摘要目的 探讨延续性护理模式对压力性尿失禁患者盆底肌康复居家治疗的影响.方法 采用便利抽样法选取2015年3月—2016年3月在北京协和医院盆底治疗门诊接受4周电刺激+生物反馈治疗后,仍需进行12周盆底肌康复居家治疗的尿失禁患者共60例,将研究对象按时间先后顺序分为对照组和观察组各30例,对照组实施常规护理和健康教育,观察组在此基础上实施12周延续性护理干预.干预结束时评价盆底肌功能锻炼依从性,干预后3个月和6个月分别对两组患者进行1 h尿垫试验检测漏尿量,应用国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评估患者尿失禁症状的主观改善情况.结果 干预结束时,观察组盆底肌功能锻炼依从性优于对照组,差异有统计学意义(P<0.05);干预后3个月和6个月,两组压力性尿失禁患者漏尿量较干预前均减少,差异有统计学意义(P<0.05);两组尿失禁主观症状ICI-Q-SF评分均有明显改善,观察组改善更加显著,差异有统计学意义(P<0.05).结论 对压力性尿失禁患者行盆底肌康复居家治疗过程中实施有计划的延续性护理,可以提高尿失禁患者盆底肌功能锻炼的依从性,并保持和强化尿失禁的临床治疗效果.

abstractsObjective To explore the effect of continuing nursing mode in women with stress urinary incontinence who accept the pelvic floor functional exercise at home.Methods By convenient sampling method, 60 patients with incontinence were selected, who received four weeks pelvic floor electrophysiological treatment and biofeedback treatment in Peking Union Medical College Hospital, and then received 12 weeks of pelvic floor rehabilitation therapy at home . All patients were divided into control group and observation group on average. The patients of the control group underwent routine health education, while the patients of the observation group were given pelvic floor muscle tissue by electrical stimulation and the continuation of nursing mode, then we compared two groups of maternal pelvic floor functional exercise adherence, 1 hours urine pad test for lateral leakage urine volume, ICI-Q-SF score for subjective improvement.Results After interventions, the excise compliance of pelvic floor muscle was better in the observation group than that of the control group (P<0.05); 3 and 6 months after intervention, the lateral leakage urine volumes were both decreased in two groups (P<0.05); both scores of ICI-Q-SF in two groups were improved, but that of the observation group was more obvious (P<0.05).Conclusions Planned continuing nursing mode can maintain and strengthen the clinical treatment of urinary incontinence, and increase the compliance of pelvic floor muscle function exercise in patients with urinary incontinence.