協助應力性尿失禁婦女運用骨盆底肌肉運動之護理經驗

The Case Report: Using Pelvic Floor Muscle Exercise to Assist the Women with Stress Urinary Incontinence

蔡玉卿(You-Chin Tsia)

《安泰醫護雜誌》 17卷4期 (2011/12) Pp. 13-24

https://doi.org/10.7078/TSMHMNJN.201112.0013

摘要

本篇主要目的在探討應力性尿失禁婦女面對個人身體、心理及社交互動等影響而運用骨盆底肌肉運動訓練之護理經驗。筆者透過門診診療互動及電話追蹤來收集資料，將收集到的資料加以分析和歸納出三個主要護理問題：壓力性尿失禁、性生活型態改變、社交活動減少。在護理期間以同理心及不批判態度了解病患之困擾，協助個案認識及正向接受問題和提供相關因應方法，再依個案生活型態來設計和教導骨盆底肌肉運動訓練計畫，及運用生物回饋儀來確認訓練成效，並採取主動關懷及電話追蹤個案在執行上的遵從度，使得個案以有效控制應力性尿失禁而增加其生活品質。冀望藉此照護經驗提供護理人員日後照護應力性尿失禁病患時之參考。

關鍵字

應力性尿失禁 ； 骨盆底肌肉運動 ； 心理社會影響

並列摘要

The purpose of this article is to investigate how women with stress incontinence dealing with their physical, psychological and social interaction, and how they engage in pelvic floor muscle (PFME) exercise training. The researcher conducted the research through clinic diagnose and telephone tracing, and found three questions: stress incontinence, the change of sexual activity style and the decreasing social interaction. During the nursing period, the nurses should attempt by empathy and nonjudgmental attitude to understand patient's problems. The nurses assist patients to understand and face positively to the problems and the solutions. Furthermore, the nurses need to design a pelvic floor muscle exercises project in order to suit patients' diary life style. Using biofeedback to assure that the result and taking positive attitude to care patients in order to increase their living quality. This article provides a series of stress incontinence caring experiences and hopes these experiences will help nurses in the future.

並列關鍵字

stress urinary incontinence ； pelvic floor muscle exercise ； effect of psychosocial factors