CAJ | 학술논문

目的：探讨行为治疗在预防初产妇产后压力性尿失禁（ SUI）的临床效果。方法：筛选在门诊定期产检并住院分娩的孕妇527例作为研究对象，随机分为研究组263例和观察组264例。研究组接受由专人指导实施一对一的健康教育及行为治疗训练指导，观察组常规接受门诊定期随访，了解并记录SUI事件。两组病例均随访至第8周，分别统计并分析两组病例在产后第4周、第8周时的SUI发病率及生活质量指数（ QOL）情况。结果：研究组与观察组在分娩方式、新生儿体重方面的差异无统计学意义（ P＞0.05）。与观察组相比，研究组的产后SUI发生率较低，QOL较高，差异均有统计学意义（ P＜0.01）。结论：SUI的行为治疗方法简单、有效，对于初产妇应该进行预防性的行为锻炼，可减少产后SUI的发生，提高产妇的生活质量，无任何不良反应，易于接受，值得临床推广。
목적：탐토행위치료재예방초산부산후압력성뇨실금（ SUI）적림상효과。방법：사선재문진정기산검병주원분면적잉부527례작위연구대상，수궤분위연구조263례화관찰조264례。연구조접수유전인지도실시일대일적건강교육급행위치료훈련지도，관찰조상규접수문진정기수방，료해병기록SUI사건。량조병례균수방지제8주，분별통계병분석량조병례재산후제4주、제8주시적SUI발병솔급생활질량지수（ QOL）정황。결과：연구조여관찰조재분면방식、신생인체중방면적차이무통계학의의（ P＞0.05）。여관찰조상비，연구조적산후SUI발생솔교저，QOL교고，차이균유통계학의의（ P＜0.01）。결론：SUI적행위치료방법간단、유효，대우초산부응해진행예방성적행위단련，가감소산후SUI적발생，제고산부적생활질량，무임하불량반응，역우접수，치득림상추엄。
objective To investigate the effect of behavior therapy for preventing postpartum stress urinary incontinence in primipa-ra. Method 527 primiparas were selected,they were randomly divided into study group (263 cases)and the observation group(264 cases) . Study group received one by hand to guide the implementation of health education and behavioral therapy training guidance,and the observation group was followed up regularly,recorded incontinence events. Two groups of patients both were followed up to 8 weeks after postnatal. The SUI mor-bidity and quality of life index score in the two groups were counted and analyzed respectively in 4 weeks and 8 weeks after postnatal. Results The differences between study group and observation group about mode of delivery and birth weight was not statistically significant(P>0. 05) . Compared with the observation group,the study group had lower incidence of postpartum urinary incontinence,higher quality of life scores, which differences were statistically significant( P<0. 01). Conclusion Behavioral treatment for SUI is simple and effective to reduce the inci-dence of postnatal urinary incontinence and improve the quality of life without any side effects. It is easy to accept,worthy of promotion.