电刺激联合综合护理干预对女性压力性尿失禁的效果研究  

Effect of combined electrical stimulation and nursing interventions on female stress urinary incontinence

作　　者：曹琳琳 赵红[2] 李军 绳宇[2] 史欣文[3] 李爱平[4] 朱兰[3] 

机构地区：[1]煤炭总医院,北京100028 [2]北京协和医学院护理学院 [3]中国医学科学院北京协和医院妇产科 [4]北京方庄医院

出　　处：《中国实用护理杂志》2011年第13期1-6,共6页Chinese Journal of Practical Nursing

基　　金：国家“十一五”科技支撑计划项目（2007BA104B05）盆底障碍性疾病的诊治研究

摘　　要：目的探讨电刺激联合综合护理干预对女性压力性尿失禁的治疗效果。方法选择2008年1-12月48例女性压力性尿失禁患者，随机分为对照组和干预组各24例。采用类实验性研究设计，对照组接受电刺激治疗，干预组接受电刺激联合综合护理干预，在干预第8周和第12周分别对2组的盆底肌力、1h尿垫试验漏尿量、主观尿失禁等级评分和生活质量等方面进行评价。结果干预组患者较对照组而言，虽然主观尿失禁等级评分没有显著差异，但是盆底肌力和生活质量有明显改善，漏尿量显著减少。结论电刺激联合综合护理干预是治疗女性压力性尿失禁的有效方式。Objective To investigate the effectiveness of the combined electrical stimulation and nursing interventions for female stress urinary incontinence. Methods The study is qusiexperimental design. 48 patients with stress urinary incontinence were allocated to the intervention group and the control group with 24 patients in each group. The control group was given electrical stimulation, the intervention group was given 12-week electrical stimulation and comprehensive nursing interventions. The outcome indicators were 1-hour pad test urine loss, pelvic floor muscle （PFM） strength, the grade of subjective urinary incontinence, quality of life （I-QOL）. Results Compared with the control group, no significant subjective urinary incontinence score was seen,-but pelvic floor muscle （PFM） strength and the score of the QOL evidently improved and 1-hour pad test urine loss decreased in the intervention group. Conclusions Combined electrical stimulation and nursing interventions for female stress urinary incontinence is effective treatment.

关 键 词：女性压力性尿失禁 电刺激 综合护理干预 盆底肌锻炼 

分 类 号：R473.71[医药卫生—护理学]