| Purpose:1、This study will apply the principle of evidence-based practice to collect, evaluate, and comprehensive domestic and international best nursing evidence for the field of diabetes and/or urinary incontinence, and form the evidence-based nursing intervention strategy for diabetes urinary incontinence.2、To study the effect of evidence-based nursing intervention on the clinical curative effect and quality of life in middle-aged women with diabetes and urinary incontinence.Method:Experimental research method was adopted. In Qingdao City, a hospital department of Endocrinology, with convenient sampling method to select 50 cases of patients with diabetes mellitus combined with the inclusion and exclusion criteria for middle-aged women with urinary incontinence as the research object, according to the research object to participate in this study was divided into control group and experimental group. Between September 2014 and August,25 patients were included in the control group, and 25 patients were included in the experimental group from February 2015 to February 2014.12 weeks observation in the experimental group and the control group, two groups of patients were given conventional treatment of diabetes in Department of endocrinology. On the basis of routine nursing, the experimental group was implemented on the basis of evidence based nursing intervention. Evidence based nursing intervention measures include adjusting the liquid intake, drinking water, reducing the intake of caffeine, weight loss, smoking cessation, pelvic floor muscle training, bladder training and so on. The symptoms of urinary incontinence and the quality of life of patients with urinary incontinence were investigated and measured by International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form Chinese, Incontinence Quality of Life, middle-aged women with diabetes mellitus and urinary incontinence.All data were processed by SPSS17.0 statistical data processing software.Result:1. There was no statistical significance in the patients’ socio demographic data, important indicators of Diabetes mellitus, the score of ICI-Q-SF, the score of I-QOL in the experimental group and the control group before the intervention (P> 0.05).2. The fasting blood glucose, postprandial blood glucose, glycosylated hemoglobin, systolic blood pressure, diastolic blood pressure, triglyceride, and total cholesterol were significantly decreased in the control group and the experimental group (P< 0.05). The fasting blood glucose, postprandial blood glucose in the experimental group were significantly lower than those in the control group (P< 0.05), with statistical significance.3. The patients’ score of ICI-Q-SF in the control group and the experimental group was significantly lower than that before intervention, with statistical significance (P<0.05). And after 3 months of intervention, the score of ICI-Q-SF in the control group compared with the control group (P< 0.05), with statistical significance, that is, the degree of urinary incontinence in the experimental group compared with the control group.4. After 3 months of intervention, the patients’ score of I-QOL in the control group and the experimental group were significantly higher than before the intervention, the quality of life of urinary incontinence was significantly improved, P< 0.05, with statistical significance. The scores of I-QOL in the experimental group were significantly higher than those in the control group, P< 0.05, with statistical significance.5. After 3 months of intervention, the clinical efficacy of Chinese medicine in the experimental group compared with the control group, the total effective rate was 62.5% in the control group,83.33% in the experimental group, and the difference was statistically significant between the two groups (P<0.05).Conclusion:1. In this study, we applied the principle of evidence-based practice, through the collection, evaluation, and comprehensive domestic and international best nursing evidence in the field of diabetes and/or urinary incontinence, combined with clinical practical work, the formation of middle-aged women with diabetes combined with urinary incontinence in the evidence-based nursing intervention strategy.2. The evidence-based nursing intervention program used in this study can improve the symptoms of urinary incontinence in middle-aged women with diabetes and urinary incontinence, and enhance the clinical efficacy of Chinese medicine, improve their quality of life. |
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