智能盆底康复APP的开发及在老年女性压力性尿失禁患者中的应用

Development of intelligent pelvic foor rehabilitation APP and its application in elderly female patients with Stress Urinary Incontinence

目的 :为满足尿失禁患者盆底康复锻炼的需求,提高患者盆底肌训练的依从性,改善尿失禁的症状,设计并开发智能盆底康复APP并评价其应用效果。方法 :通过查阅文献,广泛征求临床医护人员、患者、高校护理教师的建议,设计开发APP。于2020年9月至2021年12月,采用方便抽样法选取北京市某三级医院81名老年女性压力性尿失禁患者进行调查,对患者进行智能盆底康复APP的接受度评价,并评价智能盆底康复APP使用前后患者盆底肌训练的依从性、尿失禁情况。结果 :该APP含有知识讲堂、锻炼提醒、个性化课程、震动模式、趣味锻炼、可视化锻炼反馈、锻炼数据统计、互动平台8个模块。81例使用智能盆底康复APP的患者总体接受度得分为(141.27±11.37)分。使用智能盆底康复APP7周后,患者盆底肌训练的依从性比使用APP前有提高,尿失禁情况得到改善,差异有统计学意义(P<0.05)。结论 :患者对智能盆底康复APP的接受度较高,应用该APP可提高患者盆底肌训练的积极性和依从性,并可改善尿失禁情况,值得推广使用。

Objective:To meet the needs and improve the compliance of patients with Stress Urinary Incontinence for Pelvic Floor Muscle Treatment,and improve the symptoms of urinary incontinence,design and develop an intelligent pelvic foor rehabilitation APP and evaluate its application effect.Methods:Through literature review,the APP designed and developed by widely soliciting from clinical medical staff,patients and nursing teachers in colleges.From September 2020 to December 2021,81 elderly female patients with Stress Urinary Incontinence in a tertiary hospital in Beijing were investigated by convenient sampling method.The acceptability of the intelligent pelvic foor rehabilitation APP was evaluated,and the compliance of Pelvic Floor Muscle Treatment and urinary incontinence before and after the use of the intelligent pelvic foor rehabilitation APP were evaluated.Results:The APP contains knowledge learning,exercise reminding,personalized courses,vibration mode,exercise interest,visual exercise feedback,exercise data statistics,interactive platform 8 modules.The overall acceptance score of 81 patients using intelligent pelvic foor rehabilitation APP was 141.27±11.37.After using intelligent pelvic floor rehabilitation APP for 7 weeks,the compliance of Pelvic Floor Muscle Treatment and urinary incontinence were signifcantly improved(P<0.05).Conclusion:Patients have a high acceptance of intelligent pelvic foor rehabilitation APP.The application of this APP can enhance the enthusiasm and compliance of patients’Pelvic Floor Muscle Treatment,and improve urinary incontinence,which is worth popularizing.