护理干预结合神经功能重建治疗压力性尿失禁的疗效  

Nursing intervention combined with nerve function reconstruction in the treatment of stress urinary incontinence

作　　者：孙平平[1] 侯伟丽[1] Sun Pingping;Hou Weili(Blood Purification Center, Wang Jing Hospital of CACMS, Beijing 100102, China)

机构地区：[1]中国中医科学院望京医院血液净化中心,北京100102

出　　处：《国际移植与血液净化杂志》2019年第3期38-40,共3页International Journal of Transplantation and Hemopurification

摘　　要：目的探讨护理干预对压力性尿失禁治疗效果的积极影响,在实践中总结经验,为压力性尿失禁的临床护理提供科学治疗方案及理论依据。方法选取60例压力性尿失禁女性患者作为研究对象,随机分为对照组和试验组,每组各30例。对照组患者采用神经功能重建治疗仪治疗和常规护理,试验组除实施神经功能重建治疗仪治疗和常规护理外,加入护理干预措施,包括盆底肌肉锻炼和膀胱功能训练,疗程均为8周。采用国际尿失禁问卷表比较两组患者临床疗效与生活质量改变情况。结果治疗8周后,试验组患者尿失禁严重程度与对照组相比明显降低,差异具有统计学意义(P<0.05);治疗8周后,试验组患者尿失禁问卷表评分为(5.1±2.6)分,对照组为(9.2±2.6)分,试验组与对照组相比治疗效果显著提高,差异具有统计学意义(P<0.05)。结论压力性尿失禁患者在神经功能重建治疗过程中实施护理干预能有效改善患者尿失禁症状和生活质量。Objective To discuss the positive influence of nursing intervention on the treatment of stress urinary incontinence and to provide scientific treatment plans and theoretical basis for clinical nursing care of patients w让h stress urinary incontinence by summarizing experience from practice. Methods 60 cases of stress urinary incontinence female patients were selected as the research subjects. They were randomly divided into the control group and the experimental group, 30 cases in each group. The control group were treated with therapeutic apparatus for neural function reconstruction treatment and routine nursing. The experimental group were treated with nursing intervention measures, including pelvic floor muscle training and bladder function training, in addition to the treatments mentioned in the control group. Treatments lasted for 8 weeks, and the international urinary incontinence questionnaire was used in the comparison between the two groups on clinical efficacy and changes of life quality of patients. Results ( 1 ) After 8 weeks treatment, urinary incontinence severity of patients in the experimental group was obviously relieved compared to the control group, with statistical significance(P<0. 05).(2) After 8 weeks treatment, questionnaire score for urinary incontinence severity of patients in the experimental group was 5. 1 ±2. 6, and score for patients in the control group was 9. 2±2. 6. Treatment effect in experimental group was apparently enhanced compared to the control group, with statistical significance ( P<0. 05 ). Conclusion For patients with stress urinary incontinence, implementation of nursing intervention in neural function reconstruction process can effectively improve urinary incontinence symptoms and patients' quality of life.

关 键 词：护理干预 压力性尿失禁 生活质量 

分 类 号：R473.71[医药卫生—护理学]