孕妇压力性尿失禁症状体验的质性研究

A qualitative study on symptom experience of pregnant women with stress urinary incontinence

目的探讨孕妇压力性尿失禁(SUI)的症状体验,为加强SUI防控并制定标准化症状管理策略提供依据。方法采用目的抽样法,选取2018年7月—2019年11月在南方医科大学南方医院产科门诊常规产检的SUI孕妇11名作为研究对象。对孕妇进行半结构访谈,采用质性研究中的扎根理论分析资料。结果通过分析提炼出4个主题,分别为认知不足、应对态度不一、症状体验差、症状管理知识需求迫切。结论SUI孕妇普遍对疾病认知不足,症状体验差,应对态度不一,症状管理知识需求迫切。因此,对于SUI孕妇,应提供个人—家庭—社会全方面的支持,加强SUI症状管理知识的社会宣传,并给予正性的引导和鼓励,鼓励家庭成员的参与,并积极构建互联网数字化信息平台,以最终降低孕妇SUI发生率。

Objective To explore the symptom experience of stress urinary incontinence(SUI)in pregnant women,so as to provide a basis for strengthening the prevention and control of SUI and formulating standardized symptom management strategies.Methods From July 2018 to November 2019,purpose sampling was used to select 11 pregnant women with SUI undergoing routine prenatal examination in the Obstetric Clinic of Nanfang Hospital,Southern Medical University as the research objects.The semi-structured interview was conducted with pregnant women,and the data were analyzed using grounded theory in qualitative research.Results A total of four themes were extracted,namely,lack of cognition,different coping attitudes,poor symptom experience,and urgent need for symptom management knowledge.Conclusions SUI pregnant women generally have insufficient knowledge of the disease,poor symptom experience,different response attitudes,and urgent need for symptom management knowledge.Therefore,for SUI pregnant women,all aspects of personal-family-society support should be provided,social publicity of SUI symptom management knowledge should be strengthened,positive guidance and encouragement should be given,family members should be encouraged to participate,and an internet digital information platform should be actively constructed to ultimately reduce the incidence of SUI in pregnant women.