摘要
目的:观察Kegel训练护理干预对产后盆底肌功能障碍的影响。方法:选择2016年1月-2018年12月在笔者所在医院就诊的盆底功能障碍产妇124例,根据随机数字的方法将患者分为观察组和对照组,每组62例。对照组予以常规护理,观察组在对照组的基础上予以Kegel训练护理干预。结果:观察组护理总有效率为95.16%,高于对照组的80.65%,差异有统计学意义(χ^2=4.854,P<0.05)。护理后观察组焦虑评分低于对照组,依从性评分、阴道持收缩时间、阴道静息压、阴道收缩压均高于对照组,差异均有统计学意义(P<0.01)。护理前两组心理影响、行为限制及社会尴尬评分比较差异无统计学意义(P>0.05),护理后两组各项评分均高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.01)。护理后观察组PFIQ-7、PFDI-20评分均低于对照组,产后盆底肌力浅Ⅰ、浅Ⅱ、深Ⅰ及深Ⅱ均高于对照组,差异均有统计学意义(P<0.01)。结论:Kegel训练护理干预对产后盆底肌功能障碍疗效显著,促进患者盆底肌功能恢复,缓解患者焦虑,提高患者依从性和生活质量。
Objective:To observe the impact of Kegel training and nursing intervention on postpartum pelvic floor muscle dysfunction.Method:A total of 124 patients with postpartum pelvic floor dysfunction who were admitted to our hospital from January 2016 to December 2018 were divided into observation group and control group according to the random number method,with 62 cases each group.The control group received routine nursing care,and the observation group was given Kegel training and nursing intervention on the basis of the control group.Result:The total effective rate of nursing in the observation group was95.16%,which was higher than 80.65%in the control group,the difference was statistically significant(χ^2=4.854,P<0.05).After nursing,the anxiety score of the observation group was lower than that of the control group,the compliance score,vaginal contraction time,vaginal resting pressure and vaginal systolic blood pressure were significantly higher than those of the control group(P<0.01).There was no significant difference in psychological influence,behavior restriction and social embarrassment score between the two groups before nursing(P>0.05).After nursing,the scores of the two groups were higher than those before nursing,and the observation group was higher than the control group,the differences were statistically significant(P<0.01).After the nursing,the scores of PFQ-7 and PFDI-20in the observation group were lower than those of the control group,postpartum pelvic floor muscle strengthⅠ,shallowⅡ,deepⅠand deepⅡwere higher than the control group,the differences were statistically significant(P<0.01).Conclusion:Kegel training and nursing intervention has significant effects on postpartum pelvic floor muscle dysfunction,promote the recovery of pelvic floor muscle function,relieve anxiety,improve patient compliance and quality of life.
作者
王芸
沈菁
WANG Yun;SHEN Jing(Obstetrics and Gynecology Hospital Affiliated to Hehai University,Shanghai 200090,China)
出处
《中外医学研究》
2019年第27期90-92,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
Kegel训练
护理干预
盆底肌功能障碍
焦虑
生活质量
Kegel training
Nursing intervention
Pelvic floor muscle dysfunction
Anxiety
Quality of life
