产后尿失禁妇女的共同决策能力:一项混合方法研究,为助产士实践提供信息
Jie Li1, Yingying Zhang2, Wenjun Tang3
1Department of Nursing, Shenzhen Hospital, Southern Medical University, Shenzhen 518101, China; School of Nursing, Southern Medical University, Guangzhou, 510515, China.
Midwifery
|December 25, 2025
概括
患有产后尿失禁 (PPUI) 的女性对于盆地物理治疗 (PFPT) 的共同决策能力中等. 加强心理社会因素和自我效能可以提高参与PFPT决策的参与度.
科学领域:
- 骨盆地物理治疗 (PFPT) 骨盆地物理治疗
- 产后尿失禁 (PPUI) 是一种疾病.
- 共享决策 (SDM) 是一种共享决策.
背景情况:
- 盆地物理治疗 (PFPT) 是产后尿失禁 (PPUI) 的主要治疗方法.
- 诸如有限的访问和低参与决策等障碍阻碍了对PFPT的坚持.
- 共享决策 (SDM) 赋予患者权力,但可能受到能力差异的限制.
研究的目的:
- 关于PFPT,量化PPUI妇女的SDM能力.
- 确定影响该群体SDM能力的因素.
- 通过定性见解,制定助产士支持策略,以加强SDM.
主要方法:
- 混合方法研究采用定量调查和定性访谈.
- 利用了能力,机会,动机-行为模型.
- 收集了528名参与者关于疾病感知,电子健康素养,社会支持,决策自我有效性和SDM能力的数据,随后进行了14次采访.
主要成果:
- 参与者表现出适度的SDM能力.
- 疾病感知,电子健康素养,社会支持和决策自我有效性与SDM能力有积极联系.
- 决策自我有效性部分调解了心理社会因素与SDM能力之间的关系.
结论:
- SDM能力受到心理社会和行为因素的影响.
- 改善疾病感知,电子健康素养,社会支持和决策自我有效性可能会促进参与PFPT决策.
- 助产士可以通过教育,资源支持和建立信任来加强SDM,以改善PFPT的坚持和结果.
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