基于健康行动过程取向理论的产后压力性尿失禁患者自我管理干预方案的构建

中华养生保健 ›› 2024, Vol. 42 ›› Issue (19): 73-77.

基于健康行动过程取向理论的产后压力性尿失禁患者自我管理干预方案的构建

夏立红^1,2, 杜心洁², 刘恒^1,*, 史永萍², 杨洁², 武文丽²

1.青岛大学护理学院,山东青岛,266071;
2.临沂市妇幼保健院妇科,山东临沂,276016

出版日期:2024-10-01 发布日期:2024-09-25
通讯作者: ^*刘恒,E-mail：liuheng516@163.com。
作者简介:夏立红（1986—）,女,汉族,籍贯：山东省临沂市,硕士研究生在读,副主任护师,研究方向：临床护理。
基金资助:
山东省中医药科技项目任务书（2021M022）

Construction of Self-Management Intervention Program for Patients with Postpartum Stress Urinary Incontinence Based on Health Action Process Orientation Theory

XIA Li-hong^1,2, DU Xin-jie², LIU Heng^1,*, SHI Yong-ping², YANG Jie², WU Wen-li²

1. College of Nursing, Qingdao University, Qingdao Shandong 266071, China;
2. Department of Gynecology Linyi Maternal and Child Health Hospital, Linyi Shandong 276016, China

Online:2024-10-01 Published:2024-09-25

摘要/Abstract

摘要： 目的以健康行动过程取向理论为基础,构建产后压力性尿失禁（Postpartum Stress Urinary Incontinence,PSUl）患者的自我管理干预方案。方法系统检索PSUI自我管理文献,经专家小组讨论后形成干预初稿,采用德尔菲专家函询构建产后压力性尿失禁自我管理最终干预方案。结果通过两轮专家函询,问卷回收率分别为95%和100%,专家权威系数分别为0.937和0.944,肯德尔协调系数分别为0.232和0.423（P<0.001）,最终形成包含3个一级指标、10个二级指标、20个三级指标的干预方案终稿。结论构建的产后压力性尿失禁患者自我管理干预方案系统、具体、实用,方法科学,可为患者自我管理提供临床参考依据。

关键词: 健康行动过程取向理论, 产后压力性尿失禁, 自我管理, 干预方案

Abstract: Objective To construct a self-management intervention program for patients with postpartum stress urinary incontinence based on the theory of health action process approach. Methods We systematically searched the literature on PSUI self-management, formed a preliminary intervention draft after discussion with an expert panel, and used the Delphi expert consultation method to construct the final self-management intervention program for postpartum stress urinary incontinence. Results After two rounds of expert consultation, the questionnaire recovery rates were 95% and 100%, the expert authority coefficients were 0.937 and 0.944, and the Kendall’s coefficients were 0.232 and 0.423 (P<0.001), respectively. The final intervention program consisted of 3 primary indicators, 10 secondary indicators, and 20 tertiary indicators. Conclusion The constructed self-management intervention program for patients with postpartum stress urinary incontinence is systematic, specific, practical, and scientifically sound, providing a clinical reference for patient self-management.

Key words: health action process orientation theory, postpartum stress urinary incontinence, self-management, intervention program

中图分类号:

R473

夏立红, 杜心洁, 刘恒, 史永萍, 杨洁, 武文丽. 基于健康行动过程取向理论的产后压力性尿失禁患者自我管理干预方案的构建[J]. 中华养生保健, 2024, 42(19): 73-77.

XIA Li-hong, DU Xin-jie, LIU Heng, SHI Yong-ping, YANG Jie, WU Wen-li. Construction of Self-Management Intervention Program for Patients with Postpartum Stress Urinary Incontinence Based on Health Action Process Orientation Theory[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(19): 73-77.

