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

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、漏尿量及牛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箸提高，差异有显箸性意义 (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;2二11.459, P二0.003),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二0.000, 0.000, 0.000)o结论对压力性尿失禁患者行护理干预，能显著改善 压力性尿失禁患者牛活质量。 关键词 压力性尿失禁；成年女性；护理干预 R473 A 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 in terve ntion effect before and after in tervention. Results: Compared with patie nts before in terve ntion, after 4 mon ths in terve ntion, muscle ten sion 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=ll?459, P=0.003), urinary incontinence episodes, leak volume and points of ICIQFLUTS decreased significantly(t=-22.387, -31.379, -80.074； P二0.000,0.000, 0.000). Conclusion: Nursing intervention can improve the life quality of patients with stress urinary incontinence. [Key words] Stress urin ary inc on tine nee; Adult wome n; Nursing in terventions 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⑴。目前，临床上根