女性不孕症患者病耻感现状及影响因素分析

目的 探讨女性不孕症患者病耻感现状及影响因素.方法 对230例女性不孕症患者采用一般资料调查表、女性不孕症患者羞辱感量表及自尊量表进行测评分析,采用Pearson相关分析、多元逐步回归分析探讨女性不孕症患者病耻感的影响因素.结果 入组患者女性不孕症患者羞辱感量表总分为(65.15±19.16)分,4个维度评分从高到低依...     

女性不孕症病人病耻感及其影响因素的调查研究

[目的]调查女性不孕症病人病耻感现状,分析其影响因素。[方法]2018年2月—2018年5月采用便利抽样的方法选取浙江省3所医院320例门诊就诊的女性不孕症病人为研究对象,使用一般资料调查问卷、不孕症病耻感量表家庭关怀度量表和压力感受量表,对其进行调查。[结果]女性不孕症病人病耻感得分为(55.32±20.44)分。多元回归分析显示:家庭关怀度、压力感受、备孕时间、家庭收入是女性不孕症病人病耻感的影响因素(P0.05)。[结论]家庭关怀度低、压力感受大、备孕时间长、家庭收入低的不孕症病人病耻感得分较高,医护人员应给予病人有针对性的措施。     

社区老年女性尿失禁病耻感现状调查及其与求医意向的相关性研究

[目的]探讨社区老年女性尿失禁病人的病耻感及与求医行为的相关性。[方法]方便抽样选取襄阳市老年女性尿失禁病人197例,采用问卷调查法对其进行调查。选用修订版社会影响量表、尿失禁求医意向量表调查老年女性尿失禁病人的病耻感和求医行为。[结果]求医意向得分为(5.86±5.69)分,漏尿时间、婚姻状况、社会隔离和内在羞耻感是求医意向的独立影响因素。[结论]社区老年女性尿失禁病人的求医意向水平一般,对尿失禁病人可根据其疾病困扰程度进行个性化干预,积极宣传尿失禁相关知识,教育病人摒弃对患有尿失禁的不良认知,降低病人的病耻感,以提高病人的就医率和生活质量。     

精神病患者病耻感影响因素的分析

目的:探讨精神病患者的病耻感及其相关影响因素.方法:利用随机抽样法选取从2015年4月到2015年10月我院精神科住院的康复期精神病患者212名,采用社会支持评定量表、Link病耻感系列量表及一般自我效能感量表对患者进行问卷调查,并对调查结果进行分析.结果:①212名患者病耻感量表的8个维度平均得分及总分与常模比较差异均有明显统计学意义(P＜0.05),其中除了不同/羞耻维度的平均分高于量表中点外,其他维度得分均低于量表中点;②212名精神病患者客观支持、主观支持及社会支持利用度维度得分分别为(7.20±2.37)、(17.46±4.60)、(7.44±2.38),社会支持量表总分为(32.11±4.81),与国内常模的(34.56±3.73)比较差异有统计学意义(P＜0.05);③212名精神病患者的一般自我效能感评分为(25.57±7.29)而国内常模为(28.69±5.18),两者间差异有统计学意义(P＜0.05).结论:精神病患者的病耻感评分、社会支持得分及一般自我效能感量评分均低于国内常模,提高患者的社会支持及一般自我效能感能够减轻患者的病耻感,临床值得考虑.     

帕金森病患者病耻感调查及影响因素分析

目的:调查帕金森病患者病耻感现状,并分析其影响因素。方法:采用一般资料调查表、慢性病病耻感量表(SSCI)对168例帕金森病患者进行调查。结果:帕金森病患者病耻感总分为(57.75±17.59)分,内在病耻感得分为(37.10±12.18)分,外在病耻感得分为(20.74±6.66)分。回归分析结果显示,帕金森病患者生活自理能力、是否持续服用抗帕金森病药物、对性生活是否有影响及是否坚持复查是帕金森病患者病耻感的主要影响因素。结论:帕金森病患者有中等程度的病耻感,主要表现为内在病耻感。     