参考文献

[1] 程晓真,牛延峰.生物反馈电刺激联合盆底肌锻炼对产后压力性尿失禁患者的疗效[J].河南医学研究,2022,31(8):1442-1445.
[2] 姚昭,解光尧.产后压力性尿失禁非手术治疗的研究[J].医学信息,2020,33(2):53-57.
[3] SCHMID F A, WILLIAMS J K, KESSLER T M, et al.Treatment of Stress Urinary Incontinence with Muscle Stem Cells and Stem Cell Components: Chances, Challenges and Future Prospects[J]. Int J Mol Sci,2021,22(8):3981.
[4] 白富裕,王孟琦,薛锋,等.针灸治疗女性压力性尿失禁:随机对照研究特点分析[J].中国组织工程研究,2021,25(32):5197-5203.
[5] 陈振兰,韦珏伶,赵丽裴,等.家属支持系统联合微视频盆底肌训练教学干预在前列腺癌术后尿失禁患者中的应用[J].齐鲁护理杂志,2022,28(16):24-27.
[6] 魏玉,梁秀琴,闫清秀.健康行动过程取向模型在临床护理中的研究进展.循证护理,2021,7(17):2314-2316.
[7] 李柳. 基于HAPA的健康行为干预方案在中青年2型糖尿病患者中的应用研究[D].衡阳:南华大学,2021.
[8] PANAHI H, SALEHI L, MAHMOODI Z. A predictive model of the sunscreen use in the paddy workers based on the health action process approach model: a path analysis[J]. J Egypt Public Health Assoc,2020,21,95(1):23.
[9] JAEDICKE K M, BISSETT S M, FINCH T, et al.Exploring changes in oral hygiene behaviour in patients with diabetes and periodontal disease: A feasibility study[J]. Int J Dent Hyg,2019,17(1):55-63.
[10] BERNARD S, BOUCHER S, MCLEAN L, et al.Mobile technolo-gies for the conservative self-management of urinary in-continence: a systematic scoping review[J]. Int Urogy-necol J,2020,31(6):1163-1174.
[11] YANG X, ZHANG A, SAYER L, et al.The effectiveness of group-based pelvic floor muscle training in preventing and treating urinary incontinence forantenatal and postnatal women: a systematic review[J]. Int Urogynecol J,2022,33(6):1407-1420.
[12] 夏杰,段霞,于婵,等.盆底肌训练改善产后压力性尿失禁的meta分析[J].重庆医学,2020,49(22):3817-3822.
[13] 王晓菁,张丽亚等.尿失禁患者自我管理的最佳证据总结[J].中国医药导报,2022,19(3):71-74.
[14] DEVIÑASPRER R, GARRIDO A E, ALVA REZ M A. Training women’s pelvicfloormuscles during pregnancy and postpartumatprimary healthcenters: a best practiceimple mentation project[J]. JBIEvid Implement,2021,19(3):245-256.
[15] 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.
[16] STANGEL-WOJCIKIEWICZ K, ROGOWSKI A, RECHBERGER T, et al.Urogynecology Section of the Polish Society of Gynecologists and Obstetricians guidelines on the management of stress urinary incontinence in women[J].Ginekol Pol,2021,92(11):822-828.
[17] 宋奇翔,廖利民.2023年SOGC女性尿失禁电子健康解决方案指南的解读_李海燕[J].实用妇产科杂志,2022,38(6):419-421.
[18] STANGEL-WOJCIKIEWICZ K, ROGOWSKI A, RECHBERGERT, et al. Urogynecology Section of the Polish Society of Gynecologists and Obstetricians guidelines on the management of stress urinary incontinence in women[J]. Ginekol Pol,2021,92(11):822-828.
[19] WANG C Q, HU Y.JBI evidence pre-classification and evidencere commendation level system(2014 edition)[J]. Journal of Nurses Training,2015,30(11):964-967.
[20] 秦科文,王萍,曹汉忠,等.麻醉护士核心能力评价指标体系的构建研究[J].护理学报,2023,30(22):20-24.
[21] 赵娟,张红霞,张璐,等.骨质疏松性椎体压缩性骨折病人术后快速康复标准化方案的构建[J].护理研究,2024,38(6):984-990.
[22] 李乐,程玮,李丽娟,等.基于健康行动过程取向理论的综合护理对青少年近视患者的干预效果[J].河南医学研究,2022,31(7):1330-1333.
[23] 钟苗,许少敏,孙彩军.初中生近视发生与预防行为因素及HAPA和TPB理论阶段非连续检验分析[J].中国公共卫生,2022,38(1):33-38.
[24] 郭怡,孙信,黎泽明,等.基于健康行动过程取向理论模型分析2型糖尿病患者锻炼行为现状[J].中华疾病控制杂志,2022,26(1):56-60,98.
[25] 武荧荧. 慢性肾脏病患者社会支持与自我管理的关系:健康素养和自我效能的中介作用[D].济南:山东大学,2022.