权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

A Study of the Development of a Nursing Model to Support Women with Urinary Incontinence, So as to Promote Sexual Health.

开发支持女性尿失禁的护理模式以促进性健康的研究。

基本信息

批准号：
06672331
负责人：
KOMATSU Hiroko
金额：
$ 1.34万
依托单位：
St.Luke's College of Nursing
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (C)
财政年份：
1994
资助国家：
日本
起止时间：
1994 至 1995
项目状态：
已结题

项目摘要

The purpose of this study is to develop a comprehensive/systematic nursing model to support women with urinary incontinence (UI), so as to promote effective coping behaviors for their sexual health. For the basic study, seventy-seven out-patients with UI were surveyed for the effect of urinary incontinence on their sexuality. The results showed that twenty-five percent of the subjects stated an effect on their sexual life. The effects of UI on the sexual life were classified into "micturation incontinence during sexual intercourse", "dyspareunia (difficult or painful intercourse) ", "anxiety with sexual activity", "citing fear of leakage", "embarrassment", etc.On the basis of the results and the review of the literature, a nursing model of intervention for sexual concerns was developed. Among several purposes, it aimed (1) to promote effective preparation which can achieve feelings of satisfaction and fulfilllment associated with sexual behavior and (2) to support the recognized intrinsic value of a female. Clinically, the experimental application of the model was applied to 5 women with UI who recognized its sexual effects. As aresults, behavioral changes were observed following the use of the nursing model, That is, on one hand, after the applications of the model. women with UI acquired effective coping behaviors for sexual life and could more positively accept their diagnosis of UI.On the other hand, some points were noted that cause us to reconsider this focus and form of intervention. One such point is to carefully consider a women's concept and value of sexuality which has been formed and defined by the historical and cultural backgrounds of sexuality in Japan.Hereafter, we will repeat the clinical application of the model to refine it's use as a practical nursing model.

本研究旨在建立一套完整系统的护理模式，以支援女性尿失禁患者，促进其有效的性健康因应行为。在基础研究中，77例尿失禁门诊患者接受了尿失禁对其性行为影响的调查。结果显示，25%的受试者表示对他们的性生活有影响。将尿失禁对性生活的影响分为“性交时排尿失禁”、“性交困难”、“性焦虑”、“担心漏尿”、“尴尬”等，并在此基础上，结合文献复习，提出了性问题干预的护理模式。在几个目的中，它的目的是（1）促进有效的准备，可以实现与性行为有关的满足感和成就感，（2）支持公认的女性内在价值。在临床上，该模型的实验应用被应用于5名患有UI的女性，她们认识到其性效应。结果：护理模式实施后，一方面，行为发生了变化;女性尿失禁患者在性生活中获得了有效的应对行为，并能更积极地接受尿失禁的诊断。另一方面，本研究也发现了一些值得我们重新思考的问题。其中之一就是要认真考虑日本性的历史文化背景所形成的女性性观念和价值观。下面，我们将重复该模式的临床应用，以完善其作为实际护理模式的使用。