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King互动达标理论对老年压力性尿失禁患者盆底肌训练依从性的影响
刘振华
0
(广西河池市妇幼保健院)
摘要:
目的 探讨King互动达标理论对老年压力性尿失禁患者盆底肌训练依从性的影响。方法 按照随机数字表法将2018年1月至2019年2月河池市妇幼保健院收治的100例老年压力性尿失禁盆底肌训练患者分为对照组和观察组各50例,对照组给予压力性尿失禁常规护理,观察组将King互动达标理论应用于护理干预中,观察比较两组患者干预后盆底肌训练依从情况,以及干预前和干预后两组患者最大尿道压(MUP)、最大尿道关闭压(MUCP)。结果 观察组患者干预后盆底肌训练依从率高于对照组(96% vs. 70%)(P<0.01)。干预前两组患者MUP和MUCP差异无统计学意义(P>0.05);干预6个月后,两组患者MUP和MUCP均较干预前提高,且干预组高于对照组(P<0.01)。结论 King互动达标理论用于老年压力性尿失禁护理干预中能提高患者盆底肌训练依从性,促进患者膀胱和尿道功能的康复,值得临床推广应用。
关键词:  King互动达标理论  老年压力性尿失禁  盆底肌训练  依从性
DOI:10.3969/j.jssn.2096-501X.2020.02.013
基金项目:
Effects of King interaction standard theory on the compliance with pelvic floor muscle exercises in elderly women with stress urinary incontinence
刘振华
(Hechi Maternal and Child Health Care Hospital)
Abstract:
Objective To investigate the effect of King interactive standard theory on compliance with pelvic floor muscle training in elderly patients with stress incontinence. Methods By the method of random number table, 100 elderly women with stress urinary incontinence who carried out the exercises of pelvic floor muscle from January 2018 to February 2019 in Hechi Maternal and Child Health Care Hospital were divided into control group and observation group, with 50 cases in each group. The patients in control group were treated with conventional nursing. And the King interactive standard theory was performed in observation group on the basis of the intervention in control group. The compliance with pelvic floor muscle training and the maximum urethral pressure(MUP), maximum urethral closure pressure(MUCP) between the two groups before and 6 months after the intervention were compared. Results The compliance rate of pelvic floor muscle training in the observation group was higher than that of control group (96% vs 70%, P<0.01). Before the intervention, there was no significant difference in MUP and MUCP between the two groups (P>0.05). After 6 months of intervention, MUP and MUCP in both groups were improved. And both of the indexes in observation group were higher than those of control group (P<0.01). Conclusions King interactive standard theory intervention can improve the compliance with pelvic floor muscle training in elderly patients with stress incontinence and promote the recovery of bladder and urethra functions, which is worthy of clinical promotion.
Key words:  King interaction standard theory  Elderly women with stress urinary incontinence  Pelvic floor muscle exercises  Compliance

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