排尿行为认知干预改善膀胱过度活动症患者结局的随机对照试验

Toileting Behavior Cognitive Intervention in Improving the Outcome of Patients with Overactive Bladder:A Randomized Controlled Trial

目的探讨基于健康信念模式的排尿行为认知干预应用于膀胱过度活动症(overactive bladder,OAB)患者的效果。方法 2014年5-8月,便利抽样选取济南市两所三级甲等医院内分泌科门诊接受规律随访的糖尿病合并OAB的患者104例,随机隐匿分为试验组51例和对照组53例。对照组给予常规的健康教育手册,试验组在此基础上给予连续6周的排尿行为认知干预。比较两组患者在干预前后的排尿行为、膀胱症状和生活质量变化情况。结果干预后试验组患者的排尿行为、膀胱症状和生活质量均优于对照组(均P<0.05),且试验组患者干预前后指标的改变量也明显高于对照组(P<0.05)。结论基于健康信念模式的排尿行为认知干预,可以改进OAB患者的排尿行为,改善膀胱症状,提高其生活质量。

Objective To investigate the effects of the toileting behavior cognitive intervention based on health belief model on patients with overactive bladder （OAB）.Methods By convenience sampling, 104 patients with OAB were selected and randomly divided into experimental group （n =51） and control group （n=53）.The control group received routine health education manual only, while the experimental group were treated with cognitive intervention for six weeks combined with the manual. Toileting behaviors, bladder symptoms and quality of life of the patients were recorded and compared.Results After intervention, the toileting behaviors, bladder symptoms and quality of life of the patients in experimental group were significantly better than which in control group （all P〈0.05）, and the changes of those indexes before and after intervention in experimental group were significantly higher than those of control group （all P〈0.05）.Conclusions Toileting behavior cognitive intervention based on health belief model can improve toileting behaviors, bladder symptoms and quality of life of patients with OAB.