心理疏导联合盆底肌训练对老年尿失禁病人的有效性及生活质量的影响  

Effect of psychological counseling combined with pelvic floor muscle training on urinary incontinence and quality of life in elderly patients

作　　者：张研[1] 刘化芹[1] 曲文文[2] ZHANG Yan;LIU Hua-qin;QU Wen-wen(Department of Urological Surgery,Beijing Sixth Hospital,Beijing 100007,China;Department of Neurology,Beijing Sixth Hospital,Beijing 100007,China)

机构地区：[1]北京市第六医院泌尿外科,北京市100007 [2]北京市第六医院神经内科,北京市100007

出　　处：《实用老年医学》2020年第9期979-981,共3页Practical Geriatrics

摘　　要：目的探讨心理疏导联合盆底肌训练对老年尿失禁病人的有效性及生活质量的影响。方法选择2017年5月至2019年5月老年尿失禁病人126例,随机分为对照组(n=63)和观察组(n=63)。对照组进行盆底肌训练辅以常规护理,观察组在对照组的基础上进行心理疏导,2个月后对病人进行效果评估,比较2组病人干预前后盆底肌张力、生活质量、心理状态。结果观察组治疗后病人的盆底肌张力情况明显好于对照组(P<0.05),生活质量不同维度评分高于对照组(P<0.05);2组病人治疗后焦虑评分、抑郁评分均低于治疗前,观察组均低于对照组(P<0.05)。结论老年尿失禁病人进行心理疏导联合盆底肌训练能够提高病人的盆底肌张力及生活质量,降低病人心理负担,值得推广应用。Objective To investigate the effect of psychological counseling combined with pelvic floor muscle training on urinary incontinence and quality of life(QOL)in the elderly patients.Methods A total of 126 elderly patients with urinary incontinence from May 2017 to May 2019 were randomly divided into the control group(n=63)and the observation group(n=63).The control group received pelvic floor muscle training supplemented with conventional nursing.The observation group performed psychological counseling on the basis of the intervention of the control group.The intervention lasted for 2 months.The pelvic floor muscle tension,QOL and psychological state were compared between the two groups before and after intervention.Results The pelvic floor muscle tension of the observation group was significantly better than that of the control group after 2 months'intervention(P<0.05).The scores of different dimensions of QOL in the observation group were higher than those in the control group(P<0.05).The anxiety scores and depression scores of the two groups were lower than those before treatment,especially in the observation group(P<0.05).Conclusions Psychological counseling combined with pelvic floor muscle training can improve the pelvic floor muscle tension of the elderly patients with urinary incontinence,improve the scores of QOL,and reduce the psychological fluctuation.

关 键 词：心理疏导 老年人 尿失禁 盆底肌训练 生活质量 

分 类 号：R473.71[医药卫生—护理学]