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| 互联网+延续性护理对压力性尿失禁患者的应用效果 |
| 黄锦华,金鑫悦,洪哲晶,谢剑云,曾桂红,尤晓凤,共舒越,上官怡岚,张文烨,向姝静,陈捷 |
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| 福建中医药大学附属人民医院福州350004;浙江中医药大学附属杭州市中医院杭州310007;福建中医药大学护理学院福州350122 |
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| 摘要: |
| 目的:观察基于临床科研一体化平台的互联网+延续性盆底康复护理对压力性失禁患者的应用效果。方法:采用前瞻性队列研究方法，选取2021年4月—2023年1月福建中医药大学附属人民医院盆底医学中心收治的200例压力性尿失禁(SUI)患者作为研究对象，以“延续性盆底康复护理”为暴露因素，根据是否接受延续性盆底康复护理干预分为试验组(121例)和对照组(79例)两组。在患者出院后，试验组采用基于互联网的延续性盆底康复护理平台对患者进行延续性护理干预，对照组采取电话的形式进行定期随访，填写问卷资料，比较干预前及干预1、3个月两组患者盆底肌训练(PFMT)±从率、PFMT自我效能(BPM-SES)评分、尿失禁问卷简表(ICI-Q-SF)评分情况。结果:试验组干预1、3个月的±从率均高于对照组(P＜0.05)；干预前及干预1、3个月后，两组的PFMT自我效能评分组间、时间、交互效应均具有统计学意义(P＜0.01)，干预1、3个月后，试验组患者PFMT自我效能评分均高于对照组(P＜0.01)；干预前及干预1、3个月后，两组的ICI-Q-SF评分组间、时间、交互效应均具有统计学意义(P＜0.01)，干预1、3个月后，试验组ICI-Q-SF评分均低于对照组(P＜0.01)。结论:基于互联网的延续性盆底康复护理平台对SUI患者的居家康复有较好的应用效果，可提高患者的PFMT±从性及PFMT自我效能，改善尿失禁症状，值得推广应用。 |
| 关键词: 互联网 延续性护理 压力性尿失禁 |
| DOI：10.3969/j.issn.1007-6948.2024.05.009 |
| 投稿时间：2024-04-28 |
| 基金项目:福建省科技厅引导性项目(2020Y0047) |
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| Influence of internet combine continuous nursing on patients with stress urinary incontinence |
| HUANG Jin-hua,JIN Xin-yue,HONG Zhe-jin |
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| Abstract: |
| Objective To observe the application effect of Internet combine continuous pelvic floor rehabilitation nursing on patients with stress incontinence based on the integrated platform of clinical research. Methods A prospective cohort study method was used. 200 SUI patients who visited and participated in the treatment in the Pelvic Health and Rehabilitation Center of the People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from April 2021 to January 2023 were selected as the research cohort. With "continuous pelvic floor rehabilitation nursing" as the exposure factor, 121 cases in the experimental group and 79 cases in the control group were divided according to whether they received continuous nursing intervention. The experimental group used the Internet-based continuous pelvic floor rehabilitation nursing platform to carry out continuous nursing intervention for patients after discharge, while the control group took the form of telephone for regular follow-up, filled in the questionnaire data, and compared the pelvic floor muscle training compliance rate, pelvic floor muscle training self-efficacy score (BPM-SES), and urinary incontinence questionnaire short form (ICI-Q-SF) score of the two groups before intervention, 1 month and 3 months after intervention. Results the compliance rate of the experimental group after 1 month and 3 months of intervention was higher than that of the control group (P<0.01). The pelvic floor muscle training self-efficacy scores of the two groups before the intervention, 1 month and 3 months after the intervention were statistically significant (P<0.01). After the intervention for 1 month and 3 months, the pelvic floor muscle training self-efficacy scores of the experimental group were higher than those of the control group (P<0.01). The ICI-Q-SF scores of the two groups before intervention, 1 month and 3 months after intervention were statistically significant (P<0.01), and the ICI-Q-SF scores of the experimental group were lower than those of the control group after intervention for 1 month and 3 months (P<0.01). Conclusion The continuous pelvic floor rehabilitation nursing platform based on the Internet has a good application effect on the home rehabilitation of patients with stress urinary incontinence, which can improve the patients' pelvic floor muscle training compliance and pelvic floor muscle training self-efficacy, improve the symptoms of urinary incontinence, and is worthy of popularization and application. |
| Key words: Internet continuity of care stress urinary incontinence |
