护理学报 ›› 2018, Vol. 25 ›› Issue (22): 33-37.doi: 10.16460/j.issn1008-9969.2018.22.033
老年女性压力性尿失禁患者盆底肌训练依从性的研究进展
高燕1, 许方蕾2
- 1.上海同济大学医学院 上海市普陀区人民医院 老年科,上海200060;
2.上海同济大学附属同济医院 护理部,上海 200065
摘要： 目的 总结老年女性尿失禁患者盆底肌训练依从性的现状、评价方法、影响因素及干预策略。方法 从老年女性压力性尿失禁患者盆底肌训练依从性现状,客观评价工具（7 d膀胱日记、24 h尿垫测试）,主观评价工具（国际尿失禁咨询委员会尿失禁问卷简表、Broom盆底肌肉运动自我效能量表及尿失禁生活质量量表）,盆底肌训练依从性不佳的影响因素（年龄、文化程度、疾病严重程度、健忘程度及自我效能）及综合盆底肌训练依从性的干预策略（认知行为干预、自我效能干预、家庭与社会支持及互联网远程管理）等方面进行综述。结果 老年女性尿失禁患者盆底肌训练依从性不佳,其依从性的主观评价工具与客观工具各有利弊。现有研究多从尿失禁发生频率、症状改善、自我效能、生活质量等方面间接评价患者盆底肌训练的依从性,可以通过提高患者对盆底肌训练的认识、自我效能干预、家庭与同伴支持、使用互联网远程管理、定期随访等方法提高盆底肌训练依从性及短期训练效果。结论 国内外对于提高盆底肌训练依从性的干预方式、方法和干预持续时间尚未统一,且对盆底肌训练的长期效果研究甚少,更多系统全面的老年女性压力性尿失禁患者盆底肌训练干预方案还有待进一步探讨。
中图分类号:
- R473.59
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