解放军护理杂志
解放軍護理雜誌
해방군호리잡지
Nursing Journal of Chinese People's Liberation Army
2015年
19期
52-54
,共3页
膀胱过度活动症%尿急%尿失禁%环境诱因
膀胱過度活動癥%尿急%尿失禁%環境誘因
방광과도활동증%뇨급%뇨실금%배경유인
overactive bladder%urinary urgency%urinary incontinence%environmental provocative factors
目的：探讨膀胱过度活动症（overactive bladder ，OAB）患者症状发作时的环境诱因。方法便利抽取2013年1月至2014年3月在温州医科大学附属第二医院门诊诊治的76例O AB患者为研究对象，应用自行设计的半结构式问卷调查该组患者发生尿急和尿失禁时的环境诱因，并量化每个患者面对某个诱因时OAB发作的频率（很少＝1，有时＝2，经常＝3，通常＝4，总是＝5）。结果所有患者（100％）均报告至少1个因素与尿急相关，921．％的患者（n＝70）报告至少1个因素与尿失禁相关；尿急或尿失禁关系最为密切的环境因素有去洗手间的路上、早晨醒来、外出回家开门时、感觉到寒冷时、由卧位站起、看见自来水、想到要去洗手间和因其他原因（除小便）在洗手间时。结论几乎所有的OAB患者均存在某一环境诱因能够诱发尿急或尿失禁发作，条件反射可能与症状发作有关。
目的：探討膀胱過度活動癥（overactive bladder ，OAB）患者癥狀髮作時的環境誘因。方法便利抽取2013年1月至2014年3月在溫州醫科大學附屬第二醫院門診診治的76例O AB患者為研究對象，應用自行設計的半結構式問捲調查該組患者髮生尿急和尿失禁時的環境誘因，併量化每箇患者麵對某箇誘因時OAB髮作的頻率（很少＝1，有時＝2，經常＝3，通常＝4，總是＝5）。結果所有患者（100％）均報告至少1箇因素與尿急相關，921．％的患者（n＝70）報告至少1箇因素與尿失禁相關；尿急或尿失禁關繫最為密切的環境因素有去洗手間的路上、早晨醒來、外齣迴傢開門時、感覺到寒冷時、由臥位站起、看見自來水、想到要去洗手間和因其他原因（除小便）在洗手間時。結論幾乎所有的OAB患者均存在某一環境誘因能夠誘髮尿急或尿失禁髮作，條件反射可能與癥狀髮作有關。
목적：탐토방광과도활동증（overactive bladder ，OAB）환자증상발작시적배경유인。방법편리추취2013년1월지2014년3월재온주의과대학부속제이의원문진진치적76례O AB환자위연구대상，응용자행설계적반결구식문권조사해조환자발생뇨급화뇨실금시적배경유인，병양화매개환자면대모개유인시OAB발작적빈솔（흔소＝1，유시＝2，경상＝3，통상＝4，총시＝5）。결과소유환자（100％）균보고지소1개인소여뇨급상관，921．％적환자（n＝70）보고지소1개인소여뇨실금상관；뇨급혹뇨실금관계최위밀절적배경인소유거세수간적로상、조신성래、외출회가개문시、감각도한랭시、유와위참기、간견자래수、상도요거세수간화인기타원인（제소편）재세수간시。결론궤호소유적OAB환자균존재모일배경유인능구유발뇨급혹뇨실금발작，조건반사가능여증상발작유관。
Objective To explore the environmental provocative factors for onset of symptoms in patients with overactive bladder (OAB) .Methods By convenience sampling ,76 cases of OAB patients were selected and investigated by using self-designed semi-structured questionnaire of the provocative factors of urinary urgency and incontinence .The frequency of OAB was quantified in each patients (rarely=1 ,sometimes=2 , frequently=3 ,often=4 ,always=5) .Results All 100% of patients reported at least one factor associated with urinary urgency ,92 1.% (n=70) reported at least one factor associated with urinary incontinence .The several environmental factors most closely associated with urinary urgency or incontinence were on the way to the bathroom ,waking up in the morning ,opening the front door ,feeling the cold weather ,standing up from the supine ,seeing running water ,thinking of going to the bathroom ,in the bathroom for another rea-son besides urinating .Conclusion Almost all OAB patients have environmental triggers which can induce urinary urgency and incontinence episodes .Conditioned reflex may be related to the onset of symptoms .
