阶段式盆底康复护理对妇科盆底功能障碍患者的盆底肌力、并发症及生活质量的影响

目的:研究阶段式盆底康复护理对妇科盆底功能障碍患者的盆底肌力、并发症及生活质量的影响。方法:选择本院2021年1月至2022年1月接诊的80例妇科盆底功能障碍患者进行研究,按照随机数表法,把患者均分为对照组和观察组各40例。对照组给予常规护理,观察组给予阶段式盆底康复护理。比较两组护理前后的盆底肌力、盆底功能障碍和生活质量评分,以及并发症情况。结果:护理前,两组盆底肌力分级相比,差异均无统计学意义(P>0.05);护理后,两组盆底肌力等级均显著上升,且观察组盆底肌力的各个等级均显著优于对照组(P<0.05)。护理前,两组患者的角色功能、认知功能、躯体功能和社会功能评分差异均无统计学意义(P>0.05);护理后,观察组患者的以上评分均显著高于对照组,差异均有统计学意义(P<0.05)。护理前,两组患者的盆腔器官脱垂、泌尿生殖和肛门直肠障碍评分差异均无统计学意义(P>0.05);护理后,观察组患者的盆腔器官脱垂、泌尿生殖和肛门直肠障碍评分均显著低于对照组(P<0.05)。观察组并发症的总发生率(15.00%)显著高于对照组(2.50%,P<0.05)。结论:阶段式盆底康复护理能够改善妇科盆底功能障碍患者的盆底肌力、生活质量,减少并发症,值得临床上应用及推广。

Objective To study the effect of stage pelvic floor rehabilitation nursing on pelvic floor muscle strength,complications and quality of life in gynecological patients with pelvic floor dysfunction.Methods A total of 80 gynecological patients with pelvic floor dysfunction admitted to our hospital from January 2021 to January 2022 were selected for the study.According to random number table method,the patients were divided into control group and observation group,with 40 cases each.The control group was given routine nursing,and the observation group was given stage pelvic floor rehabilitation nursing.Pelvic floor muscle strength,quality of life and complications were compared between the two groups before and after care.Results Before nursing,there was no statistical significance in pelvic floor muscle strength classification between the two groups(P>0.05).After nursing,the levels of pelvic floor muscle strength in both groups were significantly increased,and all levels of pelvic floor muscle strength in the observation group were significantly better than those in the control group(P<0.05).Before nursing,there were no significant differences in the scores of role function,cognitive function,physical function and social function between the two groups(P>0.05).After nursing,the above scores of the observation group were significantly higher than those of the control group,with statistical significance(P<0.05).Before nursing,there were no significant differences in pelvic organ prolapse,urogenital and anorectal disorders scores between 2 groups(P>0.05).After nursing,the scores of pelvic organ prolapse,urogenital and anorectal disorders in observation group were significantly lower than those in control group(P<0.05).The total incidence of complications in the observation group(15.00%)was significantly higher than that in the control group(2.50%,P<0.05).Conclusions Stage pelvic floor rehabilitation nursing can improve the pelvic floor muscle strength,quality of life and reduce complications of gynecological patients with pelvic floor dysfunction,and is worthy of clinical application and promotion.