Objective To explore the value of health education guided by symptom experience-management strategy-management effect program in perioperative urinary incontinence（UI） care of patients with lumbar disc herniation（LDH）.Methods A total of 110 patients with LDH and UI admitted to our hospital from January 2019 to January 2021 were randomly assigned to the control group（n=55） and observation group（n=55） by convenience sampling.Patients in the control group received routine health education

and patients in the observation group health education guided by the symptom experience-management strategymanagement effect program. The UI knowledge mastery

clinical efficacy

and complications were compared between the two groups. Results After education

the mastery of UI knowledge was improved in both groups

and the improvement in the observation group was significantly greater than that in the control group（all P<0.05）. The international consultation on incontinence questionnaire long form（ICI-Q-LF） scores decreased and the exercise of self-care agency scale（ESCA） scores increased in both groups. The ICI-Q-LF scores in the observation group were significantly lower than those in the control group

while the ESCA scores were significantly higher than those in the control group（all P<0.05）. Results showed that 29.09% of the patients in the control group developed incontinent dermatitis

higher than that in the observation group（7.27%

P<0.05）; 18.18% of the patients in the control group developed urinary tract infection

higher than that in the observation group（5.45%

P<0.05）. Conclusion The use of the symptom experience-management strategymanagement effect program-guided health education in the care of LDH patients with UI can improve the mastery of UI knowledge

reduce their clinical symptoms

and lower the incidence of complications. These benefits justify a wider application of this technique clinically.