摘要
目的：评价个体化行为干预模式对老年女性压力性尿失禁患者术后情绪及健康状态影响，为患者术后康复提供指导。方法连续性纳入压力性尿失禁的老年女性患者124例，对其进行个体化行为干预、随访，采用专门制定的个体化行为干预措施进行干预，采用 Zung 焦虑自评量表、抑郁自评量表、女性下尿路症状国际尿失禁标准问卷（ICIQ-FLUTS）、泌尿生殖系统疾病量表-7（UDI-7）、健康状况量表 SCL-90进行1个月、3个月、6个月随访效果评价。结果个体化行为干预后，不同时间点焦虑、抑郁评分差异均有统计学意义[焦虑评分：干预前（56．27±5．68）分，1个月（51．29±5．37）分，3个月（45．36±5．18）分，6个月（36．19±4．78）分，两两比较，F ＝298．69，P ＝0．000。抑郁评分：干预前（59．16±6．12）分，1个月（52．68±5．62）分，3个月（48．28±5．32）分，6个月（39．86±4．27）分，两两比较，F ＝252．10，P ＝0．000]。不同时间点 ICIQ-FLUTS、UDI-7评分差异均有统计学意义[ICIQ-FLUTS 评分：干预前（31．79±3．74），1个月（29．62±3．18）分，3个月（27．54±2．67）分，6个月（23．32±2．16）分，两两比较，F ＝161．15，P ＝0．000。UDI-7评分：干预前（19．29±1．76）分，1个月（16．09±1．48）分，3个月（14．32±1．37）分，6个月（11．57±1．26）分；两两比较， F ＝531．23，P ＝0．000]。不同时间点躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性评分差异均有统计学意义（躯体化评分：F ＝18．933，P ＝0．000；强迫：F ＝5．153，P ＝0．000；人际关系敏感：F ＝3．314，P ＝0．020；抑郁：F ＝9．306，P ＝0．000；焦虑：F ＝4．902，P ＝0．002；敌对：F ＝6．852，P ＝0．000；恐怖：F ＝7．782，P ＝0．000；偏执：F ＝11．917，P ＝0．000；精神病性：F ＝8．560，P ＝0．000）。结论在个体化行为干预模式下，随时间的推移，患者焦虑、抑郁、ICIQ-FLUTS、UDI-7、健康状况评分有下降趋势，患者的情绪状况逐渐好转、尿失禁程度及受尿失禁困扰程度逐渐减少，生活质量逐渐好转；个体化行为干预模式对老年压力性尿失禁患者术后情绪、生活质量及健康具有积极影响，值得临床应用。
Objective To observe the influence of individual behavior intervention on emotion and quality of life of elderly females with stress urinary incontinence and provide guidance for health intervention.Methods 124 elderly females with stress urinary incontinence were selected.Individual behavior intervention was used,and after 1,3,6 months,the effect was evaluated by anxiety,depression,ICIQ -FLUTS,UDI -7,and SCL -90.Results After the individual behavior intervention,anxiety and depression scores became lower[anxiety scores：before intervention （59.16 ±6.12）points,1month （52.68 ±5.62）points,3months （48.28 ±5.32）points,6months （39.86 ± 4.27）points,there were statistically significant differences between the two groups（F =298.69,P =0.000）.Depres-sion scores：before intervention （59.16 ±6.12）points,1 month （52.68 ±5.62）points,3 months （48.28 ± 5.32）points,6 months （39.86 ±4.27）points,there were statistically significant differences between the two groups （F =252.10,P =0.000）].ICIQ -FLUTS and UDI -7 scores became less[ICIQ -FLUTS scores：before interven-tion （31.79 ±3.74）points,1 month （29.62 ±3.18）points,3 months （27.54 ±2.67）points,6 months （23.32 ± 2.16）points,there were statistically significant differences between the two groups（F =161.15,P =0.000）.UDI -7 scores：before intervention （19.29 ±1.76）points,1 month （16.09 ±1.48）points,3 months （14.32 ±1.37）points,6 months （11.57 ±1.26）points,there were statistically significant differences between the two groups（F =531.23, P =0.000）].There were significant differences in somatization,obsession,sensitivity of interpersonal relationship, depression,anxiety,hostility,fear,crankiness and psychotic diseases（somatization scores：F =18.933,P =0.000;obsession：F =5.153,P =0.000;sensitivity of interpersonal relationship：F =3.314,P =0.020;depression：F =9.306,P =0.000;anxiety：F =4.902,P =0.002;hostility：F =6.852,P =0.000;fear：F =7.782,P =0.000;cranki-ness：F =11.917,P =0.000;psychotic diseases：F =8.560,P =0.000）.Conclusion After the individual behavior intervention,anxiety,depression,ICIQ -FLUTS,UDI -7,and scl -90 scores become lower.Individual behavior inter-vention has a positive effect on emotional states and quality of life,which is worthy of clinical promotion.
出处
《中国基层医药》
CAS
2016年第2期190-195,共6页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省医药卫生科技计划项目（2013kyb216）
