| Objective:To explore the effect of behavioral intervention on the quality of life in chronic heart congestive failure patients with urinary incontinence, to further provide basis of more effective clinical nursing measures.Methods:62patients with chronic heart congestive failure combining urinary incontinence were divided into a control group (31cases) and an intervention group (31cases) according to the random number table. The two groups were both treated with routine therapy and care, in addition, the intervention group received behavioral intervention. The behavioral intervention included pelvic floor muscle training, pectineus exercise, and reconstruction of micturition habits. The observation index data were collected before the behavioral intervention and at the end of6weeks intervention. The observation index included patients’ socio-demographic characteristics, clinical characteristics, international consultation on incontinence questionnaire-urinary incontinence short form (ICI-Q-SF), the MOS item short from health survey (SF-36) and Zung Self-rating depression scale (SDS).The databases were established and analyzed by using SPSS13.0software package. Values are expressed as mean±standard deviation. The chi-square test and t-test were used in determining the difference between groups.Result:61patients completed the study, including30cases in the intervention group and31cases in the control group. There were no significant differences in the score of the ICI-Q-SF, SF-36and SDS between groups before the intervention (p>0.05). After6weeks of continuous intervention, compared with the control group, the intervention group showed statistical significantly decrease in the score of the ICI-Q-SF (p<0.01),and statistical significantly decrease in the score of SDS (p<0.01),for the SF-36, scores of Physical Functioning and Social Functioning were significantly higher than that in the control group (p<0.01); scores of Role-Physical,General Health, Mental Health and Role-Emotional were higher than that in the control group (p<0.05), while scores of Body Pain and Vitality had no significant differences (p>0.05)Conclusion:For chronic heart congestive failure patients with urinary incontinence, behavioral intervention can effectively ameliorate symptoms of urinary incontinence, improve the quality of life and relieve patients’ depression, which thereby potentially promoting patients’ physical and mental health. |
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