个体化行为干预模式对老年女性压力性尿失禁患者情绪及生活质量的干预效果  

The influence of individual behavior intervention on emotion and quality of life of elderly females with stress urinary incontinence

作　　者：孙慧芳[1] 来光华[1] 黄亚胜[1] 

机构地区：[1]杭州市中医院泌尿外科,浙江省杭州310006

出　　处：《中国基层医药》2016年第2期190-195,共6页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省医药卫生科技计划项目（2013kyb216）

摘　　要：目的：评价个体化行为干预模式对老年女性压力性尿失禁患者术后情绪及健康状态影响，为患者术后康复提供指导。方法连续性纳入压力性尿失禁的老年女性患者124例，对其进行个体化行为干预、随访，采用专门制定的个体化行为干预措施进行干预，采用 Zung 焦虑自评量表、抑郁自评量表、女性下尿路症状国际尿失禁标准问卷（ICIQ-FLUTS）、泌尿生殖系统疾病量表-7（UDI-7）、健康状况量表 SCL-90进行1个月、3个月、6个月随访效果评价。结果个体化行为干预后，不同时间点焦虑、抑郁评分差异均有统计学意义[焦虑评分：干预前（56．27±5．68）分，1个月（51．29±5．37）分，3个月（45．36±5．18）分，6个月（36．19±4．78）分，两两比较，F ＝298．69，P ＝0．000。抑郁评分：干预前（59．16±6．12）分，1个月（52．68±5．62）分，3个月（48．28±5．32）分，6个月（39．86±4．27）分，两两比较，F ＝252．10，P ＝0．000]。不同时间点 ICIQ-FLUTS、UDI-7评分差异均有统计学意义[ICIQ-FLUTS 评分：干预前（31．79±3．74），1个月（29．62±3．18）分，3个月（27．54±2．67）分，6个月（23．32±2．16）分，两两比较，F ＝161．15，P ＝0．000。UDI-7评分：干预前（19．29±1．76）分，1个月（16．09±1．48）分，3个月（14．32±1．37）分，6个月（11．57±1．26）分；两两比较， F ＝531．23，P ＝0．000]。不同时间点躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性评分差异均有统计学意义（躯体化评分：F ＝18．933，P ＝0．000；强迫：F ＝5．153，P ＝0．000；人际关系敏感：F ＝3．314，P ＝0．020；抑郁：F ＝9．306，P ＝0．000；焦虑：F ＝4．902，P ＝0．002；敌对：F ＝6．852，P ＝0．000；恐怖：F ＝7．782，P ＝0．000；偏执：F ＝11．917，P ＝0．000；精神病性：F ＝8�Objective To observe the influence of individual behavior intervention on emotion and quality of life of elderly females with stress urinary incontinence and provide guidance for health intervention.Methods 124 elderly females with stress urinary incontinence were selected.Individual behavior intervention was used,and after 1,3,6 months,the effect was evaluated by anxiety,depression,ICIQ -FLUTS,UDI -7,and SCL -90.Results After the individual behavior intervention,anxiety and depression scores became lower[anxiety scores：before intervention （59.16 ±6.12）points,1month （52.68 ±5.62）points,3months （48.28 ±5.32）points,6months （39.86 ± 4.27）points,there were statistically significant differences between the two groups（F =298.69,P =0.000）.Depres-sion scores：before intervention （59.16 ±6.12）points,1 month （52.68 ±5.62）points,3 months （48.28 ± 5.32）points,6 months （39.86 ±4.27）points,there were statistically significant differences between the two groups （F =252.10,P =0.000）].ICIQ -FLUTS and UDI -7 scores became less[ICIQ -FLUTS scores：before interven-tion （31.79 ±3.74）points,1 month （29.62 ±3.18）points,3 months （27.54 ±2.67）points,6 months （23.32 ± 2.16）points,there were statistically significant differences between the two groups（F =161.15,P =0.000）.UDI -7 scores：before intervention （19.29 ±1.76）points,1 month （16.09 ±1.48）points,3 months （14.32 ±1.37）points,6 months （11.57 ±1.26）points,there were statistically significant differences between the two groups（F =531.23, P =0.000）].There were significant differences in somatization,obsession,sensitivity of interpersonal relationship, depression,anxiety,hostility,fear,crankiness and psychotic diseases（somatization scores：F =18.933,P =0.000;obsession：F =5.153,P =0.000;sensitivity of interpersonal relationship：F =3.314,P =0.020;depression：F =9.306,P =0.000;anxiety：F =4.902,P =0.002;hostility：F =6.852,P =0.000;fear：F =7.782,P =0.000;cranki-ness：F =11.917,P

关 键 词：尿失禁 压力性 女(雌)性 老年人 

分 类 号：R711.59[医药卫生—妇产科学]