Clinical Efficacy of Health Belief Model Nursing Combined with Biofeedback Electrical Stimulation in the Treatment of Stress Urinary Incontinence in Elderly Women
XIE Qiuxia, LIAO Lei, HU Haiqin
Nursing Studio of Pingxiang Ganxi Tumor Hospital, Pingxiang Jiangxi 337000
Abstract:【Objective】 To investigate the clinical efficacy of health belief model nursing combined with biofeedback electrical stimulation in the treatment of stress urinary incontinence (SUI) in elderly women. 【Methods】 A total of 87 elderly female patients with SUI admitted to our hospital from March 2021 to March 2023 were selected and randomly divided into a control group (receiving biofeedback electrical stimulation treatment, n=43) and an observation group (receiving health belief model nursing combined with biofeedback electrical stimulation treatment). Urine leakage conditions (1-hour urine leakage volume, frequency of urine leakage at 24 h and 72 h) at 1 month after intervention, urodynamic indices [Valsalva leak point pressure (VLPP), maximum urethral closure pressure (MUCP), maximum urethral pressure (MUP), bladder compliance (BC), functional urethral length (FUL), maximum cystometric capacity at strong desire to void (MCC), and detrusor pressure at maximum flow rate (PQmax)] before and at 1 month after intervention, pelvic floor function [pelvic floor muscle strength, electromyography value, and Pelvic Floor Distress Inventory-20 (PFDI-20) score] before and at 1 month after intervention, and quality of life [Incontinence Quality of Life (I-QOL) score] before intervention, at 1 month and 3 months after intervention were compared between the two groups. 【Results】 At 1 month after intervention, the 1-hour urine leakage volume and the frequency of urine leakage at 24 h and 72 h in the observation group were significantly lower than those in the control group (P<0.05). The VLPP, MUCP, MUP, BC, FUL, MCC, and PQmax in the observation group were significantly higher than those in the control group (P<0.05). The pelvic floor muscle strength and electromyography value in the observation group were higher than those in the control group (P<0.05), while the PFDI-20 score was lower than that in the control group (P<0.05). At 1 month and 3 months after intervention, the I-QOL scores in all domains in the observation group were higher than those in the control group (P<0.05). 【Conclusion】 In elderly women with SUI, the implementation of health belief model nursing combined with biofeedback electrical stimulation treatment can effectively improve urinary incontinence conditions and urodynamic indices, thereby enhancing pelvic floor function and improving patients' quality of life.
谢秋霞, 廖磊, 胡海琴. 健康信念模式护理联合生物反馈电刺激治疗老年女性压力性尿失禁的临床疗效*[J]. 医学临床研究, 2026, 43(2): 224-227.
XIE Qiuxia, LIAO Lei, HU Haiqin. Clinical Efficacy of Health Belief Model Nursing Combined with Biofeedback Electrical Stimulation in the Treatment of Stress Urinary Incontinence in Elderly Women. JOURNAL OF CLINICAL RESEARCH, 2026, 43(2): 224-227.