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

doi:10.3877/cma.j.issn.1673-5250.2013.02.015

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

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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