目的 构建基于达标理论的全程个案管理模式方案，探讨其在女性压力性尿失禁（stress urinary incontinence,SUI）患者中的应用效果。方法 通过文献检索、筛选、评价、汇总和2轮专家咨询形成全程个案管理模式方案。2023年3月至2024年2月，采用简单随机抽样法选取吉林省某三级甲等医院收治的138例SUI患者为研究对象，按随机数字表将其分为对照组和观察组各69例，对照组给予常规管理，观察组在对照组基础上实施全程个案管理模式。采用1 h尿垫试验、盆底肌锻炼（pelvic floor muscle training，PFMT）依从性问卷、Glazer评估和国际尿失禁问卷简表（international consultation on incontinence questionnaire-short form,ICIQ-SF）对两组患者的干预效果进行比较。结果 干预后，观察组患者的PFMT依从性、1 h尿垫试验、Glazer评估和ICIQ-SF评分均优于对照组（均P＜0.05）。结论 全程个案管理模式可提高SUI患者的盆底肌锻炼依从性，改善其健康结局。

Objective To construct a whole-process case management model based on the theory of goal attainment,and to explore its effectiveness on female with stress urinary incontinence（SUI).Methods The case management model was developed through literature review,screening,evaluation,synthesis,and two rounds of expert consultation.The simple random sampling method was used to select 138 patients with SUI from a tertiary A hospital in Jilin Province from March 2023 to February 2024 as research subjects.They were divided into a control group and an experimental group according to the randomized numerical table,with 69 cases in each group.The control group received routine management,and the experimental group received a whole-process case management model based on routine management.The 1-hour pad test,pelvic floor muscle training（PFMT) adherence questionnaire,Glazer assessment,and the international consultation on incontinence questionnaire-short form（ICIQ-SF) were used for evaluation.Results After the intervention,the experimental group demonstrated significantly better outcomes in PFMT adherence, 1-hour pad test results,Glazer assessment scores,and ICIQ-SF scores compared to the control group（all P＜0.05).Conclusions The whole-process case management model can enhance PFMT adherence and health outcomes among SUI patients.

R473.71

吉林省医疗卫生人才专项项目（JLSWSRCZX2023-109）