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

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

温州医科大学附属第一医院泌尿外科，浙江温州 325015

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
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- 被引次数: 0
出版历程
- 收稿日期: 2021-12-11
- 网络出版日期: 2022-11-30

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

Urology Department of the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325015, China

摘要

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。
- 传统护理 /
- 知信行护理模式 /
- 压力性尿失禁 /
- 患者满意度 /
- 生活质量
Abstract: Objective To analyse the effect of knowledge, belief and practice nursing mode in nursing of patients with stress urinary incontinence (SUI) and its influence on quality of life. Methods Ninety-eight SUI patients treated in the Department of Urology of the First Affiliated Hospital of Wenzhou Medical University from August 2017 to August 2019 were randomly divided into two groups: 49 patients in the control group adopted traditional nursing, and 49 patients in the observation group adopted knowledge, belief and practice nursing. After 2 weeks of intervention, the daily leakage times, score of international urinary incontinence standard questionnaire (ICIQFLUTS) for female lower urinary tract symptoms and patient satisfaction of the two groups were compared. After 2 months of follow-up, the quality of life scores of the two groups were compared. Results After 2 weeks of intervention, differences in the daily urine leakage times of the observation and control groups [(1.52±0.11) times vs. (3.06±0.18) times] and ICIQFLUTS score [(35.12±1.62) points vs. (40.65±2.55) points] were statistically significant (all P < 0.05). Patient satisfaction in the observation group (95.92%, 47/49) was significantly higher than that in the control group (71.43%, 35/49), with a statistically significant difference (P < 0.05). After 2 months of follow-up, the total score of quality of life in the observation group was significantly higher than that in the control group [(82.95±5.49) points vs. (70.16±3.84) points], and the scores of social restrictions [(20.62±3.62) points vs. (14.28±1.64) points], daily life restriction [(35.62±4.85) points vs. (30.16±2.22) points] and psychological impact [(40.52±4.55) points vs. (33.25±2.94) points] in the two groups were statistically significant (all P < 0.05). Conclusion The knowledge, belief and practice nursing model can effectively relieve urinary incontinence symptoms of SUI patients, reduce the number of urinary leakage and improve patient satisfaction and quality of life, which is worthy of reference.
- Traditional care /
- Knowledge, belief and practice model /
- Stress urinary incontinence /
- Patient satisfaction /
- Quality of life

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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)
组别	例数	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±0.11^a	47.62±3.84	35.12±1.62^a
对照组	49	5.66±0.62	3.06±0.18^a	47.66±3.89	40.65±2.55^a
t值		0.314	51.102	0.051	2.813
P值		0.754	< 0.001	0.959	＜0.001
注：与同组干预前比较，^a P＜0.05。

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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。

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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
组别	例数	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±3.62^a	25.16±1.88	35.62±4.85^a	26.15±1.33	40.52±4.55^a	57.26±3.62	82.95±5.49^a
对照组	49	11.29±1.49	14.28±1.64^a	25.19±1.82	30.16±2.22^a	26.19±1.32	33.25±2.94^a	57.29±3.59	70.16±3.84^a
t值		0.132	11.167	0.080	7.165	0.149	9.394	0.041	13.363
P值		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。

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