膀胱訓練對改善社區尿失禁婦女生活品質之成效

Efficacy of Bladder Training on the Improvement of the Quality of Life on Women with Urinary Incontinence.

黃如鶴(Ju-Ho Huang)

指導教授 ： 林淑媛

高雄醫學大學/護理學院/護理學系研究所/碩士(2006年)

https://doi.org/10.6832/KMU.2006.00048

摘要

研究目的：探討膀胱訓練對改善社區尿失禁婦女漏尿次數及生活品質之成效。研究方法與對象：本研究採單組前後測之類實驗性研究設計，採方便取樣，於社區的健康檢查診所為收案場所，利用滾雪球方式收案，共收得三十四位混合性或急迫性尿失禁婦女。本研究之工具採用結構式問卷及膀胱日誌，問卷包括個案基本資料、尿失禁症狀困擾量表、尿失禁生活衝擊量表。尿失禁次數則以膀胱日誌測量。研究結果：（1）進行六週膀胱訓練後有67.6%的婦女在後測時（三天內）未再出現漏尿情形；而且漏尿次數在接受膀胱訓練後次數減少，達統計之顯著差異（t33=6.99, p<.01）；(2) 進行六週膀胱訓練後，婦女在尿失禁症狀困擾及尿失禁生活衝擊之程度均由中度降至輕度（平均差各為8.88及6.97），且此改善達統計之顯著差異（t33=6.23, p<.01；t33=3.38,p<.01）。結論與建議：六週之膀胱訓練對減少尿失禁次數及改善生活品質有成效，建議將膀胱訓練列為尿失禁初期之治療。

關鍵字

尿失禁 ； 婦女 ； 膀胱訓練 ； 生活品質

並列摘要

Objectives:To evaluate the efficacy of bladder training on the improvement of the urinary incontinence episodes and quality of life( urogenital distress and incontinence impact) on community- dwelling women with urinary incontinence. Methods:This was a one- group pretest- posttest quasi- experimental study, using convenience sampling consisted of cases who had chief complain of mixed incontinence or urge incontinence symptoms from community clinic of health examination. The effective case were 34. This study used structural questionnaire including demographic, urogenital distress inventory and incontinence impact questionnaire to measure quality of life. Three-day bladder diaries were used to measure the urinary incontinence episodes. Results: Two major findings were shown: (1)After six weeks of bladder training, there were 67.6% women had not reported any incontinence episodes within three days of the post-test period. The decrease of urinary incontinence episodes had statistical significance(t33=6.99, p<.01). (2) After six weeks of bladder training, the degree of urogenital distress and incontinence impact were decreased(mean difference=8.88 and 6.97).The improvement on the quality of life had statistical significance(t33=6.23, p<.01；t33=3.38,p<.01). Conclusion and suggest: Six weeks of bladder training is effective for women with urinary incontinence, especially on incontinence episodes and quality of life. It is recommended that practitioners can use bladder training as a first-line treatment for women with urinary incontinence.

並列關鍵字

Uurinary incontinence ； Bladder training ； Women ； Quality of life

參考文獻

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