基于自我效能理论护理在压力性尿失禁患者中的应用

Application of nursing based on self-efficacy theory in patients with stress urinary incontinence

目的探讨基于自我效能理论的护理干预在女性压力性尿失禁(stress urinary incontinence,SUI)患者中的应用效果。方法选取2019年1月至2022年1月九江市妇幼保健院收治的女性SUI患者100例,采用随机数字表法分为对照组(n=50)和观察组(n=50)。对照组给予常规护理,观察组实施基于自我效能理论的护理干预,两组均持续护理8周。采用中文版尿失禁自我效能量表(geriatric self-efficacy scale for urinary incontinenceI,GSE-UI)比较两组自我效能,采用尿失禁生活质量问卷(incontinence quality of life,I-QOL)比较两组的生活质量,采用纽卡斯尔护理满意度量表(Newcastle satisfaction nursing scale,NSNS)比较两组的护理满意度,同时对两组的治疗依从性进行比较。结果护理前,两组自我效能、生活质量比较,差异无统计学意义(P>0.05)。护理后,观察组控尿意识、自我控制漏尿的信心、进行盆底功能康复训练及对其疗效的信心、克服阻碍进行盆底功能康复训练的信心评分及治疗依从率均显著高于对照组(P<0.05);观察组心理社会影响、行为限制、自我困扰评分及护理满意度均显著高于对照组(P<0.05)。结论基于自我效能理论的护理能够增加女性SUI患者自我效能,促进患者生活质量提升,从而获得更高的护理满意度。

Objective To explore the effect of nursing intervention based on self-efficacy theory in female stress urinary incontinence(SUI).Methods A total of 100 female SUI patients admitted to Jiujiang Maternal and Child Health Hospital from January 2019 to January 2022 were selected and divided into a control group(n=50)and an observation group(n=50)according to random number table method.The control group received routine nursing,while the observation group received nursing interventions based on self-efficacy theory.The Chinese version of the geriatric self-efficacy scale for urinary incontinenceI(GSE-UI)was used to compare the self-efficacy of the two groups,the incontinence quality of life(I-QOL)was used to compare the quality of life of the two groups,and the Newcastle satisfaction nursing scale(NSNS)was used to compare the quality of care of the two groups,as well as compared the adherence to treatment of the two groups.Results Before nursing,there was no statistically significant difference between the two groups in terms of self-efficacy and quality of life(P>0.05).After nursing,the observation group had significantly higher awareness of urinary control,confidence in self-control of leakage,confidence in performing pelvic floor functional rehabilitation training and its efficacy,confidence scores in overcoming barriers to pelvic floor functional rehabilitation training and treatment compliance rate than those in the control group(P<0.05);the observation group had significantly higher psychosocial impact,behavioural limitations,self distress scores and satisfaction with nursing care than those in the control group(P<0.05).Conclusion Nursing based on self-efficacy theory can increase the self-efficacy of female Sui patients,reduce the symptoms of urinary incontinence,improve the vaginal pressure,promote the quality of life of patients,and thus obtain higher nursing satisfaction.