护理干预对成年女性压力性尿失禁患者生活质量的影响.docVIP

精品论文 参考文献 护理干预对成年女性压力性尿失禁患者生活质量的影响 徐州市中心医院泌尿外科一病区 江苏徐州 221000 【摘 要】目的：探讨护理干预方法对成年女性压力性尿失禁患者生活质量的影响。方法：随机选取2012年3月-2015年1月在我院因压力性尿失禁而住院治疗的成年女性患者100例，全部患者均自愿参与，患者在健康教育的基础上，按照我院制定的干预措施对其进行护理干预，对干预前后患者盆底肌肉紧张程度、单周压力性尿失禁发作次数、漏尿量及生活质量评分进行对比。结果：相比护理干预前，护理干预4个月后，患者盆底肌肉张力显著提高，差异有显著性意义（chi;2=18.006，P=0.000），平均发作次数、漏尿量和ICIQFLUTS评分均显著降低（t=-14.234，-14.856，-30.704；P=0.000，0.000，0.000）；护理干预8个月后，患者盆底肌肉张力显著提高，差异有显著性意义（chi;2=11.459，P=0.003），平均发作次数、漏尿量和ICIQFLUTS评分均显著降低（t=-22.387，-31.379，-80.074；P=0.000，0.000，0.000）。结论：对压力性尿失禁患者行护理干预，能显著改善压力性尿失禁患者生活质量。 【关键词】压力性尿失禁；成年女性；护理干预 【中图分类号】R473 【文献标识码】A 【文章编号】1674-8999（2015）9-0847-02 Impact of Nursing Interventions on Quality of Adult Female Patients with Stress Urinary Incontinence 【Abstract】Objective: To investigate the impact of nursing interventions on adult female patients with stress urinary incontinence. Methods: A total of 100 female patients with Stress Urinary incontinence were selected during March 2012 to Jan 2015 randomly. All patients volunteered to participate in this survey. All patients accepted health education, and carried on the nursing intervention, then we evaluated the intervention effect before and after intervention. Results: Compared with patients before intervention, after 4 months intervention, muscle tension the lower pelvis improved significantly(chi;2=18.006，P=0.000), urinary incontinence episodes, leak volume and points of ICIQFLUTS decreased significantly(t=-14.234，-14.856，-30.704；P=0.000，0.000，0.000), after 8 months intervention, muscle tension the lower pelvis improved significantly(chi;2=11.459，P=0.003), urinary incontinence episodes, leak volume and points of ICIQFLUTS decreased significantly(t=-22.387，-31.379，-80.074；P=0.000，0.000，0.000). Conclusion: Nursing intervention can improve the life quality of patients with stress urinary incontinence. 【Key words】Stress urinary incontinence; Adult women; Nursing interventions 尿失禁为一类由于膀胱括约肌受损或神经性功能障碍所引起的排尿自控能力下降或丧失，从而引起尿液不自主外流的疾病[1]。目前，临床上根据症状分为五类，包括