脑卒中后尿失禁患者功能独立性现状及其对社会参与、生活质量和心理状态的影响

Functional independence in patients with Post-Stroke Urinary Incontinence and its effect on social participation,quality of life and mental health

目的:调查脑卒中后尿失禁患者功能独立性现状对其社会参与、生活质量和心理状态的影响。方法:采用便利抽样,选取南京市8家不同等级医院康复科或神经内科的153例住院患者,使用一般资料调查表、功能独立性量表、自主参与问卷、尿失禁生活质量问卷及抑郁自评量表对患者进行调查。结果:脑卒中后尿失禁患者功能独立性得分为(62.03±26.61)分。分层回归分析显示,功能独立性解释了患者社会参与变异的57.3%,生活质量变异的17.0%,抑郁情绪变异的15.9%。结论:脑卒中后尿失禁患者功能独立性水平普遍较低,功能独立性水平的降低引发患者社会参与及生活质量下降,加重患者负性情绪,医务人员应重视脑卒中后尿失禁患者的膀胱康复训练,进而提高患者的功能独立性。

Objective:To investigate the status of functional independence in patients with Post-Stroke Urinary Incontinence(PSUI)and its effect on social participation,quality of life and psychological status.Methods:Totally 153 inpatients from rehabilitation departments or neurology departments of 8 hospitals of different grades in Nanjing were selected.The patients were investigated by using general data information questionnaire,Function Independence Measure,Incontinence Quality of Life Questionnaire,Impact on Participation and Autonomy Questionnaire and Self rating depression scale.Results:The scores of FIM was(62.03±26.61).Hierarchical regression showed that functional independence independently accounted for 57.3%of the variation in social participation,17.0%of the variation in quality of life,and 15.9%of the variation in depression.Conclusion:The functional independence of patients with PSUI is poor.Functional independence reduces the quality of life and social participation level of patients and aggravates the negative emotions of patients.Medical staff should pay attention to the bladder rehabilitation training of patients with PSUI,so as to improve the functional independence of patients.