认知行为疗法联合凯格尔运动对轻中度产后压力性尿失禁患者心理状态、生活质量的影响  

Effect of Cognitive Behavioral Therapy Combined with Kegel Exercise on the Psychological State and Quality of Life of Patients with Mild to Moderate Postpartum Stress Urinary Incontinence

作　　者：张春燕 王艳香 张巍巍 沈芯伊 ZHANG Chun-yan;WANG Yan-xiang;ZHANG Wei-wei;SHEN Xin-yi(People's Hospital of Haimen District,Nantong,Jiangsu,226100,China)

机构地区：[1]南通市海门区人民医院,江苏南通226100

出　　处：《现代生物医学进展》2025年第6期1065-1072,共8页Progress in Modern Biomedicine

基　　金：南通市妇幼专科联盟科研项目(TFM202302)。

摘　　要：目的:观察认知行为疗法联合凯格尔运动对轻中度产后压力性尿失禁患者的干预效果。方法:采用随机数字表法将84例轻中度产后压力性尿失禁患者分为对照组(42例,凯格尔运动)和联合组(42例,认知行为疗法联合凯格尔运动)。对比两组尿失禁生活质量量表(I-QOL)评分、焦虑自评量表(SAS)、国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)评分、抑郁自评量表(SDS)和盆底肌力。结果:两组干预8周后尿失禁对生活质量的影响、漏尿量、漏尿频率、总分下降,且联合组低于对照组(P<0.05)。两组干预8周后SDS、SAS评分下降,且联合组低于对照组(P<0.05)。两组干预8周后受限问题、心理影响、社交尴尬评分升高,且联合组高于对照组(P<0.05)。两组干预8周后Ⅰ类纤维肌力、Ⅱ类纤维肌力升高,且联合组高于对照组(P<0.05)。结论:认知行为疗法联合凯格尔运动治疗轻中度产后压力性尿失禁患者,可促进盆底肌力恢复,改善患者临床症状、心理状态,提升生活质量。Objective:To observe the intervention effect of cognitive behavioral therapy combine with Kegel exercise on patients with mild to moderate postpartum stress urinary incontinence.Methods:84patients with mild to moderate postpartum stress urinary incontinence were divided into control group(42cases,Kegel exercise)and combination group(42 cases,cognitive behavioral therapy combined with Kegel exercise)by random number table method.The urinary Incontinence quality of life scale(I-QOL)score,self rating anxiety scale(SAS),international advisory committee on urinary incontinence questionnaire brief(ICI-Q-SF)score,self rating depression scale(SDS),and pelvic floor muscle strength between two groups were compared.Results:The impact of urinary incontinence on quality of life,leakage volume,leakage frequency and total score decreased in both groups at 8 weeks after intervention,and the combination group was lower than that in the control group(P<0.05).SDS,SAS score decreased in both groups at 8 weeks after intervention,and the combination group was lower than that in the control group(P<0.05).Restricted issues,psychological impact,social awkwardness scores increased in both groups at 8 weeks after intervention,and the combination group was higher than that in the control group(P<0.05).The muscle strength of type I and type II fibers increased in both groups at 8weeks after intervention,and the combination group was higher than that in the control group(P<0.05).Conclusion:The combination of cognitive behavioral therapy and Kegel exercises can promote pelvic floor muscle strength recovery,improve clinical symptoms and psychological status,and enhance the quality of life of patients with mild to moderate postpartum stress urinary incontinence.

关 键 词：认知行为疗法 凯格尔运动 压力性尿失禁 心理状态 生活质量 

分 类 号：R3[医药卫生—基础医学] R49R714