| Objectives1. To formulate the self-efficacy intervention which is suitable for the elderly female patients with SUI.2. To implement the self-efficacy intervention and investigate it,s effect on the SUI symptoms﹑the level of geriatric self-efficacy for urinary incontinence﹑quality of life among the elderly female with SUI.MethodsAs an experimental study, 2 communities from Zhengzhou city were screened randomly. Then 40 elderly females with SUI were screened randomly in each group.The 2 communities were divided into a control group and a intervention group randomly by coin flipping. Common nursing intervention had been implemented to the control group, which contains health education、teaching how to conduct PFMT﹑ giving out booklets and receiving telephone counseling at any time. While the intervention group received the self-efficacy intervention based on the common nursing intervention. Self-efficacy intervention included interventions to enhance thedirect experience ﹑ indirect experience ﹑ verbal persuasion and the statue of physiology and emotion. The intervention time lasted as long as 24 weeks. The incontinence questionnaire short form ﹑ 1 hour urine pad experiment were used to evaluate the type and severity of disease. The urinary incontinence quality of life questionnaire to assess the patients, quality of life. The Geriatric Self-Efficacy Scale for Urinary Incontinence was used to learn about the level of self efficacy. The datas of different measure index were collected before intervention, 12 weeks﹑24 weeks after the intervention. All the researchers in the research group were well trained, and they were qualified about coping with SUI.SPSS17.0 software was utilized to establish database and analyze the datas.Independent samples t-test was used to analyze the difference about measurement data while the count datas were analyzed by chi-square test. The changes in 2 groups during 3 times were analyzed by utilizing repeated measurement and making charts.Results1. There were 37 patients in the intervention group and 36 patients in the control group who had accomplished the intervention. Before the research, there was no significant difference on demographics and clinical baseline data and all the indexes between the two groups had no significant difference(P>0.05).2. After 12 weeks, statistic analysis indicated that patients in the intervention group got a better recovery in the leakage of urine volume、severity of SUI﹑I-QOL score and GSE-UI score than the control group though each group had changes on these indexes(P<0.05). The compliance of PFMT in 2 groups had no significant difference(P>0.05).3. After 24 weeks,intervention, there were changes in both group, but the outcome of intergroup comparison showed that the leakage of urine volume and ICI-Q-SF score in the intervention group had significantly decreased compared with the control group. While the I-QOL score and the GSE-UI score had increased significantly(P<0.05) in the intervention group.ConclusionsThe self-efficacy intervention can effectively improve the symptoms of SUI among the elderly female in community and inspiring the potential of coping with disease. After 24 weeks, self-efficacy intervention, the quality of life of elderly female patients with SUI have improved prominently in the intervention group.The level of geriatric self-efficacy for urinary incontinence had deeply increased while applying the self-efficacy intervention on the SUI patient of elderly female. The Self-efficacy intervention can significantly improve patients, behavior ﹑ reduce the influence on mental and effectively reverse the social barriers on the patients. As a result,self-efficacy intervention can improve the quality of life among elderly female with stress urinary incontinence and it can be expanded to other communities as an conservative treament. |
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