口腔癌皮瓣移植患者病耻感现状及影响因素分析

目的 ：调查口腔癌皮瓣移植患者病耻感的现状及影响因素。方法 ：采用一般资料调查表、社会影响量表、一般自我效能感量表、Rosenberg自尊量表对105例口腔癌皮瓣移植患者进行调查,分析其病耻感的影响因素。结果：口腔癌皮瓣移植患者社会影响量表条目均分为（2.13±0.44)分,84.8%(89例)的患者病耻感为中或高水平。口腔癌皮瓣移植患者的一般自我效能和自尊水平是其病耻感的独立影响因素。结论 ：口腔癌皮瓣移植患者病耻感水平较高,临床医务人员需要重视口腔癌皮瓣移植术后口腔基本功能的恢复和重建,在工作中应加强患者心理状态的引导,引导患者发挥潜能,采取积极的态度面对疾病,帮助其形成积极的心态以改善病耻感现状。     

2型糖尿病病人病耻感现状及影响因素分析

目的:探讨2型糖尿病病人病耻感现状并分析其影响因素。方法:采用一般资料调查表、2型糖尿病病耻感评估量表于2021年6月—2022年3月对海南省及北京市两所三级甲等医院便利抽取的203例2型糖尿病病人进行调查。结果:2型糖尿病病人病耻感总分为(61.11±12.25)分,其中责怪与批评维度得分为(22.54±4.56)分,自我耻辱维度得分为(19.45±4.09)分,区别对待维度得分为(19.12±4.43)分,不同年龄、婚姻状况、文化程度、月收入、患病年限、治疗方式、糖尿病并发症、有无外界支持的2型糖尿病病人的病耻感得分比较差异均有统计学意义(P<0.05);多元线性回归分析发现,影响2型糖尿病病人病耻感的主要因素包括年龄、治疗方式及糖尿病并发症(P<0.05)。结论:2型糖尿病病人病耻感处于中等偏高水平,年龄较小、采用生活方式干预、有并发症的病人病耻感得分较高,医务工作者应引起重视,采取针对性的措施,减轻2型糖尿病病人病耻感。     

糖尿病患者的病耻感现状及其影响因素

目的了解糖尿病患者的病耻感现状,并分析其影响因素。方法 2019年3-7月,采用便利抽样法选取海南省某三级甲等医院内分泌科的310例糖尿病患者为研究对象,采用一般资料调查表、中文版慢性疾病病耻感量表(stigma scale for chronic illness,SSCI)对其进行调查。结果糖尿病患者的病耻感处于中度水平[(56.46±9.25)分],不同年龄、性别、月收入水平、糖尿病类型、婚姻状况、是否胰岛注射治疗糖尿病患者的病耻感得分差异均有统计学意义(均P0.05);多元线性回归分析结果提示,性别、年龄、月收入水平、是否胰岛素注射治疗以及糖尿病类型是糖尿病患者病耻感的主要影响因素(均P0.05)。结论糖尿病患者的病耻感程度较高,影响病耻感因素较多,护理人员应基于对患者病耻感的综合评估,以病耻感的影响因素为突破口,制订相对应的干预方案,以减轻患者的病耻感。     

基于病耻感内涵视角探讨患者病耻感量表的研究进展

正病耻感近年来已成为世界一大公众健康问题,它与多种疾病有关,包括艾滋病、乙型肝炎、结核病等传染性疾病和精神分裂症、癫痫、肥胖等非传染性疾病~([1-2])。病耻感的出现会使患者产生焦虑、抑郁、沮丧等不良情绪以致患者治疗依从性降低,不利于身体康复和疾病预后。因此评估患者病耻感状况至关重要,有助于医护工作者了解患者病耻感程度并     

口腔正畸治疗患者病耻感及影响因素分析

目的 探讨口腔正畸患者病耻感水平与心理社会适应的相关性及其影响因素。方法 采用便利抽样法,选取2021年1月至7月某医院口腔科行口腔正畸治疗的311例患者为调查对象。采用一般资料调查问卷、社会影响量表、社会心理适应量表对患者进行调查。结果 311例口腔正畸患者社会影响总分为(50.57±9.12)分,社会心理适应总分为(52.75±10.75)分。Pearson相关性分析结果显示,患者的病耻感与社会心理适应能力呈负相关(r=-0.224,P=0.000)。多元线性回归分析结果显示,患者年龄、性别、文化程度、治疗时间、正畸方式、社会心理适应能力是影响口腔正畸治疗患者病耻感的重要因素(P<0.05)。结论 口腔正畸治疗患者存在中等水平的病耻感,并受多因素影响。口腔科医护人员应根据不同患者不同状况,加强疾病认知干预和心理疏导,帮助其调节社会心理适应能力,有效降低其病耻感。     

