Efficiency Of Cognitive Behavioral Therapy On Quality Of Lifeamong Women With Stress Urinary Incontinence

ObjectiveTo analysis the effect of cognitive behavior intervention on quality of life in patients with stress urinary incontinence in adult female, and explore the cognitive behavior intervention methods which can improve the living quality of females stress urinary incontinence patients, questionnaire survey and cognitive behavior intervention were performed on adult female patients with stress urinary incontinence in a community of Zhengzhou city. MethodsThis study was a experimental study,60 adult female incontinence patients were selected as the research object,which were eligible and come from a community of Zhengzhou city. The patients were divided into two groups, 30 cases in the control group and 30 cases in the intervention group. The control group received routine nursing and pelvic floor muscle training, and intervention group received cognitive behavioral intervention on the basis of nursing on urinary incontinence. Cognitive behavior include: health education, relaxation training, follow-up supervision, assessing the patients’ cognition, behavior and psychology and built cognitive behavior intervention strategy actively, etc. Instruments include: stress urinary incontinence knowledge questionnaire, the incontinence questionnaire short form(IGI-Q-SF) of International Advisory Committee on urinary incontinence urinary, urinary incontinence quality of life questionnaire(I-QOL) and 1h urine pad experiment. The researchers received unified training, and only qualified can intervene the patients. The duration of intervention was 6 months, with 4 weeks as one month. The measure index data were collected at one week before intervention, 3 months, 6 months after the intervention. Establishing database to record the valid data accurately and analyzed the data with spss17.0 software. Two measurement data among groups were compared with independent samples t-test, count data were compared with the chi-square test, analysis of variance of repeated measurement application data for two groups of patients with marked changes in different time. Results1. Among all the patients, 51 cases have complete data, 26 patients in intervention group, 25 cases in the control group.2. Before the intervention, the control group and the experimental group had no significant difference between 1 hour pad test leakage of urine volume, urinary stress incontinence knowledge questionnaire score, International Advisory Committee on urinary incontinence urinary incontinence questionnaire short form(IGI-Q-SF) score, urinary incontinence quality of life questionnaire(I-QOL) score of each dimension(p<0.05).3. Intervention for 3 months, compared with before intervention the two groups of patients in the 1 hour pad test leakage of urine volume, International Advisory Committee on urinary incontinence urinary incontinence questionnaire short form(IGI-Q-SF) score are decreased significantly(P<0.05), stress urinary incontinence knowledge questionnaire score, urinary incontinence quality of life questionnaire(I-QOL) score of each dimension are significantly increased(P<0.05). The stress urinary incontinence knowledge questionnaire score and the quality of life scores of psychological effect of the intervention group were significantly higher than control group.4. Intervention for 6 months, compared with before intervention the two groups of patients in the 1 hour pad test leakage of urine volume, International Advisory Committee on urinary incontinence urinary incontinence questionnaire short form(IGI-Q-SF) score are decreased significantly(P<0.05). The quality of life scores in all dimensions and total score of intervention group were significantly higher than those in the control group(P<0.05).5. Compared with the control group, the intervention for 3 months, 6 months, the compliance of pelvic muscle training of the intervention group were significantly increased(P<0.05). Conclusions1. Cognitive behavioral intervention can improve the life quality of the patients with stress urinary incontinence.2. Cognitive behavioral intervention can improve the pelvic floor muscle training compliance, pelvic floor muscle strength and relieve symptoms of urinary incontinence of stress urinary incontinence patients.3. There is a significant negative correlation of symptoms of stress urinary incontinence severity and quality of life of patients.4. Cognitive behavioral intervention can significantly improve the self cognitive ability, management of stress urinary incontinence ability and the ability to cope with negative mental of patients with stress urinary incontinence.5. Appropriate cognitive behavioral intervention strategy is the basic conditions to ensure expected effect. Family and social support is an important factor in ensuring the sustained treatment of the patients.