保护动机理论在社区中老年女性压力性尿失禁患者健康教育中的应用效果研究  

Application of health education intervention based on protection motivation theory in community female patients with stress urinary incontinence

作　　者：蔡舒[1] 任旭[2] 晏晓颖[1] 李静芝[1] 由天辉[1] 

机构地区：[1]广东药学院护理学院,广州510310 [2]广州市红十字会医院妇产科

出　　处：《中国实用护理杂志》2015年第21期1612-1616,共5页Chinese Journal of Practical Nursing

基　　金：广东省医学科研基金（A2013318）

摘　　要：目的 探讨基于保护动机理论的健康教育,改善社区中老年女性压力性尿失禁患者症状和提高盆底肌锻炼依从性的效果.方法 采用便利抽样法选取96例社区中老年女性压力性尿失禁患者作为研究对象,将其按随机数字表法随机分为对照组和实验组各48例.对照组给予常规健康教育,实验组在对照组基础上实施基于保护动机理论的健康教育,干预时间为6个月.比较2组患者干预前后的尿失禁症状评分、盆底肌锻炼依从性、尿失禁自我效能等.结果 实验组和对照组分别有46、45例完成本研究.干预后实验组患者的国际尿失禁咨询委员会尿失禁问卷表简表得分（5.43±1.77）分,低于对照组患者的（7.96±2.98）分,差异有统计学意义,t=4.88,P＜0.01;干预后实验组患者的尿失禁应对效能量表得分为（17.63±1.85）分,高于对照组患者的（13.49±2.46）分,差异有统计学意义,t=-9.09,P＜0.01;干预后实验组依从性好者29例占63.04％,依从性差者17例占36.96％,干预后对照组依从性好者14例占31.11％,依从性差者31例占68.89％,2组患者盆底肌锻炼依从性比较,差异有统计学意义,x2=9.306,P＜0.05.结论 基于保护动机理论的健康教育能有效提高社区中老年女性压力性尿失禁患者的自我效能和盆底肌锻炼依从性,改善漏尿症状.Objective To apply the health education intervention based on protection motivation theory in community female patients with stress urinary incontinence,in order to establish a health behavior and to control urinary incontinence.Methods 96 female patients with stress urinary incontinence were randomly divided into the control group and the experimental group by random number table method,the control group received routine health education,the experimental group received health education based on protection motivation theory.The ICI-Q-SF score,pelvic muscle exercise compliance scale score,urinary incontinence coping efficacy score were compared between the control group and the experimental group.Results The ICI-Q-SF score of the experimental group after the intervention was 5.43 ± 1.77,which was significant lower than that in the control group,7.96±2.98,t=4.88,P＜0.01.The urinary incontinence coping efficacy scores of experiment groups after the intervention was 17.63±1.85,which was higher than that in the control group,13.49±2.46,t=-9.09,P＜0.01.There were 29 cases accounted for 63.04％ with good compliance and 17 cases accounted for 36.96％ with poor compliance in experimental group after intervention,14 cases accounted for 31.11％ with good compliance and 31 cases accounted for 68.89％ with poor compliance in control group after intervention,the difference was statistically significant,x2=9.306,P＜0.05.Conclusions Health education based on protection motivation theory can promote the coping efficacy and health behavior of community female patients with stress urinary incontinence and can effectively control urinary incontinence symptom.

关 键 词：尿失禁 压力性 保护动机理论 中老年女性 自我效能 

分 类 号：R473.2[医药卫生—护理学]