摘要
目的 研究基于健康行为整合理论(ITHBC)的综合康复护理在产后盆底康复护理中的应用效果。方法 选取2019年2月至2021年2月期间在宝鸡市妇幼保健院产科进行产后盆底功能康复治疗的120例产妇作为研究对象,按随机数表法分为研究组和对照组各60例。对照组产妇给予常规护理,研究组产妇给予基于ITHBC的综合康复护理。两组产妇均连续护理3个月,比较两组产妇在护理前后的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、自我效能量表(GSES)评分,并采用盆底肌肉肌力分级标准评估并比较两组产妇的盆底肌力情况,评估两组盆底功能障碍性疾病的发生率,采用女性性功能量表(FSFI)对评估患者对性生活满意度。结果 护理前,两组产妇的SAS评分、SDS评分及GSES评分比较差异均无统计学意义(P>0.05);护理后,研究组产妇的SAS评分、SDS评分分别为(32.58±4.21)分、(35.86±5.48)分,明显低于对照组的(48.84±4.06)分、(47.82±6.14)分,GSES评分为(2.76±0.38)分,明显高于对照组的(2.52±0.41)分,差异均有统计学意义(P<0.05);研究组产妇盆底肌力为Ⅲ级或Ⅲ级以上占比为90.00%,明显高于对照组的71.67%,差异有统计学意义(P<0.05);研究组产妇盆底功能障碍性疾病的发生率为5.00%,明显低于对照组的25.00%,性生活满意度为86.67%,明显高于对照组的66.67%,差异均有统计学意义(P<0.05)。结论 基于ITHBC的综合康复护理在产后盆底康复护理中的应用效果显著,其不仅能有效缓解产妇的焦虑抑郁情绪,还能改善产妇的盆底功能,提高产妇的自我效能感与性生活满意度,降低盆底功能障碍性疾病的发生率,具有临床应用价值。
Objective To study the effect of comprehensive rehabilitation nursing based on Integrated Theory of Health Behavior Change(ITHBC) in postpartum pelvic floor rehabilitation nursing. Methods A total of 120 pregnant women who underwent postpartum pelvic floor function rehabilitation treatment in Department of Obstetrics, Baoji Maternal and Child Health Care Hospital from February 2019 to February 2021 were selected as the research objects. According to random number table, the patients were divided into the study group and the control group, with 60 cases in each group. The control group was given routine nursing, and the study group was given comprehensive rehabilitation nursing based on ITHBC, continuously for 3 months. The scores of Self-rating Anxiety Scale(SAS), Self-rating Depression Scale(SDS), and General Self-Efficacy Scale(GSES) were compared before and after nursing. The pelvic floor muscle strength of parturients in the two groups was evaluated and compared with the grading standard of pelvic floor muscle strength. The incidence of pelvic floor dysfunction disease was evaluated, and the patients’ satisfaction with sexual life were evaluated by Female Sexual Function Scale(FSFI). Results Before nursing, there was no significant difference in SAS score, SDS score, and GSEs score between the two groups(P>0.05);after nursing, the SAS score and SDS score of the study group were(32.58±4.21) points and(35.86±5.48) points, which were significantly lower than(48.84±4.06) points and(47.82±6.14) points of the control group;the GSEs score was(2.76±0.38) points, which was significantly higher than(2.52±0.41) points of the control group;the differences were statistically significant(P<0.05). The proportion of patients with pelvic floor muscle strength of grade Ⅲ or above was 90.00% in the study group, which was significantly higher than 71.67% in the control group(P<0.05). The incidence of pelvic floor dysfunction disease in the study group was 5.00%, which was significantly lower than 25.00% in the control group, and the satisfaction rate with sexual life was 86.67%, which was significantly higher than 66.67% in the control group, with statistically significant difference(P<0.05). Conclusion Comprehensive rehabilitation nursing based on ITHBC in postpartum pelvic floor rehabilitation nursing has significant effects, which can not only effectively alleviate the anxiety and depression of pregnant women, but also improve the pelvic floor function, self-efficacy, and satisfaction with sexual life of pregnant women, as well as reduce the incidence of pelvic floor dysfunction diseases.
作者
李秋侠
张红艳
杨亚莉
戚莉娜
周春梅
LI Qiu-xia;ZHANG Hong-yan;YANG Ya-li;QI Li-na;ZHOU Chun-mei(Department of Obstetrics,Baoji Maternal and Child Health Care Hospital,Baoji 721000,Shaanxi,CHINA)
出处
《海南医学》
CAS
2022年第24期3239-3242,共4页
Hainan Medical Journal
基金
中国性病艾滋病防治协会艾伯维妇幼关爱及预防母婴传播基金项目(编号:2020PWTCT-W12b)。
关键词
健康行为整合理论
综合康复护理
盆底肌力
盆底功能障碍
应用
Integrated Theory of Health Behavior Change(ITHBC)
Comprehensive rehabilitation nursing
Pelvic floor muscle strength
Pelvic floor dysfunction
Application
