A Research On The Determinants Of Help-seeking Behavior In Female Stress Urinary Incontinence And The Study Of Its Intervention

To explore the influencing factors of help-seeking behavior in female stressurinary incontinence with the Health Belief Model as the main theoretical framework,and then design targeted intervention programs, aims to promote help-seekingbehavior in female stress urinary incontinence。Part1A Research on the Determinants of Help-Seeking Behavior in Female StressUrinary IncontinenceObjectiveTo explore the influencing factors and predictors of help-seeking behavior infemale stress urinary incontinence.MethodsA case-control study was conducted with80female urinary incontinence whoexperienced help-seeking as the case group, and80female urinary incontinence whohad never experienced help-seeking as the control group. Data was collected byquestionnaire survey, including demographics、health belief (perceived susceptibilityand seriousness about disease, perceived benefits of taking action、perceived barriersto taking action) and cue to action. Then we use t-test、2test and logistic regressionto analysis the obtained data.ResultUnivariate analysis showed that age、education level、chronic diseases、perceivedsusceptibility and seriousness about disease、perceived benefits of taking action、perceived barriers to taking action and cues to action were significant differentbetween the two groups (P<0.05); Multivariate analysis showed that education level,perceived benefits of taking action、perceived barriers to taking action and cues toaction can effectively predict help-seeking behavior in female stress urinary incontinence(P<0.05). And education level, perceived benefits of taking action andcues to action play positive roles in promoting women’s help-seeking behavior forstress urinary incontinence, while perceived barriers to taking action a negative role inwomen’s help-seeking behavior.ConclusionAge、education level、chronic diseases、perceived susceptibility and seriousnessabout disease，perceived benefits of taking action、perceived barriers to taking actionand cues are influencing factors of women’s help-seeking behavior for stress urinaryincontinence, and education level、perceived benefits of taking action、perceivedbarriers to taking action and cues are predictor of help-seeking behavior in femalestress urinary incontinence.Part2Study of Intervention on Women’s Help-seeking Behavior for Stress UrinaryIncontinenceObjectiveTo explore the effect of health education intervention on women’s knowledge,health beliefs and help-seeking behavior of stress urinary incontinence.MethodsUsing quasi-experimental research methods,80women who met the inclusionand exclusion criteria were enrolled and randomly divided into two groups.Intervention group(40cases) undergo a four-week health education programs (healthlectures, health education manual, establish a telephone follow-up), control group(40cases) without any intervention. The general demographic information and healthbeliefs of the two groups were collected by questionnaires before and after theintervention. After the intervention, collect the number of women who sought for helpwithin six months. T test and2test were used for statistical analysis.ResultBefore the intervention, there were no significantly difference in scores of stressurinary incontinence knowledge and health beliefs (P>0.05); After the intervention,the score of stress urinary incontinence knowledge, perceived susceptibility andseriousness about disease，perceived benefits of taking action and cues to action in theintervention group was significantly higher(P<0.01), while the score of perceivedbarriers to taking action was significantly lower after the intervention(P<0.01); There were no significantly difference in scores of stress urinary incontinence knowledgeand health beliefs in the control group (P>0.05). Compared to the control group, thescore of stress urinary incontinence knowledge, perceived susceptibility andseriousness about disease，perceived benefits of taking action and cues to action in theintervention group was significantly higher, while the score of perceived barriers totaking action was significantly lower after the intervention (P<0.01). After theintervention, the women in the intervention group who sought help was more than thecontrol group(P<0.01).ConclusionHealth education intervention can improve women’s knowledge level of stressurinary incontinence, enhance women’s health beliefs and promote women’shelp-seeking behavior for stress urinary incontinence.