失禁健康教育对CHF尿失禁患者焦虑抑郁情绪及生活质量的影响

Effect of health education on anxiety,depression and quality of life in CHF patients with urinary incontinence

目的:探讨失禁健康教育对慢性心力衰竭(CHF)尿失禁患者焦虑、抑郁情绪及生活质量的影响。方法:将61例CHF尿失禁患者随机分为干预组31例和对照组30例,对照组接受常规治疗及护理,干预组在此基础上给予失禁健康教育。以医院焦虑抑郁量表(HADS)及尿失禁生活质量问卷(I-QOL)和普适性生活质量表(SF-36)为评估工具,干预8周后比较两组焦虑、抑郁及生活质量评分。结果:干预后干预组焦虑评分、抑郁评分低于对照组(P<0.05);干预后干预组I-QOL评分高于对照组(P<0.05);干预组SF-36各维度评分与对照组比较差异有统计学意义(P<0.05,P<0.01))。结论:失禁健康教育可改善CHF尿失禁患者焦虑、抑郁情绪,提高其生活质量。

Objective： To investigate the effect of health education on anxiety,depression and quality of life in（ chronic heart failure）CHF patients with urinary incontinence. Methods： 61 CHF patients with urinary incontinence were randomly divided into the intervention group（ n = 31） and the control group（ n = 30）. The patients in the control group received routine treatment and nursing care and the patients in the intervention group were given extra health education about incontinence. The HADS,I- QOL and SF- 36 were used to make an assessment of the patients and the scores of depression,anxiety and life quality of the patients were compared between the two groups after the intervention for 8 weeks. Results： The scores of anxiety and depression of the patients were lower in the intervention group than the control group after the intervention（ P〈0. 05）; the scores of I- QOL was higher in the intervention group than the control group after the intervention（ P〈0. 05）; the difference in the comparison of the score of each dimension of SF- 36 was statistically significant between the two groups（ P〈0. 05,P〈0. 01）. Conclusion： The health education can relieve anxiety and depression and improve the quality of life of the CHF patients with urinary incontinence.