护理干预对失能老年女性尿失禁患者生活质量的影响

Effects of nursing intervention on the QOL of aged disabled female patients with urinary incontinence

目的：探讨护理干预对失能老年女性尿失禁患者生活质量的影响。方法采用随机抽样法选取2012年9月─2013年9月北京市海淀区万寿路和玉渊潭社区卫生服务中心失能老年女性尿失禁患者60例为研究对象，随机分为干预组和对照组，各30例。两组均给予常规护理，干预组在此基础上给予健康教育和家庭访视。干预前、干预3个月和干预结束1个月时采用尿失禁生活质量（ I-QOL）量表评价两组患者的生活质量水平。结果干预前后两组尿失禁患者I-QOL总分及各维度得分不同时间之间差异有统计学意义（ P〈0.05）。组间与时间存在交互效应（ P〈0.05）。两组尿失禁患者I-QOL总分及各维度得分比较，差异无统计学意义（ P〉0.05）。结论对失能老年女性尿失禁患者实施护理干预可改善其生活质量。

Objective To investigate the effects of nursing intervention on the quality of life （ QOL） of aged disabled female patients with urinary incontinence. Methods Totally 60 disabled incontinent women of Haidian district of Beijing were selected as the research object and were randomly divided into the intervention group （30 cases） and the control group （30 cases）. Patients in two groups received conventional nursing, and additionally patients in the intervention group received health education, home interview and telephone consultation. I-QOL scale was used to assess the QOL of patients before intervention, three months after intervention and one month after finishing the intervention. Results There were significant differences in the I-QOL score and the score of each dimension of two groups at different time before and after intervention （ P〈0. 05） . There was interaction effect between groups and time （ P〈0.05） . The comparison in the I-QOL score and the score of dimensions between two groups showed no significant difference （P〉0.05）.Conclusions Disabled incontinent old women-focused nursing intervention could improve their quality of life.