自我管理干预在老年尿失禁患者中应用效果的meta分析

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Abstract Objective To systematically evaluate the effect of self-management intervention in elderly patients with urinary incontinence. Methods A computer search of Embase, PubMed, Web of Science, Wanfang, CNKI, VIP and China Biomedical Literature Database were conducted to collect randomized controlled trials on the application of self-management intervention in elderly patients with urinary incontinence from the establishment of the database to December 2020. The relevant indexes included in the literature were analyzed by meta with RevMan 5.3 software. Results A total of 697 patients were included in 10 literatures. The results of meta analysis showed that the incidence of urinary incontinence in the intervention group was lower than that in the control group (MD = -4.53, 95%CI: -5.63, -3.43, P ＜ 0.000 01), and the quality of life (MD = 12.14, 95%CI: 2.60, 21.68, P = 0.01), self-efficacy (MD = 20.14, 95%CI: 0.39, 39.89, P = 0.05) and knowledge level of urinary incontinence (MD = 7.2, 95%CI: 1.38, 13.01, P = 0.02) were higher than those in the control group. Conclusion Self-management intervention can reduce the incidence of elderly patients with urinary incontinence, improve the quality of life and improve self-efficacy, but limited by the number and quality of studies, large samples and high-quality studies are still needed toverify its long-term effect.

Key words： Self-management Urinary incontinence Old age Meta-analysis

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	ZHANG Liya1 REN Pengna2 LIN Mengyue2 HU Xiaoyi3 TANG Ailing3 ZHANG Yue3 XU Fanglei3

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ZHANG Liya1 REN Pengna2 LIN Mengyue2 HU Xiaoyi3 TANG Ailing3 ZHANG Yue3 XU Fanglei3. Meta analysis of the effect of self-management intervention in elderly patients with urinary incontinence#br#[J]. 中国医药导报, 2021, 18(33): 151-155.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I33/151

