基于APP的个案管理模式在女性压力性尿失禁患者中的应用效果  

Effects of APP based case management model in female patients with stress urinary incontinence

作　　者：于停停 朴丽[1] 徐兆宁[2] 于秀丽[1] Yu Tingting;Piao Li;Xu Zhaoning;Yu Xiuli(Department of Gynecology,the First Bethune Hospital of Jilin University,Changchun 130021,China;Nursing Department,the First Bethune Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院妇科,长春130021 [2]吉林大学第一医院护理部,长春130021

出　　处：《中华现代护理杂志》2024年第33期4495-4500,共6页Chinese Journal of Modern Nursing

基　　金：吉林省医疗卫生人才专项(JLSWSRCZX2023-109)。

摘　　要：目的探讨基于APP的个案管理模式在女性压力性尿失禁(SUI)患者中的应用效果。方法采用便利抽样法,选取2022年3月—2023年8月在吉林大学第一医院盆底门诊就诊的87例女性SUI患者为研究对象。按诊治时间将2022年3—11月就诊的患者作为对照组(n=45),给予常规生物反馈电刺激疗法联合盆底肌肉锻炼;将2022年12月—2023年8月就诊的患者作为观察组(n=42),在对照组基础上给予基于APP的个案管理模式。治疗前、治疗后及治疗后3个月,采用1 h尿垫试验、Glazer评估、国际尿失禁问卷调查表(ICIQ-SF)进行评价。结果对照组中途退出3例;观察组均完成相关干预与随访。两组患者在治疗后及治疗后3个月的漏尿量均较治疗前下降,且观察组症状缓解优于对照组(P<0.05)。治疗后3个月,观察组Glazer评估中的快肌收缩峰值、慢肌收缩平均值及耐力收缩平均值均优于对照组,差异有统计学意义(P<0.05)。观察组患者在治疗后、治疗后3个月的ICIQ-SF评分均较对照组降低,差异有统计学意义(P<0.05)。结论在常规盆底康复治疗基础上联合基于APP的个案管理模式,能够增加对女性SUI患者的过程管理和个性化指导,保障患者康复锻炼的连续性,缓解患者漏尿症状,提高治疗效果,促进患者康复。ObjectiveTo explore the effect of APP based case management model in female patients with stress urinary incontinence(SUI).MethodsFrom March 2022 to August 2023,convenience sampling was used to select 87 female SUI patients who visited the Pelvic Floor Clinic of the First Bethune Hospital of Jilin University as participants.Patients from March to November 2022 were selected as control group(n=45)based on their treatment time,and received routine biofeedback electrical stimulation therapy combined with pelvic floor muscle exercise.Patients from December 2022 to August 2023 were selected as observation group(n=42)and given an APP based case management model on the basis of control group.Before treatment,after treatment,and three months after treatment,the 1-hour pad test,Glazer assessment,and International Consultation Incontinence Questionnaire Short-Form(ICIQ-SF)were used for evaluation.ResultsThree cases in control group withdrew midway,while observation group completed interventions and follow-up.The urine leakage of both groups of patients decreased after treatment and three months after treatment compared to before treatment,and the symptom relief in observation group was better than that in control group,with statistical differences(P<0.05).Three months after treatment,observation group showed statistically better peak fast muscle contractions,mean value of slow muscle contractions,and mean value of endurance contractions in Glazer assessment compared to control group(P<0.05).The ICIQ-SF scores of observation group patients were statistically lower than those of control group after treatment and three months after treatment(P<0.05).ConclusionsCombining conventional pelvic floor rehabilitation with an APP based case management model can increase process management and personalized guidance for female SUI patients,ensure the continuity of rehabilitation exercise,alleviate urinary leakage symptoms,improve treatment effectiveness,and promote patient recovery.

关 键 词：压力性尿失禁 盆底康复 个案管理模式 互联网+ 

分 类 号：R473.71[医药卫生—护理学]