Hines Sandra H, Sampselle Carolyn M, Ronis David L, Yeo SeonAe, Fredrickson Barbara L, Boyd Carol J
University of Michigan, Ann Arbor, MI 48109, USA.
ANS Adv Nurs Sci. 2007 Apr-Jun;30(2):175-88. doi: 10.1097/01.ANS.0000271107.80161.19.
Women with urinary incontinence (UI) report that the disease negatively impacts their quality of life but, paradoxically, under-report symptoms.
A predictive model using Orem's self-care deficit theory was developed exploring the effect of body experience on self-care agency to manage UI. A sample of postmenopausal women was drawn from a larger trial. Structural equation modeling was used to test the proposed model.
Minor modification of the model produced a well-fitting model (chi(9) = 3.20, P = .96, n = 235). Results supported the positive effect of nursing agency on self-care agency.
Group education about UI may increase self-care agency in postmenopausal women.
尿失禁（UI）女性报告称该疾病对她们的生活质量有负面影响，但矛盾的是，她们对症状的报告不足。
使用奥瑞姆自理缺陷理论开发了一个预测模型，探讨身体体验对管理尿失禁的自理能力的影响。绝经后女性样本取自一项更大规模的试验。采用结构方程模型对所提出的模型进行检验。
对模型进行轻微修改后得到了一个拟合良好的模型（卡方值（9）= 3.20，P = 0.96，n = 235）。结果支持了护理能力对自理能力的积极影响。
关于尿失禁的团体教育可能会提高绝经后女性的自理能力。
