压力性尿失禁老年女性就医行为影响因素的范围综述  

Factors influencing health seeking behavior of older women with stress urinary incontinence:a scoping review

作　　者：隋金凤 魏青青 王向丽 王群[1] Sui Jinfeng;Wei Qingqing;Wang Xiangli;Wang Qun(Community Health Station,Jichang Campus,Peking University Third Hospital,Beijing 100621,China;Gynecology Clinic,Jichang Campus,Peking University Third Hospital,Beijing 100621,China)

机构地区：[1]北京大学第三医院机场院区社区卫生服务站,北京100621 [2]北京大学第三医院机场院区妇科门诊,北京100621

出　　处：《中华现代护理杂志》2024年第33期4507-4512,共6页Chinese Journal of Modern Nursing

摘　　要：目的对压力性尿失禁(SUI)老年女性就医行为的影响因素进行探讨,为提升该群体就医水平提供理论依据。方法以Arksey和O'Malley范围综述方法学框架为指导,检索PubMed、CINAHL、APA PsycInfo、Web of Science、Cochrane Library、Embase、中国知网、万方数据库、维普网和中国生物医学文献数据库中的相关文献,检索时限均为建库至2023年12月31日,对纳入文献进行数据提取和汇总。结果共纳入16篇文献,老年女性SUI患者就医行为影响因素包括尿失禁认知、症状严重程度、生活质量、应对效能、病耻感、医疗资源获取及人口学因素等。结论尿失禁认知是影响老年女性SUI患者就医行为的首要因素。医疗专业人员在临床实践中应考虑群体文化差异性,协助老年女性患者提升尿失禁认知水平,以提升该群体的就医水平和生活质量。ObjectiveTo explore the influencing factors of health seeking behavior in older women with stress urinary incontinence(SUI),so as to provide theoretical basis for improving the health seeking behavior of this group.MethodsGuided by the methodological framework of Arksey and O'Malley's scoping review,literature was retrieved in PubMed,CINAHL,APA PsycInfo,Web of Science,Cochrane Library,Embase,China National Knowledge Infrastructure,WanFang Data,VIP,and China Biology Medicine disc.The search period was from database establishment to December 31,2023.The data was extracted and summarized from the included literature.ResultsA total of 16 articles were included.The influencing factors of health seeking behavior in SUI older women included urinary incontinence cognition,symptom severity,quality of life,coping efficacy,stigma,access to medical resources,and demographic factors.ConclusionsThe cognition of urinary incontinence is the primary factor affecting the health seeking behavior of older women with SUI.Medical and nursing staff should consider cultural differences in clinical practice and assist older women in improving their awareness of urinary incontinence,in order to enhance their health seeking literacy and quality of life.

关 键 词：压力性尿失禁 老年人 就医行为 影响因素 尿失禁认知 范围综述 

分 类 号：R711.59[医药卫生—妇产科学]