家属支持系统联合微视频盆底肌训练教学干预在前列腺癌术后尿失禁患者中的应用  

Application of Family Support System Combined with Micro-video Pelvic Floor Muscle Training Teaching Intervention in Patients with Urinary Incontinence after Prostate Cancer Surgery

作　　者：陈振兰[1] 韦珏伶 赵丽裴 许献霞[1] 叶敏 潘速欣 黄英凡[1] Chen Zhenlan;Wei Jueling;Zhao Lipei(Tumor Hospital Affiliated to Guangxi Medical University,Nanning Guangxi 530021,China)

机构地区：[1]广西医科大学附属肿瘤医院,广西南宁530021

出　　处：《齐鲁护理杂志》2022年第16期24-27,共4页Journal of Qilu Nursing

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(编号:Z20180621);广西壮族自治区卫生和计划生育委员会自筹经费科研课题(编号:Z2015581)。

摘　　要：目的:探讨家属支持系统联合微视频盆底肌训练教学干预在前列腺癌术后尿失禁患者中的应用效果。方法:选取2017年3月1日~2020年12月31日80例前列腺癌术后尿失禁患者随机分为对照组和观察组各40例,对照组实施常规康复护理,观察组在对照组基础上实施家属支持系统联合微视频盆底肌训练教学干预,比较两组干预效果。结果:观察组日排尿次数多于对照组(P<0.05),日漏尿次数少于对照组(P<0.05);两组干预1个月后国际尿失禁咨询委员会尿失禁调查问卷简表(ICI-Q-LF)评分、尿失禁生活质量问卷(IQOL)评分低于干预前(P<0.05),观察组干预1个月后ICI-Q-LF评分、IQOL评分低于对照组(P<0.05);两组干预1个月后中文版尿失禁自我效能量表(GSE-UI)评分高于干预前(P<0.05),观察组干预1个月后GSE-UI评分高于对照组(P<0.05)。结论:家属支持系统联合微视频盆底肌训练教学干预可减少前列腺癌术后尿失禁患者漏尿次数,改善尿失禁情况,增强控尿信心,提高患者生活质量。Objective:To explore the application effect of family support system combined with micro-video pelvic floor muscle training teaching intervention in patients with urinary incontinence after prostate cancer surgery.Methods:A total of 80 patients with urinary incontinence after prostate cancer surgery during March 1,2017 to December 31,2020 were selected and were randomly divided into the control group and the observation group with 40 cases in each group.The control group performed routine rehabilitation nursing,and the observation group implemented family support system combined with micro-video pelvic floor muscle training teaching intervention on this basis.Comparison was made between the two groups on intervention effect.Results:The total frequency of urination in the observation group was higher than that in the control group(P<0.05)while the total frequency of urine leakage was lower than that in the control group(P<0.05).After 1 month of intervention,the scores of ICI-Q-LF and IQOL were lower in both groups than those before intervention(P<0.05),and the scores of ICI-Q-LF and IQOL were lower in the observation group than those in the control group(P<0.05).The GSE-UI scores in both groups were higher than those before intervention(P<0.05),and those in the observation group were higher than those in the control group(P<0.05).Conclusion:Implementation of family support system combined with micro-video pelvic floor muscle training teaching intervention in patients with urinary incontinence after prostate cancer surgery can reduce the urine leakage frequency,improve the urinary incontinence status,enhance the confidence of urinary control and the quality of life.

关 键 词：前列腺癌 盆底肌训练 术后尿失禁 家属支持系统 微视频 康复护理 

分 类 号：R473.6[医药卫生—护理学]