CAJ | 학술논문

目的探讨基于保护动机理论的健康教育,改善社区中老年女性压力性尿失禁患者症状和提高盆底肌锻炼依从性的效果.方法采用便利抽样法选取96例社区中老年女性压力性尿失禁患者作为研究对象,将其按随机数字表法随机分为对照组和实验组各48例.对照组给予常规健康教育,实验组在对照组基础上实施基于保护动机理论的健康教育,干预时间为6个月.比较2组患者干预前后的尿失禁症状评分、盆底肌锻炼依从性、尿失禁自我效能等.结果实验组和对照组分别有46、45例完成本研究.干预后实验组患者的国际尿失禁咨询委员会尿失禁问卷表简表得分(5.43±1.77)分,低于对照组患者的(7.96±2.98)分,差异有统计学意义,t=4.88,P＜0.01;干预后实验组患者的尿失禁应对效能量表得分为(17.63±1.85)分,高于对照组患者的(13.49±2.46)分,差异有统计学意义,t=-9.09,P＜0.01;干预后实验组依从性好者29例占63.04％,依从性差者17例占36.96％,干预后对照组依从性好者14例占31.11％,依从性差者31例占68.89％,2组患者盆底肌锻炼依从性比较,差异有统计学意义,x2=9.306,P＜0.05.结论基于保护动机理论的健康教育能有效提高社区中老年女性压力性尿失禁患者的自我效能和盆底肌锻炼依从性,改善漏尿症状.
목적 탐토기우보호동궤이론적건강교육,개선사구중노년녀성압력성뇨실금환자증상화제고분저기단련의종성적효과.방법 채용편리추양법선취96례사구중노년녀성압력성뇨실금환자작위연구대상,장기안수궤수자표법수궤분위대조조화실험조각48례.대조조급여상규건강교육,실험조재대조조기출상실시기우보호동궤이론적건강교육,간예시간위6개월.비교2조환자간예전후적뇨실금증상평분、분저기단련의종성、뇨실금자아효능등.결과 실험조화대조조분별유46、45례완성본연구.간예후실험조환자적국제뇨실금자순위원회뇨실금문권표간표득분(5.43±1.77)분,저우대조조환자적(7.96±2.98)분,차이유통계학의의,t=4.88,P＜0.01;간예후실험조환자적뇨실금응대효능량표득분위(17.63±1.85)분,고우대조조환자적(13.49±2.46)분,차이유통계학의의,t=-9.09,P＜0.01;간예후실험조의종성호자29례점63.04％,의종성차자17례점36.96％,간예후대조조의종성호자14례점31.11％,의종성차자31례점68.89％,2조환자분저기단련의종성비교,차이유통계학의의,x2=9.306,P＜0.05.결론 기우보호동궤이론적건강교육능유효제고사구중노년녀성압력성뇨실금환자적자아효능화분저기단련의종성,개선루뇨증상.
Objective To apply the health education intervention based on protection motivation theory in community female patients with stress urinary incontinence,in order to establish a health behavior and to control urinary incontinence.Methods 96 female patients with stress urinary incontinence were randomly divided into the control group and the experimental group by random number table method,the control group received routine health education,the experimental group received health education based on protection motivation theory.The ICI-Q-SF score,pelvic muscle exercise compliance scale score,urinary incontinence coping efficacy score were compared between the control group and the experimental group.Results The ICI-Q-SF score of the experimental group after the intervention was 5.43 ± 1.77,which was significant lower than that in the control group,7.96±2.98,t=4.88,P＜0.01.The urinary incontinence coping efficacy scores of experiment groups after the intervention was 17.63±1.85,which was higher than that in the control group,13.49±2.46,t=-9.09,P＜0.01.There were 29 cases accounted for 63.04％ with good compliance and 17 cases accounted for 36.96％ with poor compliance in experimental group after intervention,14 cases accounted for 31.11％ with good compliance and 31 cases accounted for 68.89％ with poor compliance in control group after intervention,the difference was statistically significant,x2=9.306,P＜0.05.Conclusions Health education based on protection motivation theory can promote the coping efficacy and health behavior of community female patients with stress urinary incontinence and can effectively control urinary incontinence symptom.