切换至 "中华医学电子期刊资源库"
高级检索
中华妇幼临床医学杂志(电子版)

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: )
全文 ( ) 下载PDF ( ) 导出引用
引用本文：

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/OL]. 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/OL]. 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
[1]
Deng DY. Urinary incontinence in women[J]. Med Clin North Am, 2011, 95:101-109.
[2]
Ge J, Zhang Y, Li XY, et al. Case-control study on risk factors associated with stress urinary incontinence among adult women[J/CD]. Chin J Obset Gynecol Pediatr: Electron Ed, 2010, 6(5):319-322.
[3]
Thomn DH, Rortveit G. Prevalence of postpartum urinary incontinence: A systematic review[J]. Acta Obstet Gynecol Scand, 2010, 89:1511-1522.
[4]
Chen Y, Lu S, Wang Y, et al. The short-term effectiveness of tension-free vaginal tape-obturator system on stress urinary incontinence in the elderly female patients[J]. Chin J Geriatr, 2011, 30(12):1021-1023.
[5]
Hinoul P, Roovers JP, Ombelet W, et al. Surgical management of urinary stress incontinence in women a historical and clinical overview[J]. Eur J Obstet Gynecol Reprod Biol, 2009, 145:219-225.
[6]
Beckel JM, Holstege G. Neurophysiology of the lower urinary tract[J]. Handb Exp Pharmacol, 2011, 202:149-169.
[7]
Jin XY, Song B. Clinical urodynamics[M]. Beijing: People's Medical Publishing House, 2002, 74-75.
[8]
Wu WY. Self-rating anxiety scale, self-rating depression scale, qquality of life index questionnaire// Chinese Journal of Behavioral Medical Science Editor, Behavioral medicine scale manual[M]. Beijing:Chinese Medical Electronic Audio and Video Publishing House, 2005, 213-214, 223-229.
[9]
Shang X, Zhu L, Lang JH, et al. A prospective randomized controlled study: The impact to quality of life of biofeedback pelvic muscles exercise and electrical stimulation in female stress urinary incontinence patients[J]. Acta Academiae Med Sinicae, 2011, 33(4):452-455.
[10]
Chen XL, Jiang M, Feng L, et al. A comparative study on two surgical procedures in treatment of stress urinary incontinence in old women[J]. Chin J Geriatr, 2010, 29:648-651.
[11]
Zhang LH, Wang JQ, Bai JJ, et al. Study on the prevalence, knowledge and quality of life of middle and old age women with stress urinary incontinence[J]. Chin J Nurs, 2010, 45(11):1009-1011.
[12]
Peeker I, Peeker R. Early diagnosis and treatment of genuine stress urinary incontinence in women after pregnancy: Midwives as detectives[J]. J Midwifery Women Health, 2003, 48:60-66.
[13]
Sampselle CM. Behavioral intervention: The first-line treatment for women with urinary incontinence[J]. Curr Urol Rep, 2003, 4:356-361.
[14]
Burgio KL, Goode PS, Locher JL, et al. Predictors of outcome in the behavioral treatment of urinary incontinence in women[J]. Obstet Gynecol, 2003, 102:940-947.
[15]
Dannecker C, Wolf V, Raab R, et al. EMG-biofeedback assisted pelvic floor muscle training is an effective therapy of stress urinary or mixed incontinence: A 7-year experience with 390 patients[J]. Arch Gynecol Obstet, 2005, 273(2):93-97.
[1] 胡可, 鲁蓉. 基于多参数超声特征的中老年女性压力性尿失禁诊断模型研究[J/OL]. 中华医学超声杂志（电子版）, 2024, 21(05): 477-483.
[2] 陈翠萍, 李佩君, 杜景榕, 谢青梅, 许一宁, 卓姝妤, 李晓芳. 互联网联合上门护理在老年全髋关节置换术后的应用效果[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 676-681.
[3] 张少华, 林爱齐, 张玉, 董晓云, 刘红英. HLA和IL基因多态性及其与复发性自然流产的相关性[J/OL]. 中华妇幼临床医学杂志(电子版), 2024, 20(03): 251-259.
[4] 刘柏隆, 周祥福. 压力性尿失禁阶梯治疗的项目介绍[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 125-125.
[5] 刘柏隆. 女性压力性尿失禁阶梯治疗之手术治疗方案选择[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 126-126.
[6] 刘柏隆, 周祥福. 女性尿失禁吊带手术并发症处理的经验分享[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(01): 127-127.
[7] 黄俊龙, 李文双, 李晓阳, 刘柏隆, 陈逸龙, 丘惠平, 周祥福. 基于盆底彩超的人工智能模型在女性压力性尿失禁分度诊断中的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(06): 597-605.
[8] 屈勤芳, 束方莲. 盆腔器官脱垂患者盆底重建手术后压力性尿失禁发生的影响因素及列线图预测模型构建[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(06): 606-612.
[9] 黄俊龙, 刘柏隆, 罗瑞翔, 李晓阳, 李文双, 柳政, 陈嘉良, 周祥福. 联合盆底彩超数据和临床资料探讨压力性尿失禁的危险因素[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(04): 323-330.
[10] 刘欣茹, 杜鹃, 代健健, 辛秀娟, 高梨梨. SBAR沟通模式在急诊腹股沟疝手术患者中的应用研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(04): 451-455.
[11] 张璇, 高杨, 房雅君, 姚艳玲. 保护性机械通气在肺癌胸腔镜肺段切除术中的临床应用[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(04): 563-567.
[12] 马锦芳, 何正光, 郑劲平. 盐酸氨溴索雾化吸入治疗慢性阻塞性肺疾病黏痰症患者的疗效和安全性分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(04): 568-574.
[13] 陶银花, 张红杰, 王亚岚, 陈莲, 张珺. 间歇式气压治疗预防肺癌化疗下肢深静脉血栓的临床分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(04): 605-608.
[14] 林建琴, 孔令敏, 陆银凤, 陈勇, 金凤, 叶磊, 陈方梅. PERMA模式对肺癌患者治疗获益感及生活质量的影响分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(04): 634-638.
[15] 赵磊, 刘文志, 林峰, 于剑, 孙铭骏, 崔佑刚, 张旭, 衣宇鹏, 于宝胜, 冯宁. 深部热疗在改善结直肠癌术后辅助化疗副反应及生活质量中的作用研究[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(06): 488-493.
阅读次数
全文


摘要

版权所有 中华医学会 中华医学电子音像出版社有限责任公司  京ICP备14006079号-1  网络出版服务许可证：(署)网出证(京)字第075号