医院-社区-家庭失禁护理平台在压力性尿失禁患者管理中的应用研究

Application of hospital-community-family home care mobile App in patients with stress urinary incontinence

目的探讨医院-社区-家庭失禁护理平台(以下简称失禁护理平台)在压力性尿失禁患者中的应用效果。方法开发了包含压力性尿失禁患者电子档案、网页操作及失禁移动护理应用程序在内的失禁护理平台,客户端分为居民端、基层医疗机构端与医院端。将压力性尿失禁患者随机分为试验组51例和对照组54例,两组均给予常规的门诊失禁评估和教育,指导试验组使用失禁护理平台,为其提供在线的健康教育及功能锻炼提醒和监测;对照组给予定期门诊随访。随访并调查两组的盆底肌力、一小时尿垫试验漏尿量,并进行干预前后尿失禁问卷表简表、盆底肌肉锻炼自我效能的对比。结果干预后6个月,试验组的尿失禁症状明显改善,自我效能得分高于对照组,尿失禁问卷简表得分低于于对照组,两组差异均有统计学意义(均P<0.05)。结论与门诊常规复诊教育相比,失禁护理平台能更有效地提高患者盆底肌锻炼的依从性,提高患者的盆底肌力,降低失禁程度,提高生活质量。

Objective To evaluate the effects of hospital-community-family home care mobile APP on outcomes of discharged patients with stress urinary incontinence. Methods The hospital-community-family nursing platform for stress urinary incontinence was established. Patients were randomly divided into two groups. Patients in the control group（n=51） were given conventional discharge guidance. Patients in the intervention group（n=54） were given mobile home care intervention based on conventional discharge care. Pelvic floor muscle strength,one hour pad test leakage,the ICI-Q-SF score and self-efficacy were followed up and compared between two groups. Results After6 months of intervention,symptoms of incontinence in the intervention group were relieved,self-efficacy was higher than the control group,the ICI-Q-SF score was lower than the control group,and the differences were significant（all P0.05）. Conclusion The hospital-community-family nursing platform for stress urinary incontinence can improve patients＇ adherence and pelvic floor muscle strength,decrease level of incontinence,and increase quality of life.