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題名 | 運用骨盆底肌肉運動協助婦女面對應力性尿失禁衝擊之照護經驗=The Use of Pelvic Floor Muscle Exercise to Reduce the Impact of Stress Urinary Incontinence: A Case Report |
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作者姓名(中文) | 羅琦; 柯雅禎; | 書刊名 | 高雄護理雜誌 |
卷期 | 25:2 2008.11[民97.11] |
頁次 | 頁87-97 |
分類號 | 419.74 |
關鍵詞 | 應力性尿失禁; 骨盆底肌肉運動; 心理社會衝擊; Stress urinary incontinence; Pelvic floor muscle exercise; Psychosocial impact; |
語文 | 中文(Chinese) |
中文摘要 | 本篇目的在探討運用骨盆底肌肉運動訓練計畫協助一位婦女面對應力性尿失禁所造成身心社會等衝擊之照護經驗。透過門診診療互動過程及電話追蹤來收集資料,將所收集到的資料加以分析和歸納出三個主要護理問題:壓力性尿失禁、社交互動障礙、及性生活型態失常。在照護期間透過同理心及不批判態度了解其所面臨困擾,進而協助個案正視問題和提供相關因應策略,再根據其生活型態來設計和教導骨盆底肌肉運動訓練計畫,同時運用生物迴饋儀來協助確認訓練的成效,並採取主動關懷及電話追蹤來增加基執行上的遵從度,使得個案得以有效地控制應力性尿失禁,進而增加其生活品質。冀望藉由此次照護過程的經驗分享,日後以提供個別化及整體性之照護於應力性尿失禁病患上。 |
英文摘要 | In this study, we report a nursing care experience involving the introduction of a pelvic floor muscle exercise training program to woman coping with the bio-psycho-social impact of stress urinary incontinence. Data were collected during interaction with the patient during therapy at eh outpatient department and through telephone follow-up calls. Analysis of the data revealed three major nursing problems: stress urinary incontinence, impaired social interaction and sexual life style dysfunction. During the nursing care period, we attempted to understand the patient’s distress using empathy and nonjudgmental attitudes, helped her with some coping strategies. We can designed a proper training program and taught her how to practice the pelvic floor muscle exercises based on her life style while using biofeed-back to monitor the effectiveness of muscle training program. We actively followed up her case with caring telephone calls to improve her adherence of the practice of pelvic floor muscle exercises. Finally, the client learned to effectively control her stress urinary incontinence, thereby improving her quality of life. By sharing this experience, we hope that all health professionals might see the value of individualized instruction and holistic care for patients with stress urinary incontinence. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。