心理干预联合盆底肌物理训练治疗对压力性尿失禁患者心理状态及生活质量的影响

Effects of Psychological Intervention Combined with Physical Training of Pelvic Floor Muscle on Psychological Status and Quality of Life in Patients with Stress Urinary Incontinence

目的观察心理干预联合盆底肌物理训练治疗对压力性尿失禁患者心理状态及生活质量的影响。方法选取我院2014年1月至2016年1月收治的女性压力性尿失禁患者98例,按照随机数字表法分为对照组49例和观察组49例,对照组给予盆底肌物理训练治疗和常规护理,观察组在对照组基础上给予心理干预,治疗时间为8周,比较两组患者治疗前后抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、尿失禁生活质量问卷(I-QOL)评分。结果治疗后,两组患者SDS、SAS评分较治疗前均显著降低(P<0.05),且观察组患者SDS、SAS评分降低幅度均显著大于对照组(P<0.05);两组患者行为限制、心理影响、社会障碍和总积分较治疗前均显著升高(P<0.05),且观察组患者行为限制、心理影响、社会障碍和总积分评分均上升幅度均显著大于对照组(P<0.05)。结论心理干预联合盆底肌物理训练治疗可以改善压力性尿失禁患者心理状态,提高患者生活质量。

Objective To observe the effects of psychological intervention combined with physical training of pelvic floor muscle on psychological status and quality of life in patients with stress urinary incontinence. Methods From Jan. 2014 to Jan. 2016, 98 women with stress urinary incontinence in our hospital were selected and randomly divided into the control group（n=49） and the observation group（n=49）. The control group was given physical training of pelvic floor muscle and routine nursing, and the observation group was additionally given psychological intervention based on the control group. They were treated for 8 weeks, and the self-rating depression scale（SDS） score, self-rating anxiety scale（SAS） score and incontinence quality of life questionnaire（I-QOL） score were compared between the two groups before and after treatment. Results After treatment, the SDS and SAS scores in the two groups were significantly lower than those before treatment（P〈0.05）, and,the decrease degree of SDS and SAS scores in the observation group were significantly higher than that in the control group（P〈0.05）. The scores of behavior restriction, psychological impact and social barriers, and total score in the two groups were significantly higher than those before treatment（P〈0.05）, and the increase degree of the above-mentioned scores in the observation group was higher than that in the control group（P〈0.05）. Conclusion Psychological intervention combined with physical training of pelvic floor muscle can improve the psychological status and quality of life of patients with stress urinary incontinence.