[1] Ege S，Hunkemoller A，Maier C，et al. Analysis of the effectiveness of urinary incontinence management in a geriatric rehabilitation [J]. Z Gerontol Geriatr，2020，53（8）：756-762.
[2] Sumarsono B，Jong J，Wang J，et al. The prevalence of urinary incontinence in men and women aged 40 years or over in China，Taiwan and South Korea：A cross-sectional，prevalence-based study [J]. Low Urin Tract Symptoms，2020，12（3）：223-224.
[3] Teunissen TA，Vanden WJ，Lagro-Janssen AL，et al. Prevalence of urinary fecal and double incontinence in the elderly living at home [J]. Int Urogynecol J Pelvic Floor Dysfunct，2004，15（1）：10-13.
[4] Pedersen LS，Lose G，Hoybye MT，et al. Prevalence of urinaryincontinence among women and analysis of potential risk factors in Germany and Denmark [J]. Acta Obstet Gynecol Scand，2017，96（8）：939-948.
[5] Vande VD，Dezutter F，Satink T，et al. Delineating the concept of self-management in chronic conditions：a concept analysis [J]. BMJ Open，2019，9（7）：e027775-6.
[6] Despins LA，Wakefieid BJ. Making sense of blood glucose data and self-management in individuals with type 2 diabetes melitus：A qualitative study [J]. J Clin Nurs，2020， 29（13/14）：2572-2588.
[7] Wang LH，Guo YM，Wang ML，et al. A mobile health application to support self-management in patients with chronic obstructive pulmonary disease：a randomised controlled trial [J]. Clin Rehabil，2020，13（6）：84-86.
[8] Wen HJ，Yanan Z，Fang HY，et al. Effectiveness of a nurse-led multidisciplinaryself-management program for patients with coronary heart disease in communities：A randomized controlled trial [J]. Patient Educ Couns，2020，103（4）：854-863.
[9] 王雪格.自我管理干预在女性压力性尿失禁患者盆底肌锻炼中的应用[D].郑州：郑州大学，2017.
[10] 朱玲玲.微信平台延续护理服务在根治性前列腺切除术后尿失禁患者中的应用[J].天津护理，2015，27（3）：1-4.
[11] Fu Y，Andrea N，Linda MG，et al. An evidence-based self-management package forurinary incontinence in older women：a mixed methods feasibility study [J]. BMC Urology，2020，20（12）：1-16.
[12] Azizi M，Azadi A，Otaghi M. The effect of a self-care programme on urinary incontinence and self-esteem in elderly men dwelling in nursing homes in Iran [J]. Aging Male，2015，51（3）：49-56.
[13] Tannenbaum C，Fritel X，Halme A，et al. Long-term effect of community-based continence promotion on urinary symptoms falls and healthy active life expectancy among older women：cluster randomised trial [J]. Age Ageing，2019，48（2）：526-532.
[14] 张玲华，王君俏，白姣姣，等.社区压力性尿失禁行为管理方案对老年患者认知水平及症状的影响[J].护理学杂志，2011，26（15）：1-4．
[15] 孙自红.护理干预对老年女性尿失禁患者症状及自我效能影响的研究[D].太原：山西医科大学，2011.
[16] 陆献恩.社区老年女性尿失禁患者自我管理模式的研究[J].中国医药指南，2014，8（13）：206-210.
[17] Degagne JC，So A，Wu B，et al. The effect of a urinary incontinence self-management program for older women in South Korea：a pilot study [J]. Inter J Nurs Sci，2015， 2（1）：39-46.
[18] So A，Degagne JC，Park S. Long-Term effects of a self-management program forolder women with urinary incontinence in rural korea [J]. J Wound Ostomy Continence Nurs，2019，46（1）：55-61.
[19] Leong BS，Mok NW. Effectiveness of a new standardised urinary continence Physiotherapy Programme for community-dwelling older women in Hong Kong [J]. Hong Kong Med J，2015，21（1）：30-37.
[20] 沙岩，陈庆丽.网络平台延续性护理对前列腺癌根治术尿失禁患者生活质量及自我效能的影响[J].现代中西医结合杂志，2020，29（27）：3062-3065.
[21] Bernard S，Boucher S，Mclean L，et al. Mobile technologies for the conservative self-management of urinary incontinence：a systematic scoping review [J]. Int Urogynecol J，2020，47（31）：1163-1174.
[22] Park S，Yeoum SG，Kim YJ，et al. Self-management Experiences of Older Korean Women With Urinary Incontinence：A Descriptive Qualitative Study Using Focus Groups [J]. J Wound Ostomy Continence Nurs，2017，44（6）：572-577.
[23] Bokne K，Sjostron M，Samuelsson E. Self-management of stress urinary incontinence：effectiveness of two treatment programmes focused on pelvic floor muscle training，one booklet and one Internet-based [J]. Scand J Prim Health Care，2019，37（3）：380-387.
[24] 陈蓉，闫梅，温琦，等.自我管理干预在产后女性盆底康复治疗中的应用效果[J].中国计划生育和妇产科，2019， 11（9）：27-30.
[25] 李灏.行为干预对宫颈癌根治术后尿失禁患者生活质量的影响分析[J].名医，2020（10）：73-74.
[26] Hoffman V，Sjostrom L，Samuelssom E. Selfmanagement of stress urinary incontinence via a mobile app：two-year follow-up of a randomized controlled trial [J]. Acta Obstet Gynecol Scand，2017，96（10）：1180-1187.
[27] Titman SC，Radley SC，Gray TG. Self-management in women with stress incontinence：strategies，outcomes and integration into clinical care [J]. Res Rep Urol，2019，17（11）：111-121.
[28] Gray M. Context for Practice：Intraoperative pressure injury prevention，moisture-associated skin damage and Self-management of Urinary Incontinence [J]. J Wound Ostomy Continence Nurs，2019，46（1）：10-11.