广州市番禺区女性尿失禁的流行特征及其相关因素分析

目的了解广州市番禺区女性尿失禁的流行特征及发病的相关因素。方法采用问卷形式调查广州市番禺区城镇和农村居民区自然人群3959例成年女性,共回收有效问卷3785份（95．6％）。结果尿失禁的总发病例数为1495例,发病率39．50％;其中以压力性尿失禁为多;该疾病的发生与年龄、阴道分娩、阴道助产、会阴裂伤、感染、产程延长、胎儿高体质量、产后休息时间短、绝经、肥胖等因素相关。结论广州市番禺区成年女性尿失禁患病率较高,尿失禁的发生与多种因素有关。产褥期得到充分休息及在产后进行适当的功能锻炼可减少尿失禁的发生。     

女性尿失禁患者生活质量的研究及相关因素分析

目的评估女性尿失禁患者的生活质量(QOL),分析影响QOL的相关因素。方法采用问卷对北京协和医院妇科门诊95例女性尿失禁患者进行调查。该问卷由健康调查简表、国际尿失禁咨询委员会尿失禁问卷、社会支持量表和人口社会学资料组成。应用SPSS13.0进行统计分析。结果女性尿失禁患者的健康调查简表评分在7个维度比一般女性人群低(P<0.05),其中生理职能维度下降最明显;尿失禁对QOL的影响包括日常生活受限、性生活不适、情绪变化;共有12个因素与QOL显著相关(P<0.05);其中除患病年限,其余因素均进入回归方程,分别对QOL各维度的变异有预测作用,以日常生活受限对QOL的影响作用最大。结论女性尿失禁患者的QOL比一般人群差。造成女性尿失禁患者QOL下降的主要因素是由尿失禁导致的日常生活受限,人口社会学等因素对QOL的改变有一定程度的影响。     

Dimensions of the impact of urinary incontinence on quality of life of affected women: a review of the English literature

Urinary incontinence (UI) is a condition encountered by many women in their middle ages and although it is not life threatening, it tremendously affects the quality of life (QOL) of affected women. The purpose of this review was to characterize the dimensions of women's QOL affected by UI. A systematic review of published literature reporting about primary studies was conducted using specific Medical Subject Headings (MeSH) terms: (urinary incontinence) and 1 – (quality of life), 2 – (outcome), 3 – (well‐being), 4 – (health outcomes), 5 – (women), 6 – (social well fair) and 7 – (signs and symptoms). This yielded 545 articles and 12 articles met the inclusion criteria. Searches were conducted from electronic databases including PubMed, CINHAL and SCOPUS. The studies included in the review used different measurements to reach conclusion about the effect of UI on QOL. All the studies emphasized that UI has a negative impact on at least two aspects of the affected woman's QOL. The results of the review show that UI negatively impacts women's QOL in four main dimensions such as physical health, mental health, sexual health and social well‐being. UI negatively impacts affected women's in various aspects of their life and to effectively address their health care needs it requires a multidisciplinary and holistic approach to their health care needs.     

The nature and impact of urinary incontinence experienced by patients receiving community nursing services: a cross-sectional cohort study

BACKGROUND: Nurses have played a pivotal role in the delivery of continence services yet little is known about the nature or impact of urinary symptoms experienced by patients in receipt of such care. AIM: To define the nature and impact of urinary symptoms experienced by patients in receipt of community nursing services. METHOD: The Leicestershire Urinary Symptoms Questionnaire was administered to 1078 patients with incontinence identified from 176 community nurses' caseloads in 157 general practices in England. Information included type and severity of urinary symptoms, impact on quality of life, help with coping, use of continence products and health service resources. RESULTS: Nine hundred and ninety nine (92.7%) patients (median age 79.0 years) returned completed questionnaires. Most patients had incontinence between 1 and 5 years duration, women were more likely than men to have had long standing ( > 5 years) symptoms and more than half the sample reported severe leakage. Women were more likely than men to report symptoms of stress incontinence (71.7% and 46.8%, respectively, p < 0.001) and urge incontinence UI (86.3% vs. 74.8%, respectively, p < 0.01). Half of the men and most women also experienced leakage as a result of difficulty getting to, on or off, a toilet/commode. Men were more likely than women to report getting up three or more times a night to pass urine (53.6% vs. 37.0%, respectively, p < 0.05). Most patients reported that their symptoms had a significant impact on many aspects of quality of life, and 45.7% would be very dissatisfied to continue "the way they are now". Professional help appeared principally one of containment. CONCLUSION: Many people with incontinence receiving community nursing services experience two or more urinary symptoms which, in the majority, have a significant impact on quality of life. Many older patients were not satisfied to "put up" with their urinary symptoms. Current service provision appears to be failing those who are most in need of such care.     

