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中华妇幼临床医学杂志(电子版) ›› 2013, Vol. 09 ›› Issue (02) : 197 -200. doi: 10.3877/cma.j.issn.1673-5250.2013.02.015

所属专题： 文献；

论著

认知行为疗法对女性压力性尿失禁患者生活质量的影响
王亚楠1,*,*(), 王爱华1, 徐芝玲1, 张洛英1   
  1. 1. 476100　河南商丘，河南省商丘市第一人民医院妇产科
  • 收稿日期:2012-12-29 修回日期:2013-03-19 出版日期:2013-04-01
  • 通信作者: 王亚楠

Effects of Cognitive Behavior Therapy on Quality of Life in Female Patients With Stress Urinary Incontinence

Ya-nan WANG1(), Ai-hua WANG1, Zhi-ling XU1, Luo-ying ZHANG1   

  1. 1. Department of Obstetrics and Gynecology, First People's Hospital of Shangqiu City, Shangqiu 476100, Henan Province, China
  • Received:2012-12-29 Revised:2013-03-19 Published:2013-04-01
  • Corresponding author: Ya-nan WANG
  • About author:
    (Corresponding author: WANG Ya-nan, Email: )
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王亚楠, 王爱华, 徐芝玲, 张洛英. 认知行为疗法对女性压力性尿失禁患者生活质量的影响[J]. 中华妇幼临床医学杂志(电子版), 2013, 09(02): 197-200.

Ya-nan WANG, Ai-hua WANG, Zhi-ling XU, Luo-ying ZHANG. Effects of Cognitive Behavior Therapy on Quality of Life in Female Patients With Stress Urinary Incontinence[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2013, 09(02): 197-200.

目的

探讨认知行为疗法对女性压力性尿失禁(SUI)患者心理状态和生活质量的影响。

方法

选取2011年6月至2011年11月在本院妇科门诊就诊并确诊为SUI的45例患者研究对象。所有患者均接受认知行为治疗，疗程为12周。于治疗前1 d及治疗12周后采用《焦虑自评量表》(SAS)，《抑郁自评量表》(SDS)和《主观尿失禁等级评价问卷》及《生活质量指数问卷》(QL-Index)对患者进行评定(本研究遵循的程序符合本院人体试验委员会制定的伦理学标准，得到该委员会批准，并与受试对象签署临床研究知情同意书)。

结果

采用认知行为疗法治疗12周后，女性SUI患者的SAS和SDS评分较治疗前均显著降低[(31.25±9.61)分vs.(40.71±8.24)分；(41.28±7.52)分vs.(46.83±8.11)分]，治疗前、后比较，差异有统计学意义(t＝4.23，3.37；P<0.01)；治疗12周后治愈改善率为51.11%(23/45)，治疗前、后主观尿失禁等级评价比较，差异有统计学意义(χ2＝17.84，P<0.01)；患者生活质量评分较治疗前亦有显著提高，差异有统计学意义(P<0.05)。

结论

认知行为疗法有助于改善女性SUI患者心理状态，缓解主观症状，提高其生活质量。

关键词: 认知行为疗法, 压力性尿失禁, 女性, 生活质量
Objective

To discuss the effects of cognitive behavior therapy on mentation and quality of life in female patients with stress urinary incontinence (SUI).

Methods

Cognitive behavior therapy was conduct to 45 patients with SUI from June to November 2011, and cognitive behavior therapy lasted 12 weeks. Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Subjective Incontinence Level Evaluation Questionnaire and Quality of Life (QL-Index) Scale were used to evaluate the degrees of SUI before and after 12 weeks of cognitive behavior therapy, respectively. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of First People's Hospital of Shangqiu City. Informed consent was obtained from all participates.

Results

Compared to pretherapy, the SAS and SDS score obviously reduced after 12 weeks of therapy, respectively[(31.25±9.61) score vs. (40.71±8.24) score, (41.28±7.52) socre vs. (46.83±8.11) score] with significant difference (t=4.23, 3.37; P<0.01). The improvement rate of clinical symptoms was 51.11% (23/45). The differences of subjective urinary incontinence levels between before and after the treatment had statistically significant difference (χ2=17.84, P<0.01), and the quality of life scale values enhanced after the treatment with statistically significant difference (P<0.05).

Conclusions

The cognitive behavior therapy is helpful to improve the mentation and quality of life, and relieve subjective symptoms.

Key words: cognitive behavior therapy, stress urinary incontinence, female, quality of life
表1 治疗前、后患者主观尿失禁等级评价结果比较[n(%)]
Table 1 Comparison of grade evaluation of objective urinary incontinence before and after the treatment[n(%)]
项目 n 0级 1级 2级
治疗前 45 0 (0.00) 19(42.22) 26(57.78)
治疗后 45 5(11.11) 32(71.11) 8(17.78)
表2 治疗前、后患者生活质量评分结果比较(分，±s)
Table 2 Comparison of scores of quality of life before and after the treatment (score，±s)
项目 n 活动 日常生活 健康 近期支持 总体精神 生活质量总指数
治疗前 45 1.54±0.43 1.50±0.35 1.47±0.36 1.41±0.45 1.59±0.39 7.51±1.98
治疗后 45 1.79±0.37 1.68±0.42 1.65±0.45 1.60±0.36 1.81±0.34 8.53±1.94
t 　 2.96 2.21 2.10 2.21 2.85 2.53
P 　 <0.01 <0.05 <0.05 <0.05 <0.01 <0.05
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