以行为转变理论为导向的延续护理对老年女性尿失禁患者生活质量的影响  

Impact of Extended Care Oriented by Behavior Change Theory on the Quality of Life of Elderly Female Urinary Incontinence Patients

作　　者：朱丽娟 李献 童瑶 查文清 岳红 ZHU Lijuan;LI Xian;TONG Yao;ZHA Wenqing;YUE Hong(Department of Geriatrics,Sihong Hospital,Sihong,Jiangsu Province,223900 China)

机构地区：[1]泗洪医院老年科,江苏泗洪223900

出　　处：《中外医疗》2024年第16期152-155,168,共5页China & Foreign Medical Treatment

摘　　要：目的 探究以行为转变理论为导向的延续护理对老年女性尿失禁患者生活质量的影响。方法 便利选取2023年2—6月期间泗洪医院收治的老年女性尿失禁患者116例作为研究对象,按随机数表法将患者分为常规组(n=57)、研究组(n=59),分别行常规延续护理、以行为转变理论为导向的延续护理。观察不同护理措施的应用效果。结果 干预后,研究组患者生活质量量表[生理(30.21±2.14)分、心理(27.07±1.45)分、社会关系(13.14±1.07)分、环境领域(37.14±1.94)分]评分均高于常规组,差异有统计学意义(t=2.624、2.881、2.214、2.101,P均<0.05)。研究组国际尿失禁问卷调查表评分低于常规组,差异有统计学意义(P<0.05)。研究组成年人健康自我管理能力测评量表评分高于常规组,差异有统计学意义(P<0.05)。结论 以行为转变理论为导向的延续护理可改善老年女性尿失禁患者生活质量及尿失禁控制情况,提高患者自我管理能力。Objective To investigate the effect of extended care oriented by behavior change theory on the quality of life of elderly female urinary incontinence patients.Methods 116 cases of elderly female urinary incontinence patients admitted to Sihong Hospital during February to June 2023 were conveniently selected as the study subjects,and the patients were divided into the conventional group(n=57)and the study group(n=59)according to the method of randomized number table,and were treated with conventional extended nursing care and the extended nursing care oriented by behavior change theory,respectively.Observe the application effect of different nursing measures.Results After the intervention,the scores in the quality of life scale[physiological(30.21±2.14)points,psychological(27.07±1.45)points,social relations(13.14±1.07)points,and environmental domain(37.14±1.94)points]of the patients in the study group were higher than those in the conventional group,and the differences were statistically significant(t=2.624,2.881,2.214,2.101,all P<0.05).The scores of the International Urinary Incontinence Questionnaire in the study group was lower than that of the conventional group,and the difference was statistically significant(P<0.05).The scores of the Health Self-management Ability Measurement Scale for Adults in the study group was higher than that in the conventional group,and the difference was statistically significant(P<0.05).Conclusion Extended care oriented by behavior change theory can improve the quality of life and incontinence control of elderly female urinary incontinence patients,and improve the patients'self-management ability.

关 键 词：尿失禁 老年女性患者 延续护理 行为转变理论 生活质量 自我管理能力 

分 类 号：R4[医药卫生—临床医学]