健康素养对压力性尿失禁妇女盆底肌锻炼依从性的影响

The impact of health literacy on pelvic floor muscle training compliance in women with stress urinary incontinence

目的探究健康素养对压力性尿失禁妇女盆底肌锻炼依从性的影响,旨在提高压力性尿失禁妇女的治疗效果。方法选取2016年5月至2018年5月,金华市妇幼保健院接受治疗的102例压力性尿失禁患者,按照随机数表法将所有患者分为对照组与观察组,每组51例。对照组患者接受常规护理,观察组患者接受健康素养管理,比较两组患者干预后的健康素养水平、治疗依从性以及生活质量水平。结果观察组患者健康素养总分为(88.79±4.39)分,对照组患者健康素养总分(70.85±4.64)分,差异有统计学意义(t=2.053,P=0.45);观察组患者依从率为90.20%,对照组患者依从率为76.47%,差异有统计学意义(χ^2=4.876,P=0.032);观察组患者生活质量总分(91.08±5.27)分,对照组生活质量总分(78.57±5.20)分,差异有统计学意义(t=2.153,P=0.035)。结论健康素养水平的提高对于压力性尿失禁妇女盆底肌锻炼依从性的提高具有积极作用,能够有效提高压力性尿失禁妇女的生活质量水平。

Objective To explore the effect of health literacy on the compliance of pelvic floor muscle exercise in women with stress urinary incontinence(SUI),and to improve the therapeutic effect of women with stress urinary incontinence.Methods 102 women with SUI treated in our hospital from May 2016 to May 2018 were enrolled in the study and were evenly divided into two groups using a random number table method.Cases in the control group were given routine care,and those in the observation group received health literacy management service.Health literacy levels,treatment adherence,and quality of life were compared between the two groups before and after the intervention.Results The total score of health literacy of the observation group was higher than that of control group(88.79±4.39 vs 70.85±4.64,t=2.053,P=0.45).The compliance rate of the observation group was also higher compared to that of controls(90.20%vs 76.47%,χ^2=4.876,P=0.032).The score of quality of life was(91.08±5.27)for subjects in observation group and 78.57±5.20 for those in control group,the difference was statistically significant(t=2.153,P=0.035).Conclusions The improvement of health literacy level has a positive effect on the compliance of pelvic floor muscle exercise in women with stress urinary incontinence,which can effectively improve the quality of life of women with SUI.