回授法结合达标理论在老年压力性尿失禁女性盆底肌锻炼中的应用

Application of Teach-back Method Combined with the Theory of Goal Attainment in Pelvic Floor Muscle Training of Elderly Female Patients with Stress Urinary Incontinence

目的探讨回授法结合达标理论在老年女性压力性尿失禁(SUI)患者盆底肌锻炼中的应用价值。方法选取2019年4—9月在郑州市某三级甲等医院泌尿外科就诊的84例老年女性SUI患者,采用抽签法随机分为干预组与对照组,各42例。对照组接受常规盆底肌康复锻炼管理,干预组在对照组的基础上接受达标理论结合回授法的盆底肌锻炼管理。干预结束后采用t检验、χ^(2)检验、秩和检验对比两组盆底肌锻炼前后尿失禁问卷简表中文版量表(ICI-Q-SF)得分和盆底肌锻炼依从性目标达标率。结果干预前两组ICI-Q-SF得分比较,差异无统计学意义(P>0.05);干预3个月后,干预组ICI-Q-SF得分低于干预前,且低于对照组,差异有统计学意义(P<0.05);干预组盆底肌锻炼目标的达标率、盆底肌锻炼依从性高于对照组,差异有统计学意义(P<0.05)。结论达标理论结合回授法应用到老年SUI患者的盆底肌锻炼管理中可督促患者形成良好的锻炼行为,提高其锻炼的主动性、依从性,并改善患者的尿失禁症状。

Objective To explore the application value of the teach-back method combined with the theory of goal attainment in pelvic floor muscle training of elderly female patients with stress urinary incontinence(SUI).Methods A selection of 84 elderly female patients with SUI who were treated in the urology department of a class three A grade hospital in Zhengzhou from April to September of 2019 were randomly divided into an intervention group and a control group,with 42 cases in each group.The control group received routine pelvic floor muscle rehabilitation training management,and the intervention group received the pelvic floor muscle training management based on the control group and the theory of goal attainment combined with teach-back method.After the intervention,t-test,χ^(2)-test,and rank-sum test were used to compare the scores of the Chinese version of the Urinary Incontinence Questionnaire(ICI-Q-SF)before and after pelvic floor muscle training,compliance and target achievement rate of pelvic floor muscle training.Results There was no difference in ICI-Q-SF scores between the two groups before the intervention(P>0.05).After 3 months of intervention,the ICI-Q-SF scores of the intervention group were lower than those before the intervention and the control group(P<0.05).The rate of reaching the target and compliance of pelvic floor muscle training in the intervention group were higher than those in the control group(P<0.05).Conclusion In the management of pelvic floor muscle training for patients with SUI,the theory of goal attainment combined with teach-back method can urge the patients to form good exercise behavior,improve their training initiative and compliance,so as to improve the symptoms of urinary incontinence.