阴道分娩后尿失禁患者疾病应对方式及其相关影响因素分析  

Analysis of disease coping strategies and related influencing factors in patients with urinary incontinence after vaginal delivery

作　　者：张德兰 王燕香 郭秋霞 高闽清 徐华丽 ZHANG Delan;WANG Yanxiang;GUO Qiuxia;GAO Minqing;XU Huali(Obstetrics and Gynecology Department of Xiamen Third Hospital,Xiamen 361100,China;Comprehensive Internal Medicine Department of Xiamen Third Hospital,Xiamen 361100,China;Anesthesiology Department of Xiamen Third Hospital,Xiamen 361100,China)

机构地区：[1]厦门市第三医院妇产科,福建厦门361100 [2]厦门市第三医院综合内科,福建厦门361100 [3]厦门市第三医院麻醉科,福建厦门361100

出　　处：《广州医药》2025年第2期211-215,共5页Guangzhou Medical Journal

摘　　要：目的探讨阴道分娩后尿失禁患者疾病应对方式的影响因素。方法选取2022年1月—2023年1月医院收治的阴道分娩后尿失禁患者78例,评估所有患者的应对方式,根据结果分为积极应对组与消极应对组,设计基线资料调查表,详细统计两组患者的基线资料并比较,重点分析阴道分娩后尿失禁患者疾病应对方式的影响因素。结果经评估,78例阴道分娩后尿失禁患者疾病消极应对有40例,占比51.28%;积极应对组与消极应对组患者的产次(χ^(2)=4.110,P=0.043)、文化水平(Z=2.094,P=0.036)、家庭关怀度(Z=2.069,P=0.040)与自我效能(Z=2.249,P=0.025)比较差异有统计学意义,组间年龄(t=0.096,P=0.924)、孕次(t=1.257,P=0.212)、体质指数(BMI)(t=0.125,P=0.901)、工作(χ^(2)=0.778,P=0.378)、家庭月人均收入(χ^(2)=0.044,P=0.834)、漏尿(χ^(2)=0.040,P=0.842)比较差异无统计学意义;经回归分析发现,家庭关怀度低(OR=1.799,P=0.041)、自我效能低(OR=1.942,P=0.026)、经产妇(OR=2.554,P=0.045)及文化水平低(OR=1.837,P=0.038)均是阴道分娩后尿失禁患者疾病应对方式的影响因素。结论阴道分娩后尿失禁患者疾病消极应对风险高,可能与产次、文化水平、家庭关怀度及自我效能有关。Objective To explore the influencing factors of disease coping strategies in patients with urinary incontinence after vaginal delivery.Methods A total of 78 patients with urinary incontinence after vaginal delivery admitted to the hospital from January 2022 to January 2023 were selected.The coping strategies of all patients were evaluated,and they were divided into a positive coping group and a negative coping group based on the results.A baseline data questionnaire was designed,and the baseline data of the two groups of patients were compared in detail.The focus was on analyzing the factors influencing the disease coping strategies of patients with urinary incontinence after vaginal delivery.Results After evaluation,40 out of 78 patients with urinary incontinence after vaginal delivery had negative coping strategies,accounting for 51.28%.The parity of patients in the positive and negative coping groups(χ^(2)=4.110,P=0.043),educational level(Z=2.094,P=0.036),family care(Z=2.069,P=0.040),and self-efficacy(Z=2.249,P=0.025)among the groups were different.Age between groups(t=0.096,P=0.924),gestational age(t=1.257,P=0.212),body mass index(t=0.125,P=0.901),and work experience(χ^(2)=0.778,P=0.378),monthly per capita income of households(χ^(2)=0.044,P=0.834),urinary leakage(χ^(2)=0.040,P=0.842)had no statistically significant difference in comparison.Through regression analysis,it was found that low family care(OR=1.799,P=0.041),low self-efficacy(OR=1.942,P=0.026),postpartum women(OR=2.554,P=0.045),and low educational level(OR=1.837,P=0.038)were all influencing factors on the disease coping strategies of patients with urinary incontinence after vaginal delivery.Conclusions Patients with urinary incontinence after vaginal delivery have a higher risk of negative coping with the disease,which may be related to parity,educational level,family care and self-efficacy.

关 键 词：阴道分娩 尿失禁 应对方式 影响因素 

分 类 号：R711.59[医药卫生—妇产科学] R714.3[医药卫生—临床医学]