认知行为干预联合膀胱训练对老年尿失禁妇女自我效能及护理效果的影响  

Effect of cognitive behavioral intervention combined with bladder training on self-efficacy and nursing effect of elderly women with urinary incontinence

作　　者：陈佶萃 李晓静 曹慧娜[1] Chen Jicui;Li Xiaojing;Cao Huina(Shanghai Pudong New Area Punan Hospital,200126,China)

机构地区：[1]上海市浦东新区浦南医院,200126

出　　处：《国际护理学杂志》2021年第20期3711-3714,共4页international journal of nursing

基　　金：浦东新区科技发展基金民生科研专项医疗卫生项目(PKJ2018-Y24)。

摘　　要：目的探讨认知行为干预联合膀胱训练对老年尿失禁妇女自我效能及护理效果的影响。方法选取2018年12月至2020年12月上海市浦东新区浦南医院收治的60例老年尿失禁妇女患者为研究对象,进行自身对照性研究。采用调查问卷及1 h尿垫试验以及老年尿失禁自我效能量表对患者进行评估,观察并比较患者干预前、干预3 w、干预3个月及干预6个月后的自我效能、护理效果以及疾病症状情况。结果实施认知行为干预联合膀胱训练护理干预后,患者的自我效能评分明显高于干预前,且随着护理干预时间延长而升高,差异有统计学意义(P<0.05);患者的护理总有效率随着护理干预时间延长而升高,差异有统计学意义(P<0.05);患者的疾病症状评分明显低于干预前且随着护理干预时间延长而降低,差异有统计学意义(P<0.05)。结论认知行为干预联合膀胱训练护理干预可显著提升老年尿失禁妇女患者的自我效能,减轻患者疾病症状,对患者获取优质护理结局具有重要意义。Objective To explore the effect of cognitive behavior intervention combined with bladder training on self-efficacy and nursing effect of elderly women with urinary incontinence.Methods Sixty elderly women with urinary incontinence admitted to this hospital from December 2018 to December 2020 were selected as the research objects to conduct a self-controlled study.Questionnaire,1 hour pad test and senile urinary incontinence self-efficacy were used to evaluate the patients.The patients'self-efficacy,nursing effect and disease symptoms were observed and compared before intervention,3 weeks after intervention,3 months after intervention and 6 months after intervention.Results After cognitive behavior intervention combined with bladder training nursing intervention,the self-efficacy score of patients was significantly higher than that before intervention and increased with the prolongation of nursing intervention time,and the difference was statistically significant(P<0.05).The total effective rate of nursing increased with the prolongation of nursing intervention time,and the difference was statistically significant(P<0.05).The patient's disease symptoms score was significantly lower than before intervention and decreased with the time of the care intervention,and the difference was statistically significant(P<0.05).Conclusions The cognitive behavior intervention combined with the bladder training nursing intervention can significantly improve the self-efficacy of the female patients with urinary incontinence,reduce the symptoms of the patient's disease,have important significance to the patient to obtain the high-quality care outcome.

关 键 词：认知行为干预 膀胱训练 老年尿失禁 自我效能 护理效果 

分 类 号：R473.71[医药卫生—护理学]