摘要
目的 探讨基于个人与家庭自我管理理论的5A护理策略对脑卒中后尿失禁患者康复效果的影响。方法 选取医院2021年1月-2023年12月接收的103例脑卒中后尿失禁患者为研究对象,按照组间基线资料均衡可比的原则将患者分为对照组和观察组,对照组51例接受常规护理,观察组52例在常规护理的基础上接受基于个人与家庭自我管理理论的5A护理。比较两组患者护理前及护理3个月后的72 h排尿日记中的夜尿次数、白天排尿次数、总排尿次数、尿失禁次数、平均每次尿量,以及患者病耻感评分、自我管理能力评分、生活质量评分。结果 护理3个月后,观察组患者的夜尿次数、白天排尿次数、总排尿次数、尿失禁次数均低于对照组,平均每次尿量多于对照组,差异有统计学意义(P<0.05);护理3个月后观察组患者的SIS评分低于对照组,SSSMQ评分、I-QOL评分高于对照组,差异有统计学意义(P<0.05)。结论 基于个人与家庭自我管理理论的5A护理策略能够改善脑卒中后尿失禁患者的排尿控制程度、病耻感、自我管理能力及生活质量,具有较好的康复效果。
Objective To explore the effect of the 5A nursing strategy based on the individual and family self-management theory on the rehabilitation outcomes of patients with post-stroke urinary incontinence.Methods A total of 103 patients with post-stroke urinary incontinence admitted to the hospital from January 2021 to December 2023 were selected as the study subjects.According to the principle of balanced and comparable baseline data between groups,the patients were divided into a control group and an observation group.The control group(n=51)received routine nursing,while the observation group(n=52)received the 5A nursing strategy based on the individual and family self-management theory in addition to routine nursing.The two groups were compared in terms of the number of nocturia,daytime urinations,total urinations,incontinence episodes,and average urine volume per void recorded in the 72-hour voiding diary before and 3 months after nursing,as well as scores for patients'stigma,self-management ability,and quality of life.Results After 3 months of nursing,the number of nocturia,daytime urinations,total urinations,and incontinence episodes of the observation group were lower than those of the control group,while the average urine volume per void was more than that in the control group,the differences were statistically significant(P<0.05).After 3 months of nursing,the SIS score of the observation group was lower than those of the control group,while the SSSMQ and I-QOL scores were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The 5A nursing strategy based on individual and family self-management theory can improve urinary control,stigma,self-management ability and quality of life in patients with post-stroke urinary incontinence.This approach has good rehabilitation outcomes.
作者
王晶晶
李小丽
汤琪
严丽丽
唐婷婷
WANG Jingjing;LI Xiaoli;TANG Qi;YAN Lili;TANG Tingting(Jiangsu Medical College,Yancheng 224700,China)
出处
《护理实践与研究》
2025年第10期1468-1473,共6页
Nursing Practice and Research
基金
江苏省科学技术厅自然科学基金项目(编号:BK20201234)。
关键词
个人与家庭自我管理理论
5A护理
脑卒中
尿失禁
自我管理能力
Individual and family self-management theory
5A nursing
Stroke
Urinary incontinence
Self-management ability
