跨理论模型的行为干预对女性压力性尿失禁患者的影响

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摘要目的探讨基于跨理论模型(TTM)的行为干预对女性轻中度压力性尿失禁(SUI)患者的影响。方法选取2016年5—11月份某三甲医院体检中发现的50名轻中度SUI患者,患者年龄32~56岁,进行1 h尿垫试验和盆底肌锻炼自我效能量表(BPMSES)测试,依据BPMSES得分按高低顺序用1～50数字排序,按奇偶数分成两组,排序号奇数者为对照组,偶数者为观察组,每组各25名患者。两组患者在1 h漏尿量及BPMSES得分采用独立样本t检验,差异无统计学意义;观察组对患者实施TTM的行为干预模式,采用Kegel运动进行盆底肌训练(PFMT);对照组采用传统的宣教模式,告知患者PFMT方法。对比TTM的行为干预是否更具优势。结果干预6个月后,对照组和观察组在主观疗效评定、1 h尿垫试验、BPMSES得分均有改善,主观评定有效率分别为68%和92%,组间比较,差异有统计学意义;对照组和观察组1 h尿垫试验漏尿量分别为(3.3±0.8)g和(2.2±1.1)g,BPMSES得分分别为(53.1±7.5)分和(68.9±7.7)分,组间差异有统计学意义。结论基于TTM的行为干预可以提高行为有效性,可改善女性轻中度SUI患者的症状。

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关键词 ：跨理论模型, 尿失禁, 行为干预, kegel训练

Abstract：Objective To explore the effect of behavioral intervention based on trans-theoretical model (TTM) on patients with mild to moderate stress urinary incontinence. Methods 50 patients with mild-to-moderate urinary incontinence were enrolled during the routine regular check-up from May to November 2016 in a third-level hospital. All patients were tested by 1 hour urine pad experiment and Pelvic floor Muscle exercise self-efficacy Scale (PFMT,Broome Pelvic Muscle Self - efficacy Scale, BPMSES). According to BPMSES score, the patients were sorted ordinals from 1 to 50. Two groups were divided according to the order of odd (control group) and even (experimental group), 25 patients in each group. There was no significant difference in the urine leakage in 1 hour and BPMSES score between the two groups by independent samples t test. The experiment group was treated with TTM behavior intervention and Kegel exercise was used for PFMT; the control group was informed method of PEMT and used the traditional education mode. To compare whether the behavioral intervention of TTM is more advantageous. Results The scores of subjective efficacy evaluation, 1-hour urinary leakage pad test and BPMSES were improved after 6 months of intervention. The effective rates of subjective evaluation were 68% in control group and 92% in experiment group, and the difference was statistically significant (P<0.05). There was significant difference in the comparison of the rates between the two groups. 1-hour pad test showed it’s e (3.3 g±0.8) g and (2.2 g±1.1) the in the control group and the experiment group respectively and the scores of BPMSES were (53.1±7.5) and (68.9±7.7) respectively. Conclusion Behavioral intervention based on TTM model could improve behavioral effectiveness and improve the symptoms of urinary incontinence among women with mild to moderate stress.

Key words： trans-theoretical model urinary incontinence behavioral interventions kegel training

收稿日期: 2018-05-17

通讯作者: 田宇红(tyh40@163.com)

引用本文:

张径，田宇红，彭朝胜，闫银星. 跨理论模型的行为干预对女性压力性尿失禁患者的影响[J]. 中国生育健康杂志, 2019, 30(4): 323-326.
ZHANG Jing, TIAN Yuhong, PENG Chaosheng, YAN Yinxin. The effect of behavioral intervention based trans-theoretical model (TTM) on female stress urinary incontinence. Chinese Journal of Reproductive Health, 2019, 30(4): 323-326.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2019/V30/I4/323

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