蒸汽热敷贴联合盆底肌生物反馈训练治疗老年女性压力性尿失禁的效果观察  

Effect of steam heatwraps combined with pelvic floor muscle biofeedback training on stress urinary incontinence in elderly women

作　　者：付蓉蓉[1] 许方蕾[1] 朱晓萍[2] Fu Rongrong;Xu Fanglei;Zhu Xiaoping(General Surgery Department,Tongji Hospital,Tongji University,Shanghai,200065;Department of Nursing Administration,Tenth People's Hospital,Tongji University,Shanghai,200072,China)

机构地区：[1]同济大学附属同济医院普外科,上海200065 [2]同济大学附属第十人民医院护理部,上海200072

出　　处：《现代临床护理》2020年第6期35-40,共6页Modern Clinical Nursing

基　　金：上海市科学技术委员会课题项目,项目编号为16411951800。

摘　　要：目的探讨蒸汽热敷贴联合盆底肌生物反馈训练治疗老年女性压力性尿失禁的效果,以便为临床提供一种新的有效治疗方法。方法选择上海市某三级甲等综合医院2017年9月至2018年9月就诊于妇科、泌尿外科、老年科门诊的60例老年女性患者为研究对象。按简单随机数字表法将患者分为对照组与试验组,每组分别30例。对照组患者采用单纯盆底肌生物反馈训练治疗,试验组采用盆底肌生物反馈训练联合蒸汽热敷贴治疗。治疗3个月后比较两组患者尿失禁严重程度、1h尿垫试验漏尿量、国际尿失禁咨询委员会尿失禁问卷表简表(International Consultation on Incontinence questionnaire-short form,ICI-Q-SF)评分及尿失禁生活质量量表(incontinence quality of life instrument,I-QOL)评分。结果干预后,两组患者尿失禁严重程度、1h尿垫试验漏尿量、ICI-Q-SF评分及I-QOL评分比较,差异具有统计学意义,试验组患者各项指标均优于对照组(均P<0.05)。结论采用蒸汽热敷贴联合盆底肌生物反馈训练可有效改善老年女性压力性尿失禁的症状及生活质量,值得临床推广应用。Objective To explore the effect of steam heatwraps combined with pelvic floor muscle biofeedback training on stress urinary incontinence in elderly women,so as to provide a new therapy.Methods A total of 60 elderly female patients who visited for consultations in the gynecology,urology and geriatrics departments of a general hospital in Shanghai from September 2017 to September 2018 were selected as the subjects.They were randomly divided into the control group(n=30)and the trial group(n=30)using the random number table.The former was merely treated with the pelvic floor muscle biofeedback training and the latter with the steam heatwraps combined with pelvic floor muscle biofeedback training.The international consultation on incontinence questionnaire-short form(ICI-Q-SF)and incontinence quality of life instrument(I-QOL)were used to assess their incontinence and quality of life.After 3-month treatment,the two groups were compared in terms of severity of urinary incontinence,urine leakage in 1h pad test,ICI-Q-SF scores and I-QOL scores.Results After intervention,the trial group was superior to the control group concerning the severity of urinary incontinence,urine leakage in 1h pad test,ICI-Q-SF scores and I-QOL scores(P<0.05).Conclusions Steam heatwraps combined with pelvic floor muscle biofeedback training can effectively improve the symptoms and quality of life in elderly women with stress urinary incontinence.It is worth spreading clinically.

关 键 词：老年女性 压力性尿失禁 蒸汽热敷贴 盆底肌生物反馈训练 随机对照试验 国际尿失禁咨询委员会尿失禁问卷表简表 尿失禁生活质量量表 

分 类 号：R473.71[医药卫生—护理学]