目的 探讨基于LEARNS模式的健康教育应用于腹腔镜前列腺癌根治术后尿失禁患者的效果.方法 选取2022年2月至2023年12月福建省肿瘤医院收治的76例腹腔镜前列腺癌根治术后尿失禁患者,根据随机数字表法将其分为对照组和观察组,每组38例.对照组患者接受常规健康教育模式,观察组患者接受基于LEARNS模式的健康教育,两组患者均干预1个月.比较两组患者干预前后控尿能力、盆底肌训练知识水平、盆底肌训练正确率及生活质量.结果 干预后,两组患者的国际尿失禁咨询委员会尿失禁问卷简表(International Consultation on Incontinence questionnaire-urinary incontinence short form,ICIQ-UI SF)评分均显著低于本组干预前,盆底肌训练知识问卷得分、健康调查量表36(36-item short form health survey,SF-36)评分均显著高于本组干预前(P<0.05),观察组患者的ICIQ-UI SF评分显著低于对照组,盆底肌训练知识问卷得分、SF-36评分均显著高于对照组(P<0.05).观察组患者的盆底肌训练正确率显著高于对照组(92.11％vs.68.42％,x2=6.727,P=0.009).结论 基于LEARNS模式的健康教育可有效提升前列腺癌根治术后尿失禁患者的盆底肌训练知识水平及训练正确率,改善患者控尿能力及生活质量.
Effect of health education based on LEARNS model on urinary incontinence patients after laparoscopic radical prostatectomy
Objective To explore the effect of health education based on LEARNS model in patients with urinary incontinence after laparoscopic radical prostatectomy. Methods A total of 76 patients with urinary incontinence after laparoscopic radical prostatectomy admitted to Fujian Cancer Hospital from February 2022 to December 2023 were selected and divided into control group and observation group according to random number table method,with 38 cases in each group. Patients in control group received routine health education,while patients in observation group received health education based on LEARNS model. Both groups were intervened for one month. Urinary control ability,pelvic floor muscle training knowledge level,pelvic floor muscle training accuracy rate and quality of life of two groups were compared before and after intervention. Results After the intervention,International Consultation on Incontinence questionnaire-urinary incontinence short form (ICIQ-UI SF) scores of patients in both groups were significantly lower than before intervention,and scores of pelvic floor muscle training knowledge questionnaire and 36-item short form health survey (SF-36) were significantly higher than before intervention (P<0.05). The ICIQ-UI SF score of observation group was significantly lower than that of control group,and the scores of pelvic floor muscle training knowledge questionnaire and SF-36 were significantly higher than those of control group (P<0.05). The correct rate of pelvic floor muscle training in observation group was significantly higher than that in control group (92.11％ vs. 68.42％,x2=6.727,P=0.009). Conclusion Health education based on LEARNS model can effectively improve the knowledge level and correct rate of pelvic floor muscle training of urinary incontinence patients after radical prostatectomy,improve the urinary control ability and quality of life of patients.
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