的应用效果[J]. 中华全科医学, 2022, 20(10): 1805-1808. doi: 10.16766/j.cnki.issn.1674-4152.002707
LI Hai-yan, WU Rong-rong, ZHENG Jian-qiu, FENG Yao, YE Xiang-xiang. Study on the application effect of knowledge, belief and practice nursing model in patients with stress urinary incontinence[J]. Chinese Journal of General Practice, 2022, 20(10): 1805-1808. doi: 10.16766/j.cnki.issn.1674-4152.002707
Citation: LI Hai-yan, WU Rong-rong, ZHENG Jian-qiu, FENG Yao, YE Xiang-xiang. Study on the application effect of knowledge, belief and practice nursing model in patients with stress urinary incontinence[J]. Chinese Journal of General Practice, 2022, 20(10): 1805-1808. doi: 10.16766/j.cnki.issn.1674-4152.002707

知信行护理模式在压力性尿失禁患者中的应用效果

doi: 10.16766/j.cnki.issn.1674-4152.002707
基金项目: 

浙江省医药卫生科技计划面上项目 2018KY512

详细信息
    通讯作者:

    叶翔翔, E-mail: 3037566956@qq.com

  • 中图分类号: R473.6R694.54

Study on the application effect of knowledge, belief and practice nursing model in patients with stress urinary incontinence

  • 摘要:   目的  分析压力性尿失禁(SUI)患者护理中知信行护理模式的应用效果及对生活质量的影响。  方法  2017年8月—2019年8月在温州医科大学附属第一医院泌尿外科治疗的98例SUI患者,将患者按随机数字法分为2组,对照组49例患者采用传统护理,观察组49例患者采用知信行护理模式。干预2周后,对比2组患者每日漏尿次数、女性下尿路症状国际尿失禁标准问卷(ICIQFLUTS)评分及患者满意度;随访2个月,对比2组患者的生活质量评分。  结果  干预2周后,观察组与对照组患者每日漏尿次数[(1.52±0.11)次vs. (3.06±0.18)次]、ICIQFLUTS评分[(35.12±1.62)分vs. (40.65±2.55)分]比较,差异均有统计学意义(均P<0.05);观察组患者满意度(95.92%,47/49)明显高于对照组(71.43%, 35/49),差异有统计学意义(P<0.05)。随访2个月后,观察组生活质量评分总分均明显高于对照组[(82.95±5.49)分vs. (70.16±3.84)分],且2组社交限制评分[(20.62±3.62)分vs. (14.28±1.64)分]、日常生活限制评分[(35.62±4.85)分vs. (30.16±2.22)分]、心理影响评分[(40.52±4.55)分vs. (33.25±2.94)分]差异均有统计学意义(均P<0.05)。  结论  知信行护理模式可有效减轻SUI患者尿失禁症状,降低漏尿次数,提高患者满意度及生活质量。

     

  • 表  1  2组SUI患者每日漏尿次数、ICIQFLUTS评分比较(x ±s)

    Table  1.   Comparison of the daily urine leakage times and ICIQFLUTS scores between two groups of SUI patients(x ±s)

    组别 例数 每日漏尿次数(次) ICIQFLUTS评分(分)
    干预前 干预2周后 干预前 干预2周后
    观察组 49 5.62±0.64 1.52±0.11a 47.62±3.84 35.12±1.62a
    对照组 49 5.66±0.62 3.06±0.18a 47.66±3.89 40.65±2.55a
    t 0.314 51.102 0.051 2.813
    P 0.754 < 0.001 0.959 <0.001
    注:与同组干预前比较,a P<0.05。
    下载: 导出CSV

    表  2  2组SUI患者满意度比较

    Table  2.   Comparison of satisfaction between two groups of SUI patients

    组别 例数 满意[例(%)] 基本满意[例(%)] 不满意[例(%)] 总满意度(%)
    观察组 49 18(36.74) 29(59.18) 2(4.08) 95.92(47/49)
    对照组 49 12(24.49) 23(46.94) 14(28.57) 71.43(35/49)
    注:2组总满意度比较,χ2=10.756,P=0.001。
    下载: 导出CSV

    表  3  2组SUI患者生活质量评分比较(x ±s,分)

    Table  3.   Comparison of quality of life scores between two groups of SUI patients(x ±s, points)

    组别 例数 社交限制 日常生活限制 心理影响 生活质量总分
    初次就诊 就诊2个月后 初次就诊 就诊2个月后 初次就诊 就诊2个月后 初次就诊 就诊2个月后
    观察组 49 11.25±1.52 20.62±3.62a 25.16±1.88 35.62±4.85a 26.15±1.33 40.52±4.55a 57.26±3.62 82.95±5.49a
    对照组 49 11.29±1.49 14.28±1.64a 25.19±1.82 30.16±2.22a 26.19±1.32 33.25±2.94a 57.29±3.59 70.16±3.84a
    t 0.132 11.167 0.080 7.165 0.149 9.394 0.041 13.363
    P 0.896 <0.001 0.936 <0.001 0.882 <0.001 0.967 <0.001
    注:与同组初次就诊时比较,a P<0.05。
    下载: 导出CSV
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  • 收稿日期:  2021-12-11
  • 网络出版日期:  2022-11-30

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