- 期刊
- OpenAccess
婦女尿失禁骨盆底肌肉收縮運動遵從行為及其相關因素
Compliance to Pelvic Floor Muscle Exercise in Women with Urinary Incontinence
摘要
本研究目的在探討婦女尿失禁執行骨盆底肌肉收縮運動（pelvic floor muscle exercise, 簡稱PFME）之遵從行為及其相關因素。研究對象為中部地區某區域教學醫院之婦產科門診個案，診斷為應力性尿失禁、急迫性尿失禁或混合型尿失禁之婦女，共82位。所有個案參加併用生理迴馈輔助訓練的PFME教學活動；同時，個案也被指示回家自行練習PFME，每日120-200下，為期三個月。遵從的評估乃由個案自我陳述，研究結果發現35.4%個案自述按醫囑執行PFME三個月。感覺PFME治療有效之個案及已停經之婦女，其PFME遵從率比較高，其勝算比分別為20.48和3.46。骨盆底肌肉收縮運動執行上之困難和不適並非PFME遵從的影響因素。婦女不遵從骨盆底肌肉收縮運動的主要原因是“忘了做或想到才做”和“沒時間”。由上述研究結果顯示，未來醫護人員在教導PFME時，為增進個案PFME遵從行為，宜以協助個案感受到PFME之效果為目標，並且可設計一些具體可行的方法，以協助個案避免因忘記而沒有持續運動。
並列摘要
The aim of the study was to explore women's compliance with the completion of pelvic floor muscle exercise (PFME) and the associated factors. Eighty-two women with urodynamically documented genuine stress incontinence, urge incontinence, or mixed incontinence were recruited from a regional teaching hospital in the middle of Taiwan. All participants attended a PFME program, including biofeedback training. The participants were instructed to perform 120-200 contractions daily for 3 months. Compliance was evaluated according to women's self-evaluation. Approximately 35.4% of the women reported continuing the exercise for 3 months. The women who acknowledged the benefits of PFME or who were postmenopausal were more compliant, and the odds ratios were 20.48 and 3.46, respectively. The difficulties and discomfort of performing PFME were not influential factors of compliance. The most frequently reported causes for noncompliance were ”forgot or did it as remembered” and ”lack of time”. Based on the findings, the following is suggested: One is to develop a PFME training program which aimed to have women perceive the benefits of performing PFME; the other is to provide women cues/reminders to remember to do PFME.