多元化干预策略在中老年女性压力性尿失禁中的疗效-国际护理学研究-CSCIED科技核心评价数据库-手机版

多元化干预策略在中老年女性压力性尿失禁中的疗效

Efficacy of multi-faceted intervention strategies for stress urinary incontinence in middle-aged and elderly women

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DOI	10.12208/j.ijnr.20250513
刊名	国际护理学研究 International Journal of Nursing Research
年，卷(期)	2025, 7(10)
作者	陈丽², 郝冬梅², 庞海¹, 余艳琴¹, 张晓芳²,
作者单位	1 包头医学院实验动物中心内蒙古包头 2 包头医学院第一附属医院妇产科内蒙古包头
摘要	目的探讨多元化干预措施对中年女性压力性尿失禁中的疗效及影响因素研究，为后续临床应用提供参考价值。方法选取2020年10月-2024年12 月在包头市某三甲医院收治200例的中老年女性压力性尿失禁患者为研究对象，依据治疗方式可以分为4组分别为盆底肌训练组、盆底康复仪治疗组，多元化干预策略+盆底肌训练组，多元化干预策略+盆底康复仪治疗组，评估四组实验对象在治疗前、后应用盆底肌评估量表、尿失禁问卷表简表（ICI-Q-SF）、VAS疼痛评分标准、焦虑自评量表（SAS）、生活质量量表（SF-36）等观察患者临床疗效以及评估膀胱功能指标的变化情况。结果四组患者有效率分别为60.00%、80.00%、70.00%，88.00%，四组之间比较差异有统计学意义（P＜0.05），其中DIS+盆底康复仪组的疗效最优。与治疗前相比，治疗后四组患者 24 h 排尿次数、残余尿量、焦虑评分、1h 尿垫、漏尿次数均显著降低（P<0.05），膀胱容量、每次排尿量、生活质量、会阴肌力均显著增加（P<0.05）。与PFMT治疗组相比，其余三组患者在24 h 排尿次数、残余尿量、焦虑评分、1h 尿垫、漏尿次数均显著降低（P<0.05），膀胱容量、每次排尿量、生活质量、会阴肌力均显著增加（P<0.05）；与盆底康复仪治疗组和DIS+PFMT治疗组相比，DIS+盆底康复仪组患者在24 h 排尿次数、残余尿量、焦虑评分、1h 尿垫、漏尿次数均显著降低（P<0.05），膀胱容量、每次排尿量、生活质量、会阴肌力均显著增加（P<0.05）。结论四种疗法对中老年女性压力性尿失禁具有治疗效果，尤其是多元化干预策略+盆底康复仪治疗效果最好，可依据患者情况酌情选择。
Abstract	Objective To explore the therapeutic effect and influencing factors of diversified intervention measures on stress urinary incontinence in middle-aged and elderly women, it was provide reference value for subsequent clinical applications. Methods 200 middle-aged and elderly female patients with stress urinary incontinence admitted to a tertiary hospital in Baotou City from October 2020 to December 2024 were selected as the research subjects. According to the treatment methods, they were divided into four groups: pelvic floor muscle training group, pelvic floor rehabilitation instrument treatment group, diversified intervention strategy+pelvic floor muscle training group, and diversified intervention strategy+pelvic floor rehabilitation instrument treatment group. The four experimental groups were evaluated for their clinical efficacy and changes in bladder function indicators before and after treatment using pelvic floor muscle assessment scale, urinary incontinence questionnaire simplified form (ICI-Q-SF), VAS pain scoring standard, anxiety self-assessment scale (SAS), quality of life scale (SF-36), etc. Results The effective rates of the four groups of patients were 60.00%、80.00%、70.00% and 88.00%, respectively. There was a statistically significant difference between the four groups (P<0.05), and the DIS+pelvic floor rehabilitation instrument group had the best therapeutic effect. Compared with before treatment, the 24-hour urination frequency, residual urine volume, anxiety score, 1-hour urine cushion, and leakage frequency of the four groups of patients significantly decreased after treatment (P<0.05), while bladder capacity, urine volume per urination, quality of life, and perineal muscle strength significantly increased (P<0.05). Compared with the PFMT treatment group, the other three groups of patients showed significant reductions in 24-hour urination frequency, residual urine volume, anxiety score, 1-hour urine cushion, and leakage frequency (P<0.05), while bladder capacity, urine volume per urination, quality of life, and perineal muscle strength were significantly increased (P<0.05); Compared with the pelvic floor rehabilitation device treatment group and the DIS+PFMT treatment group, patients in the DIS+pelvic floor rehabilitation device group showed significant reductions in 24-hour urination frequency, residual urine volume, anxiety score, 1-hour urine cushion, and leakage frequency (P<0.05), as well as significant increases in bladder capacity, urine output per session, quality of life, and perineal muscle strength (P<0.05). Conclusion The four therapy have therapeutic effects on stress urinary incontinence in middle-aged and elderly women, especially the combination of diversified intervention strategies and pelvic floor rehabilitation equipment has the best treatment effect, which can be selected according to the patient's situation.
关键词	新发压力性尿失禁；疗效；膀胱功能；并发症
KeyWord	Newly developed stress urinary incontinence; Therapeutic effect; Bladder function; Complication
基金项目
页码	18-24

参考文献
相关文献

[1] 况沛,王志.中国人口老龄化问题现状、成因及应对
[J].现代商贸工业,2024,45(10):160-163.

[2] 李巧巧,于霞,罗映娟,等.女性压力性尿失禁疾病负担研究进展
[J].中国计划生育和妇产科, 2022, 14(9): 10-16.

[3] 谢冰,王世言,孙秀丽,等.北京大学女性压力性尿失禁诊断与治疗专家共识
[J].中国妇产科临床杂志,2025,26(04): 370-378.

