ABSTRACT

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 (χ² = 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.

摘要

抗胆碱能药物和行为干预是治疗OAB和UUI的有效方法。这项随机对照、前瞻性和准实验研究确定了基于健康促进模型 (HPM) 的健康生活方式行为训练对治疗膀胱过度活动症 (OAB) 女性的效果。研究样本包括干预组和对照组，样本量为 100 名被诊断患有 OAB 的女性，她们接受了药物治疗并同意参与研究。使用介绍性信息表、尿液日记、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)、简要症状量表 (BSI) 和 24 小时收集数据垫测试。干预组接受了基于 Pender 的 HPM 的 45 分钟培训计划。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）和尿失禁在统计学上显着降低频率（χ²  =  17,420;p < 0,001) 在后测期间干预组。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，而在 HLSB II (t = 9.139;p < 0.001) 量表上的总分有统计学意义的增加。该研究得出的结论是，基于 HPM 准备的 HLSB 培训减少了女性的 OAB 症状，提高了她们的生活质量，改变了她们的 HLSB，并对她们的心理症状产生了积极影响。