Cayir Gulsen, Kizilkaya Beji Nezihe
Faculty of Health Sciences, Biruni University, Istanbul, Turkey.
Psychol Health Med. 2022 Sep;27(8):1726-1738. doi: 10.1080/13548506.2021.1916962. Epub 2021 Apr 19.
Anticholinergic drugs and behavioral interventions are effective methods for the treatment of OAB and UUI. This randomized controlled, prospective, and quasi-experimental study determined the effect of healthy lifestyle behavior training, based on the Health Promotion Model (HPM), on the treatment of women with Overactive Bladder (OAB). The study sample included intervention and control groups with a sample size of 100 women diagnosed with OAB who received pharmacological treatment and agreed to participate in the study. The data were collected using an Introductory Information Form, Urinary Diary, OAB Questionnaire (OAB-V8), King's Health Questionnaire (KHQ), Healthy Life Style Behavior Scale II (HLSB II), Brief Symptom Inventory (BSI), and 24-hour Pad Test. The intervention group was administered a 45-minute training program based on Pender's HPM. There was a statistically significantly higher level of decrease in urgency (z = -3,259;p = 0,001), nocturia (z = -3,691;p < 0,001), urge urinary incontinence (z = -2,391;p = 0,017), and urinary frequency (χ 17,420;p < 0,001) in the intervention group during the posttest period. The study found a significant decrease in the total posttest scores of the women in the intervention group on the OAB-V8 (t = -6.955;p < 0.001), KHQ (t = -5.354;p < 0.001), and BSI (t = -6.463;p < 0.001) scales whereas a statistically significant increase was found in their total score on the HLSB II (t = 9.139;p < 0.001) scale. The study concluded that HLSB training, which was prepared based on HPM, reduced OAB symptoms among women, improved the quality of their lives, changed their HLSBs, and positively affected their psychological symptoms.
抗胆碱能药物和行为干预是治疗膀胱过度活动症（OAB）和急迫性尿失禁（UUI）的有效方法。这项随机对照、前瞻性的准实验研究，基于健康促进模型（HPM），确定了健康生活方式行为训练对膀胱过度活动症（OAB）女性患者治疗的效果。研究样本包括干预组和对照组，样本量为100名被诊断为OAB且接受药物治疗并同意参与研究的女性。数据收集采用初始信息表、排尿日记、OAB问卷（OAB-V8）、国王健康问卷（KHQ）、健康生活方式行为量表II（HLSB II）、简明症状量表（BSI）和24小时护垫试验。干预组接受了基于彭德HPM的45分钟培训项目。在测试后阶段，干预组的尿急（z = -3.259；p = 0.001）、夜尿（z = -3.691；p < 0.001）、急迫性尿失禁（z = -2.391；p = 0.017）和尿频（χ = 17.420；p < 0.001）水平下降在统计学上有显著差异。研究发现，干预组女性在OAB-V8（t = -6.955；p < 0.001）、KHQ（t = -5.354；p < 0.001）和BSI（t = -6.463；p < 0.001）量表上测试后的总分显著下降；而在HLSB II量表上她们的总分在统计学上有显著增加（t = 9.139；p < 0.001）。研究得出结论，基于HPM制定的HLSB训练可减轻女性OAB症状，改善她们的生活质量，改变她们的健康生活方式行为，并对她们的心理症状产生积极影响。
