医院-社区-家庭一体化护理对压力性尿失禁患者盆底肌力及尿失禁程度的影响  

Effect of Hospital-Community-Family Integrated Nursing on Pelvic Floor Muscle Strength and Urinary Incontinence Degree in Patients with Stress Urinary Incontinence*

作　　者：郑璐 郭南南 王海丽 ZHENG Lu;GUO Nan-nan;WANG Hai-li(Department of Obstetrics and Gynecology,Beijing Jishuitan Hospital Zhengzhou Hospital,Zhengzhou University Affiliated Zhengzhou Central Hospital,Zhengzhou Central Hospital,Zhengzhou450000,Henan Province,China)

机构地区：[1]北京积水潭医院郑州医院,郑州大学附属郑州中心医院,郑州市中心医院妇产科,河南郑州450000

出　　处：《罕少疾病杂志》2025年第4期176-178,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划项目(LHGJ20200082)。

摘　　要：目的探究医院-社区-家庭一体化护理对压力性尿失禁患者盆底肌力及尿失禁程度的影响。方法选取2022年3月至2024年5月期间我院收治的72例压力性尿失禁患者进行研究。采用随机数字表法将72例压力性尿失禁患者均分为两组各36例。对照组36例患者实施常规护理,观察组36例患者实施医院-社区-家庭一体化护理。比较两组不同护理方法实施前后的盆底肌力、尿失禁程度评分、生活质量评分。结果观察组干预后的盆底肌力Ⅲ级及以上占比(94.44%)高于对照组(77.78%),差异显著(χ2=4.181,P=0.041)。干预前,两组尿失禁程度相当(P>0.05),干预后,两组尿失禁评分均降低(P<0.001),且观察组低于对照组,差异显著(t=2.801,P=0.007)。干预前,两组患者生活质量评分相当(P>0.05),干预后,两组评分均提升(P<0.001),且观察组高于对照组,差异显著(t=2.760,P=0.007)。结论医院-社区-家庭一体化护理的实施能够改善压力性尿失禁患者的盆底肌力,减轻患者的尿失禁程度,提升生活质量。Objective To explore the effects of hospital-community-family integrated nursing on pelvic floor muscle strength and urinary incontinence degree in patients with stress urinary incontinence.Methods 72 patients with stress urinary incontinence admitted to our hospital from March 2022 to May 2024 were studied.A total of 72 patients with stress urinary incontinence were divided into two groups with 36 cases in each group by random number table method.Control group 36 patients received routine nursing,observation group 36 patients received hospital-community-family integrated nursing.The pelvic floor muscle strength,urinary incontinence degree score and quality of life score before and after different nursing methods were compared between two groups.Results The proportion of pelvic floor strength gradeⅢand above in the observation group(94.44%)was higher than that in the control group(77.78%),and the difference was significant(χ2=4.181,P=0.041).Before intervention,the incontinence degree of the two groups was similar(P>0.05),after intervention,the incontinence score of the two groups was decreased(P<0.001),and the observation group was lower than the control group,the difference was significant(t=2.801,P=0.007).Before intervention,the quality of life scores of the two groups were similar(P>0.05),and after intervention,the scores of the two groups were improved(P<0.001),and the observation group was higher than the control group,the difference was significant(t=2.760,P=0.007).Conclusion The implementation of hospital-community-family integrated nursing can improve the pelvic floor muscle strength of patients with stress urinary incontinence,reduce the degree of urinary incontinence,and improve the quality of life.

关 键 词：医院-社区-家庭一体化护理 压力性尿失禁 盆底肌力 

分 类 号：R694.54[医药卫生—泌尿科学]