[[alternative]]Self-Care Behaviors and the Related Factors of Stress Urinary Incontinence among the Elderly Women

[[abstract]]本研究目的是瞭解社區老年應力性尿失禁婦女的自我照護行為現況，並進ㄧ步探討影響自我照護行為的相關因素。先至兩所醫院的相關門診以方便取樣的方式，針對65歲以上的婦女，先以三個問題篩檢出應力性尿失禁的個案，再以Orem (1995)自我照護缺失理論為概念設計的量表進行資料收集，共得到132個有效樣本。研究結果發現，個案知識的平均得分為3.6分(標準差=1.7)，態度的平均得分為18.0分(標準差=3.3)，自我照護行為的平均得分為：11.5分(標準差=5.0)。而各研究變項，包括個人屬性、疾病屬性、應力性尿失禁知識及態度等因素，皆與自我照護行為未呈現顯著的差異或相關。針對老年女性尿失禁的防治計劃上，可以針對快邁入老年期的婦女(如更年期女性)，先提供預防及治療方面的知識；並將漏尿的篩檢列入老人健檢的項目，進ㄧ步提供老年尿失禁婦女，如「認識及執行骨盆底肌肉運動」及「減少攝取會利尿的食物」等尿失禁正確的自我照護行為衛教，才能促進其真正的健康。[[abstract]]This study aimed to explore the current self-care behaviors among community-residing elderly women with stress incontinence and further investigate factors affecting their self-care behaviors. Through convenience sampling at two hospitals, cases of stress incontinence in women over 65 years old were selected using three questions. Later, a questionnaire was designed according to Orem’s (1995) theory of self-care deficit to collect research data. A total of 132 valid responses were obtained. The means score of the subjects for knowledge, attitude, and self-care behaviors were 3.6 (S.D. = 1.7), 18.0 (S.D. = 3.3), and 11.5 (S.D. = 5.0), respectively. All the research variables, including personal attribute, disease attribute, knowledge of stress incontinence, and attitude toward stress incontinence, were neither influential to nor correlated with self-care behaviors to a significant level. Suggestions of this study were as follows: The Program of Preventing Urinary Incontinence in Elderly Women could provide knowledge about stress incontinence prevention and cure to pre-geriatric women (such as menopausal women), and urinary incontinence screening could be included into elderly health checkups. Further, health education on correct self-care of urinary incontinence, such as “Understanding and doing pelvic floor muscle exercises” and “Reducing intake of diuretic foods”, should be offered to elderly women suffering from urinary incontinence to really help promote their health