知信行护理模式在压力性尿失禁患者中的应用效果

Study on the application effect of knowledge,belief and practice nursing model in patients with stress urinary incontinence

目的分析压力性尿失禁(SUI)患者护理中知信行护理模式的应用效果及对生活质量的影响。方法2017年8月—2019年8月在温州医科大学附属第一医院泌尿外科治疗的98例SUI患者,将患者按随机数字法分为2组,对照组49例患者采用传统护理,观察组49例患者采用知信行护理模式。干预2周后,对比2组患者每日漏尿次数、女性下尿路症状国际尿失禁标准问卷(ICIQFLUTS)评分及患者满意度;随访2个月,对比2组患者的生活质量评分。结果干预2周后,观察组与对照组患者每日漏尿次数[(1.52±0.11)次vs.(3.06±0.18)次]、ICIQFLUTS评分[(35.12±1.62)分vs.(40.65±2.55)分]比较,差异均有统计学意义(均P<0.05);观察组患者满意度(95.92%,47/49)明显高于对照组(71.43%,35/49),差异有统计学意义(P<0.05)。随访2个月后,观察组生活质量评分总分均明显高于对照组[(82.95±5.49)分vs.(70.16±3.84)分],且2组社交限制评分[(20.62±3.62)分vs.(14.28±1.64)分]、日常生活限制评分[(35.62±4.85)分vs.(30.16±2.22)分]、心理影响评分[(40.52±4.55)分vs.(33.25±2.94)分]差异均有统计学意义(均P<0.05)。结论知信行护理模式可有效减轻SUI患者尿失禁症状,降低漏尿次数,提高患者满意度及生活质量。

Objective To analyse the effect of knowledge,belief and practice nursing mode in nursing of patients with stress urinary incontinence(SUI)and its influence on quality of life.Methods Ninety-eight SUI patients treated in the Department of Urology of the First Affiliated Hospital of Wenzhou Medical University from August 2017 to August 2019 were randomly divided into two groups:49 patients in the control group adopted traditional nursing,and 49 patients in the observation group adopted knowledge,belief and practice nursing.After 2 weeks of intervention,the daily leakage times,score of international urinary incontinence standard questionnaire(ICIQFLUTS)for female lower urinary tract symptoms and patient satisfaction of the two groups were compared.After 2 months of follow-up,the quality of life scores of the two groups were compared.Results After 2 weeks of intervention,differences in the daily urine leakage times of the observation and control groups[(1.52±0.11)times vs.(3.06±0.18)times]and ICIQFLUTS score[(35.12±1.62)points vs.(40.65±2.55)points]were statistically significant(all P<0.05).Patient satisfaction in the observation group(95.92%,47/49)was significantly higher than that in the control group(71.43%,35/49),with a statistically significant difference(P<0.05).After 2 months of follow-up,the total score of quality of life in the observation group was significantly higher than that in the control group[(82.95±5.49)points vs.(70.16±3.84)points],and the scores of social restrictions[(20.62±3.62)points vs.(14.28±1.64)points],daily life restriction[(35.62±4.85)points vs.(30.16±2.22)points]and psychological impact[(40.52±4.55)points vs.(33.25±2.94)points]in the two groups were statistically significant(all P<0.05).Conclusion The knowledge,belief and practice nursing model can effectively relieve urinary incontinence symptoms of SUI patients,reduce the number of urinary leakage and improve patient satisfaction and quality of life,which is worthy of reference.