PDF(Pubmed)
Abstract：
BACKGROUND: Stress urinary incontinence during pregnancy is closely related to the occurrence of postpartum and long-term urinary incontinence. Early pelvic floor management is of great significance in promoting the recovery of pelvic floor tissues in pregnant women. However, effective management of urinary incontinence is far from achievable owing to the low adherence of pregnant women in partaking in pelvic floor rehabilitation. As a comprehensive framework for behavioural theory, the Theoretical Domain Framework allows for comprehensive identification of behavioural determinants. Using Theoretical Domain Framework, this study aimed to identify barriers and enablers of pelvic floor rehabilitation behaviours in pregnant women with stress urinary incontinence.
METHODS: A descriptive, qualitative design was used in this study. Face-to-face semi-structured interviews were conducted with pregnant women with stress urinary incontinence based on the Theoretical Domain Framework. The data were analysed using a combination of inductive and deductive methods.
RESULTS: Twenty pregnant women with stress urinary incontinence were interviewed. Seven themes were summarised and used to explain the pelvic floor rehabilitation behaviours of pregnant women with stress urinary incontinence. The seven themes were (1) individual knowledge and experience of pelvic floor management, (2) judgments about expected outcomes, (3) interactions of interpersonal situations, (4) environment, resources, and decision-making processes, (5) personal goal-setting and efforts towards behaviour change, (6) emotional influences on decision-making, and (7) personal characteristics. Besides the \"Optimism\" domain, 13 of the 14 Theoretical Domains Framework domains were found to influence pregnant patients\' pelvic floor rehabilitation behaviours after deductive mapping of themes to the Theoretical Domains Framework. In addition, the inductive analysis generated a theme of personal characteristics that did not map to any of the Theoretical Domains Framework domains.
CONCLUSIONS: The pelvic floor rehabilitation behaviours of pregnant women with stress urinary incontinence are complex and are affected by many factors. The findings confirm the need for multiple interventions to support pelvic floor management in pregnant women with stress urinary incontinence, focusing on enhancing knowledge and skills in pelvic floor care and using appropriate behaviour change techniques (such as prompts) to provide a supportive environment.
METHODS: A descriptive, qualitative design was used in this study. Face-to-face semi-structured interviews were conducted with pregnant women with stress urinary incontinence based on the Theoretical Domain Framework. The data were analysed using a combination of inductive and deductive methods.
RESULTS: Twenty pregnant women with stress urinary incontinence were interviewed. Seven themes were summarised and used to explain the pelvic floor rehabilitation behaviours of pregnant women with stress urinary incontinence. The seven themes were (1) individual knowledge and experience of pelvic floor management, (2) judgments about expected outcomes, (3) interactions of interpersonal situations, (4) environment, resources, and decision-making processes, (5) personal goal-setting and efforts towards behaviour change, (6) emotional influences on decision-making, and (7) personal characteristics. Besides the \"Optimism\" domain, 13 of the 14 Theoretical Domains Framework domains were found to influence pregnant patients\' pelvic floor rehabilitation behaviours after deductive mapping of themes to the Theoretical Domains Framework. In addition, the inductive analysis generated a theme of personal characteristics that did not map to any of the Theoretical Domains Framework domains.
CONCLUSIONS: The pelvic floor rehabilitation behaviours of pregnant women with stress urinary incontinence are complex and are affected by many factors. The findings confirm the need for multiple interventions to support pelvic floor management in pregnant women with stress urinary incontinence, focusing on enhancing knowledge and skills in pelvic floor care and using appropriate behaviour change techniques (such as prompts) to provide a supportive environment.
摘要：
背景：妊娠期压力性尿失禁与产后和长期尿失禁的发生密切相关。早期盆底管理对促进孕妇盆底组织恢复具有重要意义。然而,由于孕妇参与盆底康复的依从性较低，因此尿失禁的有效管理远未实现。作为行为理论的综合框架，理论领域框架允许全面识别行为决定因素。使用理论领域框架，本研究旨在确定压力性尿失禁孕妇盆底康复行为的障碍和促成因素.
方法：描述性，本研究采用定性设计。基于理论领域框架对压力性尿失禁孕妇进行面对面半结构化访谈。数据采用归纳和演绎相结合的方法进行分析。
结果：对20名压力性尿失禁孕妇进行了访谈。总结了七个主题，并用于解释患有压力性尿失禁的孕妇的盆底康复行为。七个主题是（1）盆底管理的个人知识和经验，(2)对预期结果的判断，(3)人际情境的互动，(4)环境,资源,和决策过程，（5）个人目标设定和行为改变的努力，（6）情感对决策的影响，（7）个人特征。除了“乐观”领域，在将主题演绎映射到理论域框架后，发现14个理论域框架域中的13个影响怀孕患者的盆底康复行为。此外,归纳分析产生了一个没有映射到任何理论域框架域的个人特征主题。
结论：压力性尿失禁孕妇盆底康复行为复杂，受多种因素影响。研究结果证实，需要多种干预措施来支持患有压力性尿失禁的孕妇的盆底管理，专注于提高盆底护理的知识和技能，并使用适当的行为改变技术（如提示）来提供支持性环境。
方法：描述性，本研究采用定性设计。基于理论领域框架对压力性尿失禁孕妇进行面对面半结构化访谈。数据采用归纳和演绎相结合的方法进行分析。
结果：对20名压力性尿失禁孕妇进行了访谈。总结了七个主题，并用于解释患有压力性尿失禁的孕妇的盆底康复行为。七个主题是（1）盆底管理的个人知识和经验，(2)对预期结果的判断，(3)人际情境的互动，(4)环境,资源,和决策过程，（5）个人目标设定和行为改变的努力，（6）情感对决策的影响，（7）个人特征。除了“乐观”领域，在将主题演绎映射到理论域框架后，发现14个理论域框架域中的13个影响怀孕患者的盆底康复行为。此外,归纳分析产生了一个没有映射到任何理论域框架域的个人特征主题。
结论：压力性尿失禁孕妇盆底康复行为复杂，受多种因素影响。研究结果证实，需要多种干预措施来支持患有压力性尿失禁的孕妇的盆底管理，专注于提高盆底护理的知识和技能，并使用适当的行为改变技术（如提示）来提供支持性环境。
