妇女对尿失禁的自我管理:使用主动健康行为框架进行定性研究
Xiaotong Zhong1,2, Kailun Gao1,2, Yingying Zhang3
1Department of Nursing, Shenzhen Hospital, Southern Medical University, Shenzhen, 518101, China.
International urogynecology journal
|January 22, 2026
概括
老年妇女的尿失禁自我管理受到误解,低效感知和支持不足的阻碍. 干预措施应针对个人,社会和系统因素,以改善遵守.
科学领域:
- 老年学是一门学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 健康 行为 健康行为
背景情况:
- 尿失禁 (UI) 影响了许多中年和老年妇女.
- 患者遵守保守的UI治疗指南往往是不理想的.
- 在推的UI管理和其实际应用之间存在差距.
研究的目的:
- 探索影响中年和老年女性UI自我管理行为的因素.
- 应用主动健康行为 (PHB) 框架来理解UI自我管理.
- 识别有效UI自我护理的障碍和促进者.
主要方法:
- 定性描述性研究设计.
- 与21名中年和老年妇女进行半结构面试,诊断出UI.
- 在PHB框架的指导下,使用归纳和演方法进行数据分析.
主要成果:
- 确定了七个主题,包括误解,减少代理,不充分的标准化管理,缺乏社会支持,生活压力,生活方式模式和历史约束.
- 大多数参与者对自我管理的坚持很低,对医疗治疗的意愿有限.
- 自主管理因素在微观 (认知/动机),中观 (社会支持) 和宏观 (医疗保健系统) 层面上起作用.
结论:
- 老年女性的UI自我管理是多因素的.
- 需要全面的,多层次的干预措施来改善UI管理.
- 干预措施应提高患者的意识,能力,并促进行为改变.
相关概念视频
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