认知行为疗法对女性压力性尿失禁患者生活质量的影响  

Effects of Cognitive Behavior Therapy on Quality of Life in Female Patients With Stress Urinary Incontinence

作　　者：王亚楠[1] 王爱华[1] 徐芝玲[1] 张洛英[1] 

机构地区：[1]河南省商丘市第一人民医院妇产科,河南商丘476100

出　　处：《中华妇幼临床医学杂志（电子版）》2013年第2期173-176,共4页Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)

摘　　要：目的探讨认知行为疗法对女性压力性尿失禁(SUI)患者心理状态和生活质量的影响。方法选取2011年6月至2011年11月在本院妇科门诊就诊并确诊为SUI的45例患者研究对象。所有患者均接受认知行为治疗,疗程为12周。于治疗前1d及治疗12周后采用《焦虑自评量表》(SAS),《抑郁自评量表》(SDS)和《主观尿失禁等级评价问卷》及《生活质量指数问卷》(QL-Index)对患者进行评定(本研究遵循的程序符合本院人体试验委员会制定的伦理学标准,得到该委员会批准,并与受试对象签署临床研究知情同意书)。结果采用认知行为疗法治疗12周后,女性SUI患者的SAS和SDS评分较治疗前均显著降低[(31.25±9.61)分vs.(40.71±8.24)分;(41.28±7.52)分vs.(46.83±8.11)分],治疗前、后比较,差异有统计学意义(t=4.23,3.37;P<0.01);治疗12周后治愈改善率为51.11%(23/45),治疗前、后主观尿失禁等级评价比较,差异有统计学意义(χ2=17.84,P<0.01);患者生活质量评分较治疗前亦有显著提高,差异有统计学意义(P<0.05)。结论认知行为疗法有助于改善女性SUI患者心理状态,缓解主观症状,提高其生活质量。Objective To discuss the effects of cognitive behavior therapy on mentation and quality of life in female patients with stress urinary incontinence （SUI）. Methods Cognitive behavior therapy was conduct to 45 patients with SUI from June to November 2011, and cognitive behavior therapy lasted 12 weeks. Self-Rating Anxiety Scale （SAS）, Self-Rating Depression Scale （SDS）, Subjective Incontinence Level Evaluation Questionnaire and Quality of Life （ QL-Index） Scale were used to evaluate the degrees of SUI before and after 12 weeks of cognitive behavior therapy, respectively. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of First People＇s Hospital of Shangqiu City. Informed consent was obtained from all participates. Results Compared to pretherapy, the SAS and SDS score obviously reduced after 12 weeks of therapy, respectively[（31. 25 ± 9. 61） score vs. （40.71±8.24） score, （41.28±7.52） socre vs. （46. 83±8.11） score] with significant difference （t=4.23, 3.37;P〈0.01）. The improvement rate of clinical symptoms was 51. 11% （23/45）. The differences of subjective urinary incontinence levels between before and after the treatment had statistically significant difference （χ2=17.84,P〈0. 01）, and the quality of life scale values enhanced after the treatment with statistically significant difference （P 〈 0. 05）. Conclusions The cognitive behavior therapy is helpful to improve the mentation and quality of life, and relieve subjective symptoms.

关 键 词：认知行为疗法 压力性尿失禁 女性 生活质量 

分 类 号：R694[医药卫生—泌尿科学]