[4] LUO L,XIE H.Review of self-efficacy assessment scales for geriatric patients with urinary incontinence
[J].Int Urol Nephrol,2023,55(9):2133-2138.

[5] FRIGERIO M,BARBA M,COLA A,et al.Quality of life,psychological wellbeing,and sexuality in women with urinary incontinence—where are we now:a narrative review
[J].Medicina (Kaunas),2022,58(4):525.

[6] 孙秀丽.基于整体理论的压力性尿失禁手术治疗探索
[J].中国实用妇科与产科杂志,2025,41(5):490-493.

[7] Desai SA,Vakil Z,Kroumpouzos G.Transcutaneous temperature-Controlled Radiofrequency Treatment: Improvement in Female Genital Appearance, Sexual Dysfunction, and Stress Urinary Incontinence
[J].Aesthetic Surgery Journal,2021,41 (12):1400-1408.

[8] Mishra VV,Solanki SB,Mishra NV,et al.Transcutaneous temperature controlled radiofrequency: groundbreaking technolog-Female stress urinary incontinence and overactive bladder canbe treated noninvasively and with vulvovaginal rejuvenation?
[J].Journal of Mid-Life Health, 2023, 14(2):69-72.

[9] Yu EYT, Wan EYF, Mak IL, Chao DVK, Ko WWK, Leung M, Li YC, Liang J, Luk W, Wong MMY, Ha TKH, Chan AKC, Fong DYT, Lam CLK. Assessment of Hypertension Complications and Health Service Use 5 Years After Implementation of a Multicomponent Intervention. JAMA Netw Open. 2023 May 1;6(5):e2315064.

[10] Mohamed-Ahmed R, Taithongchai A, da Silva AS, Robinson D, Cardozo L. Treating and Managing Urinary Incontinence: Evolving and Potential Multicomponent Medical and Lifestyle Interventions. Res Rep Urol. 2023 Jun 17;15:193-203.

[11] 中华医学会妇产科学分会妇科盆底学组 .女性压力性尿失禁诊断和治疗指南（2017）
[J]. 中华妇产科杂志,2017,52（5）:289-293.

[12] 蔡文智,张焱,陈玲,陈晓敏,胡英杰.电刺激联合生物反馈治疗初产妇和经产妇压力性尿失禁的疗效观察
[J].中国康复医学杂志,2020,35(2),:141-145,150.

[13] Hay-Smith EJC, Starzec-Proserpio M, Moller B, Aldabe D, Cacciari L, Pitangui ACR, Vesentini G, Woodley SJ, Dumoulin C, Frawley HC, Jorge CH, Morin M, Wallace SA, Weatherall M. Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2024 Dec 20;12(12): CD009508.

[14] Gao L, Wang S, Zhang D, Zhu H, Jia Y, Wang H, Li S, Fu X, Sun X, Wang J. Pelvic Floor Muscle Strength in the First Trimester of Primipara: A Cross-Sectional Study. Int J Environ Res Public Health. 2022 Mar 17;19(6):3568.

[15] Ho-Yin PL, Man-Wah P, Shing-Kai Y. Effects of aging on generic SF-36 quality of life measurements in Hong Kong Chinese women with urinary incontinence. Acta Obstet Gynecol Scand. 2003 Mar;82(3):275-9.

[16] Alouini S, Memic S, Couillandre A. Pelvic Floor Muscle Training for Urinary Incontinence with or without Biofeedback or Electrostimulation in Women: A Systematic Review. Int J Environ Res Public Health. 2022 Feb 27;19(5):2789.

[17] Garra G, Singer AJ, Taira BR, et al. Validation of the Wong-Baker FACES Pain Rating Scale in pediatric emergency department patients. Acad Emerg Med. 2010;17(1):50-54.

[18] Hansson Vikström N, Wasteson E, Lindam A, Samuelsson E. Anxiety and depression in women with urinary incontinence using E-health. Int Urogynecol J. 2021 Jan;32(1): 103-109.

[19] 冯欣,周雪梅,万晓丽,等.AI温控射频和盆底磁刺激疗法对女性压力性尿失禁的临床疗效分析
[J].医学信息,2025, 38(14):86-89.

[20] 叶微微 , 陈娇娇 , 王汉楚 . 低频电刺激联合盆底康复训练治疗中老年女性压力性尿失禁的疗效观察 . 中国妇幼保健 , 2021, 36(14):3213-3216.

[21] 潘雅莉 , 余静 , 陈和禾.盆底康复训练联合电刺激治疗产后压力性尿失禁产妇的效果及对炎症应激反应的影响 . 中国妇幼保健 , 2024, 39(12):2150-2154.

[22] 文华翠 , 周秀春 . 盆底康复训练治疗围绝经期压力性尿失禁患者的临床效果. 妇儿健康导刊 , 2023, 2(24): 32-34.

[23] 林兰秀.低频电刺激联合盆底康复训练治疗中老年女性压力性尿失禁的疗效
[J].中国现代药物应用,2025,19(07): 146-149

[24] Yan F, Xiao L, Huang C, Tang S, Li L. Effectiveness of a nurse-led hybrid self-management program for community-dwelling older people with urinary incontinence: A randomized controlled trial. Int J Nurs Stud. 2025 Jul 4;170:105157.

[25] Wang J, Sui B, Liang D, Zhao X, Niu W. Based on sustainable development of skating sports training new ecological and environmental protection measures. Sci Rep. 2024 Oct 27;14(1):25674.

引用本文

陈丽, 郝冬梅, 庞海, 余艳琴, 张晓芳. 多元化干预策略在中老年女性压力性尿失禁中的疗效 [J]. 国际护理学研究. 2025; 7; (10). 18 - 24.

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