济南市社区女性尿失禁患者生活质量及影响因素的调查分析

目的调查济南市社区女性尿失禁患者的生活质量(quality of life,QOL)状况,了解其影响因素。方法采用方便抽样的方法,对济南市3个大型社区506例女性尿失禁患者进行问卷调查。结果 506例患者的QOL水平整体较好,平均得分为(79.5±16.6)分。逃避和限制性行为、社交活动受限是尿失禁患者QOL受影响较为明显的2个方面。影响患者QOL的因素共有9个,最终进入回归方程的有3个,分别是:文化程度(初中、高中、大专及以上)、混合性尿失禁和中重度尿失禁,共可解释QOL变异量的31.1%。结论济南市社区女性尿失禁患者的QOL水平整体较好,但其影响因素较多,应依据影响因素的不同进行针对性的护理干预,进一步提高患者的QOL。     

女性尿失禁患者生活质量的评价及干预

目的 探讨尿失禁对女性生活质量的影响及改善其生活质量积极有效的措施。方法 分析患有尿失禁女性的生活质量评价及干预的研究现状。结果 尿失禁在生理、心理、日常生活、性生活等方面不同程度地影响了患者的生活质量,通过规律的盆底肌肉锻炼能够预防及控制尿失禁症状,改善患者的生活质量。结论 应当在社区开展一些宣传活动,积极宣传尿失禁是可以治疗的,采取积极有效的措施来预防和管理尿失禁,改善患者的生活质量。     

Frequency of urinary incontinence among Turkish women,effective factors and its effect on quality of life

What is the frequency of urinary incontinence in Turkish women and how does it affect their quality of life? The aim of this study is to determine the frequency of urinary incontinence among Turkish women, effective factors and its effect on quality of life. Urinary incontinence, a health problem that is commonly seen among women, leads to primarily social and hygienic problems, and affects the physiological, psychological and economic aspects of individuals who are effected. This cross‐sectional study was conducted in the gynaecological outpatient clinics of a Turkish hospital, between 01 August 2014 and 26 December 2014. The population of the study consisted of 155 women aged 19 and over who applied to the gynaecology outpatient clinics for reasons other than pregnancy. The entire population was included in the study without selecting a sample. The data were collected by using a 16‐question questionnaire and King's Health Questionnaire (KHQ). A total of 67·7% of the women were found to suffer from urinary incontinence problem. A significant correlation was found between the age groups and incontinence problems. While pollakiuria was observed more in the age group of 20–29 years (37·3%), urge incontinence (35·6%), stress incontinence (36·2%), and enuresis nocturna (31·6%) were observed more in the age group of 30–39 years. Quality of life of women with bladder problems was significantly impaired. When the women with stress incontinence were compared with women who suffered from other incontinence problems, all sub‐scale mean scores obtained by the women with stress incontinence from KHQ were higher and the quality of life of these women was seriously impaired.     

中年女性尿失禁现状及对心理健康的影响

目的 探讨中年女性的尿失禁现状及对抑郁、自尊感的影响.方法 方便抽样延边地区中年女性368例,发放自我测评问卷调查尿失禁症状、抑郁、自尊感.将所获的数据录入SPSS 10.0软件进行统计学分析.结果 延边地区中年女性的尿失禁发病率为53.5%,其中压力性尿失禁58.4%,混合型尿失禁37.5%,急迫性尿失禁4.1%;尿失蔡女性的抑郁分数显著高于正常组(P<0.01),自尊感分数低于正常组(P<0.05);抑郁与尿失禁症状有正相关(P<0.01),自尊感与尿失禁症状有负相关(P<0.05).结论 尿失禁严重地影响中年女性的心理健康,建议实行尿失禁预防教育和管理措施,应包括减轻抑郁、增强自尊感的干预.     

产后压力性尿失禁妇女盆底肌训练知信行现状及影响因素分析

目的:调查产后压力性尿失禁（SUI）患者盆底肌训练知信行情况。方法:便利选取2018年1月—2019年1月北京某妇产医院产后12周在盆底门诊就诊患者213例,采用产褥期妇女盆底肌功能锻炼知信行及需求问卷进行调查,分析患者盆底肌功能锻炼知信行的影响因素。结果:213例SUI患者盆底肌训练知信行总体标准分为（75.70±1...