阴道分娩产妇的产后阶段性盆底干预护理

Postpartum staged nursing intervention for pelvic floor of puerperas with natural delivery

  • 摘要:
      目的  探讨产后阶段性盆底干预护理对阴道分娩产妇盆底肌力及生活质量的影响。
      方法  选取本院门诊接诊的阴道分娩产妇156例,随机分为对照组和研究组各78例。对照组产妇予以常规护理,研究组产妇予以阶段性盆底干预护理。干预护理3个月后,观察2组产妇盆底肌力、护理前后生活质量。
      结果  研究组产妇盆底肌力3级及以上为73.08%显著高于对照组52.56%(P < 0.05); 护理前2组产妇盆底障碍影响简易问卷(PFIQ-7)、盆底功能障碍问卷(PFDI-20)、世界卫生组织生活质量测定量表(WHQOL-BREF)评分比较,差异无统计学意义(P>0.05); 护理干预后,研究组产妇PFIQ-7、PFDI-20评分低于对照组,研究组产妇WHQOL-BREF评分高于对照组(P < 0.05)。
      结论  产后阶段性盆底干预护理对阴道分娩产妇护理效果显著,有效强化产妇盆底肌力,加强产妇盆底功能的恢复效果,极大提高了产妇生活质量。

     

    Abstract:
      Objective  To explore the effect of postpartum staged nursing intervention on pelvic floor muscle strength and quality of life of puerperas with vaginal delivery.
      Methods  A total of 156 vaginal delivery women were divided into control group (n=78) and research group (n=78)according to the random number table method. The control group was given routine nursing, while the study group was given staged pelvic floor intervention nursing. After 3 months of nursing intervention, the pelvic floor muscle strength, quality of life were compared between the two groups.
      Results  The rate of pelvic floor muscle strength ≥grade 3 in the study group was significantly higher than that in the control group (73.08% vs. 52.56%, P < 0.05). There were no significant difference in Simple Questionnaire for Pelvic Floor Disorders(PFIQ-7), Pelvic Floor Dysfunction Questionnaire(PFDI-20)and Quality of Life Measurement Scale(WHQOL-BREF) scores between the two groups before nursing (P>0.05). After nursing intervention, the PFIQ-7 and PFDI-20 scores in the study group were significantly lower, and the WHQOL-BREF score of the study group was significantly higher than that of the control group(P < 0.05).
      Conclusion  Postpartum staged nursing intervention can effectively improve the pelvic floor muscle strength of parturients and enhance the recovery of pelvic floor function, greatly improve the quality of life.

     

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