Study Of Intervention Effects Of Behavioral Therapy On Women With COPD Accompanied By Stress Urinary Incontinence

Objective:to survey and analysis the prevalence of urinary incontinence in COPD women, and to evaluate the effects of behavioral therapy on women with COPD accompanied by stress urinary incontinence.Method:investigate the COPD patients in pneumology department of ShanDong provincial hospital from Jan.2013to Jan.2014with background questionnaire and ICIQ-SF questionnaire. Determine the prevalence of urinary incontinence in female COPD patients and the composition ration of different UI type. Then, the female patients with stress urinary incontinence were enrolled and divided into control group and experimental group. the experimental group were treated with behavioral therapy for3months. Chronic COPD questionnaire(CCQ) and incontinence quality of life(I-QOL) questionnaire were used before and after the behavioral therapy. based on the collected information, database were established and analyzed by SPSS software.Result:1. The prevalence of urinary incontinence in female COPD patience is48.7%, higher than general female population. Among them, the composition ration of stress urinary incontinence is55.3%, much higher than male COPD patience. The urinary incontinence badly degrade the life quality of73.7%female patience, but only10.5%of them had sought help for incontinence.2. After behavioral therapy for3months, for the patience in experimental group, the I-QOL score of was enhanced significantly, average increase of total score is23.2. At the same time, the CCQ score was significantly lower than before, average decrease of total score is0.63. the life quality and heath conditions were improved obviously.Conclusion:1. The prevalence of urinary incontinence in female COPD patience is higher, but only few of them had sought for help, this influence the life quality greatly. Hence, urinary incontinence care plan should be added to the routine daily nursing plan. Nursing and physicians should ask COPD patience about urinary incontinence and then offer appropriate assessment and management of it.2. Behavioral therapy can enhance the I-QOL score and lower the CCQ score significantly, this imply that the behavioral therapy has good remedy effect on urinary incontinence and chronic lung disease.behavioral therapy should be considered as basic health promotion education for all female COPD patience.