盆底肌康复训练配合护理干预治疗产后盆底肌功能障碍的效果观察

Effect observation of pelvic floor rehabilitation trainingcombined with nursing intervention in treating postpartum pelvic floor muscle dysfunction

  • 摘要:
      目的  探讨盆底肌康复训练配合护理干预治疗产后盆底肌功能障碍的效果。
      方法  选取产后盆底肌功能障碍产妇120例, 随机分为对照组与观察组,每组60例。对照组行盆底肌肉训练配合常规护理干预,观察组行盆底康复训练配合全面护理干预。比较2组产妇盆底肌力改善疗效、1 h漏尿量、国际尿失禁标准问卷调查表(ICIQ-SF)及尿失禁生活质量调查表(I-QOL)评分情况。
      结果  观察组产妇盆底肌力改善总有效率为98.33%, 显著高于对照组的86.67%(P < 0.05)。观察组产妇1 h漏尿量与ICIQ-SF评分显著低于对照组, I-QOL评分显著高于对照组(P < 0.05)。
      结论  盆底功能障碍产妇行盆底康复训练配合全面护理措施的疗效肯定,能有效改善盆底肌功能,提高产妇分娩后生活质量。

     

    Abstract:
      Objective  To explore the clinical effect of pelvic floor rehabilitation training combined with nursing intervention on treating postpartum pelvic floor muscle dysfunction.
      Methods  Totally 120 patients with postpartum pelvic floor muscle dysfunction were selected and randomly divided into control group and observation group, with 60 cases in each group. The control group was treated with pelvic floor muscle training and routine nursing intervention, while the observation group was treated with pelvic floor rehabilitation training and comprehensive nursing intervention. The improvement of pelvic floor muscle strength, the amount of urine leakage within 1 hour, score of International Consultation Incontinence Questionnaire Short Form (ICIQ-SF) and score of Quality of Life Questionnaire for Urinary Incontinence (I-QOL) were compared between the two groups.
      Results  The total effective rate of pelvic floor muscle strength improvement in the observation group was 98.33%, which was significantly higher than 86.67% in the control group (P < 0.05). The amount of urine leakage within 1 hour and ICIQ-SF score in the observation group were significantly lower than those in the control group (P < 0.05), while the ICIQ-SF score was significantly higher than that in the control group (P < 0.05).
      Conclusion  The pelvic floor rehabilitation training combined with comprehensive nursing measures is effective in treating pregnant women with pelvic floor muscle dysfunction, which can improve pelvic floor muscle function and the quality of life after delivery.

     

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