日记式康复指导对女性压力性尿失禁患者盆底肌锻炼依从性的影响

Effects of applying diary rehabilitation guidance for compliance of pelvic floor muscle exercise in female patients with stress urinary incontinence

目的探讨日记式康复指导对女性压力性尿失禁患者盆底肌锻炼依从性的影响。方法选取2017年12月至2018年12月我院收治的96例女性压力性尿失禁患者作为研究对象,随机将其等分为对照组和试验组,对照组给予常规康复干预,试验组在对照组基础上给予日记式康复指导。采用国际尿失禁咨询委员会尿失禁问卷调查简表(ICI-Q-SF)评估患者尿失禁症状的主观改善情况,比较两组患者干预前、干预后3个月自我效能得分、盆底肌锻炼依从性、主观改善情况、临床治疗效果。结果干预后3个月,两组患者自我效能得分均明显升高,试验组得分明显高于对照组(P<0.05);干预后3个月,两组患者盆底肌锻炼依从性均明显改善(P<0.05),试验组优于对照组(P<0.05);干预后3个月,两组ICI-Q-SF评分均明显降低,试验组低于对照组(P<0.05);试验组临床治疗效果明显高于对照组(P<0.05)。结论日记式康复指导能够明显提升女性压力性尿失禁患者盆底肌锻炼依从性,增强患者自我效能,有效改善尿失禁症状,明显提高临床治疗效果。

Objective To investigate the effect of applying diary rehabilitation guidance for compliance of pelvic floor muscle exercise in female patients with stress urinary incontinence.Methods To select 96 cases of female patients with stress urinary incontinence treated in our hospital from December2017 to December 2018 as the study subjects,and they were randomly divided into a control group and a experimental group.The control group was given routine rehabilitation intervention,and the experimental group was given diary rehabilitation guidance based on the control group.The subjective improvement of urinary incontinence symptoms was assessed by using international consultation on incontinence questionnaire-short form(ICI-Q-SF),and the self-efficacy scores,compliance of pelvic floor muscle exercise,subjective improvement,clinical treatment effect were compared before intervention,3 months after intervention between the two groups,Results In three months after the intervention,the self-efficacy scores of patients in both groups were significantly increased,and the score in the experimental group was obviously higher than that in the control group(P<0.05).In three months after the intervention,the compliance of pelvic floor muscle exercise was all significantly improved in the two groups(P<0.05),and the experimental group was better than the control group(P<0.05).In three months after the intervention,the ICI-Q-SF scores were significantly reduced in both groups,and the experimental group was lower than the control group(P<0.05).The clinical treatment effect of the experimental group was significantly higher than that of the control group(P<0.05).Conclusion The diary rehabilitation guidance could significantly improve the compliance of pelvic floor muscle exercise in female patients with stress urinary incontinence,enhance patient’s self-efficacy,effectively improve symptoms of urinary incontinence,and significantly improve clinical treatment results.