强化式盆底肌训练对经尿道前列腺解剖性剜除术后尿失禁患者的影响  

Effects of strengthen pelvic floor muscle training on patients with urinary incontinence after transurethral anatomical enucleation of the prostate

作　　者：周静璇 杨绮璇 彭苹[1] 申海燕[2] 庄雪洁[1] Zhou Jingxuan Yang Qixuan Peng Ping Shen Haiyan Zhuang Xuejie(Special Medical Service Center, Zhujiang Hospital of Southern Medical University, Guangzhou 510280, China Urology Department, Zhujiang Hospital of Southern Medical University, Guangzhou 510280, China)

机构地区：[1]南方医科大学珠江医院特需医疗服务中心,广州510280 [2]南方医科大学珠江医院泌尿外科,广州510280

出　　处：《中华现代护理杂志》2017年第13期1782-1785,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨强化式盆底肌训练对经尿道前列腺解剖性剜除术后尿失禁患者的影响.方法 采用目的抽样法,选取2014年10月—2016年3月南方医科大学珠江医院行经尿道前列腺解剖性剜除术后尿失禁患者100例,随机分为对照组与观察组,各50例.对照组患者实施常规盆底肌训练,观察组患者给予强化式盆底肌功能训练.采用国际尿失禁咨询委员会尿失禁问卷表简表（ICIQ-SF）评估患者训练后第1周、1个月和3个月尿失禁恢复情况.结果 重复测量方差分析结果显示,两组患者干预前后不同时间ICIQ评分、对日常生活影响评分,差异均有统计学意义（F时间值分别为832.918、287.139;P〈0.05）;观察组与对照组ICIQ评分、对日常生活影响评分,差异均有统计学意义（F组间值分别为6.174、20.521;P〈0.05）,测量前后与干预之间不存在交互作用（F交互值分别为0.769、1.590;P〉0.05）.干预1个月后,观察组6例患者发生尿失禁,发生率为12.0%,对照组14例患者发生尿失禁,发生率为28.0%,两组尿失禁发生率差异有统计学意义（P〈0.05）;干预3个月后观察组患者尿失禁症状均消失,对照组仍有6例患者（12%）未恢复,差异有统计学意义（P〈0.05）.结论 经尿道前列腺解剖性剜除术后尿失禁患者采用强化式盆底肌功能训练能够加快其尿失禁的恢复,效果优于常规盆底肌功能训练.Objective To explore effects of strengthen pelvic floor muscle training on patients with urinary incontinence after transurethral anatomical enucleation of the prostate （TUAEP）.Methods A total of 100 patients with urinary incontinence after TUAEP from October 2014 to March 2016 were randomly divided into control group and intervention group （50 respectively）. Patients in control group received normal pelvic floor muscle training. Patients in intervention group received strengthen pelvic floor muscle training. Recovery of patients from urinary incontinence was analyzed using ICI-Q-SF at 1 week, 1 month and 3 months after training. Results Repeated measurement of variance analysis showed that scores of ICIQ and quality of life were significant different before and after the training in both groups （Ftime=832.918,287.139;P〈0.05）. Differences in scores of ICIQ and quality of life between two groups were statistically significant （Finterval=6.174,20.521;P〈0.05）. Measurements and interventions were not interacted （Finteraction=0.769,1.590;P〉0.05）. One month after training, 6 out of 50 cases （12.0%） in intervention group had urinary incontinence, while in control group 14 out of 50 cases （28.0%） had urinary incontinence. Three months after training, all the patients in intervention group recovered from urinary incontinence, while in control group 6 patients （12%） still presented urinary incontinence （P〈0.05）.Conclusions Strengthen pelvic floor muscle training improves the recovery of urinary incontinence in patients after TUAEP, with better effects than normal pelvic floor muscle training.

关 键 词：泌尿外科手术 尿失禁 护理 盆底肌训练 经尿道前列腺电切术 

分 类 号：R473.6[医药卫生—护理学]