关键词: 阴道分娩, 尿失禁, 应对方式, 影响因素

Abstract: Objective To explore the influencing factors of disease coping strategies in patients with urinary incontinence after vaginal delivery. Methods A total of 78 patients with urinary incontinence after vaginal delivery admitted to the hospital from January 2022 to January 2023 were selected．The coping strategies of all patients were evaluated,and they were divided into a positive coping group and a negative coping group based on the results．A baseline data questionnaire was designed,and the baseline data of the two groups of patients were compared in detail．The focus was on analyzing the factors influencing the disease coping strategies of patients with urinary incontinence after vaginal delivery. Results After evaluation,40 out of 78 patients with urinary incontinence after vaginal delivery had negative coping strategies,accounting for 51.28%．The parity of patients in the positive and negative coping groups（χ²=4.110,P=0.043）,educational level（Z=2.094,P=0.036）,family care（Z=2.069,P=0.040）,and self-efficacy（Z=2.249,P=0.025）among the groups were different．Age between groups（t=0.096,P=0.924）,gestational age（t=1.257,P=0.212）,body mass index（t=0.125,P=0.901）,and work experience（χ²=0.778,P=0.378）,monthly per capita income of households（χ²=0.044,P=0.834）,urinary leakage（χ²=0.040,P=0.842）had no statistically significant difference in comparison．Through regression analysis,it was found that low family care（OR=1.799,P=0.041）,low self-efficacy（OR=1.942,P=0.026）,postpartum women（OR=2.554,P=0.045）,and low educational level（OR=1.837,P=0.038）were all influencing factors on the disease coping strategies of patients with urinary incontinence after vaginal delivery. Conclusions Patients with urinary incontinence after vaginal delivery have a higher risk of negative coping with the disease,which may be related to parity,educational level,family care and self-efficacy．

Key words: vaginal delivery, urinary incontinence, response methods, influence factor