目标导向式康复护理配合生物反馈治疗仪对产后盆底功能障碍的影响

Effect of Goal-Oriented Rehabilitation Nursing Combined with Biofeedback Therapy Instrument on Postpartum Pelvic Floor Dysfunction

目的探究目标导向式康复护理配合生物反馈治疗仪对产后盆底功能障碍的影响.方法选择2020年11月—2021年11月于本院分娩的106例产妇,按随机数字表法分为对照组和观察组,每组53例.对照组采用常规护理联合生物反馈治疗仪,观察组在此基础上采用目标导向式康复护理,均持续护理3个月.比较两组的盆底肌力、盆底肌电值、盆底功能及尿失禁发生情况.结果观察组护理后的盆底肌力分级优于对照组,差异有统计学意义(P<0.05).观察组护理后的前静息平均肌电值、后静息平均肌电值、慢肌平均肌电值、快肌平均肌电值均高于对照组,组间差异有统计学意义(P<0.05).观察组护理后的盆底功能障碍影响简易问卷评分、盆底功能障碍问卷评分、尿失禁问卷简表评分分别为(28.74±3.22)分、(27.32±3.06)分、(8.51±0.68)分,均低于对照组,组间差异有统计学意义(P<0.05).结论目标导向式康复护理配合生物反馈治疗仪能够有效增强产妇产后的盆底肌力,改善其盆底肌电值及盆底功能,减少尿失禁的发生.

Objective To explore the effect of goal-oriented rehabilitation nursing combined with biofeedback therapy instrument on postpartum pelvic floor dysfunction.Methods A total of 106 parturients who delivered in the hospital from November 2020 to November 2021 were selected and divided into a control group and an observation group according to the random number table method,with 53 cases in each group.The control group received routine nursing combined with biofeedback therapy instrument,and the observation group received goal-oriented rehabilitation nursing on this basis.Both groups continued nursing for 3 months.The pelvic floor muscle strength,pelvic floor electromyography,pelvic floor function and urinary incontinence were compared between the two groups.Results The pelvic floor muscle strength grade of the observation group after nursing was better than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the pre-resting average electromyography(EMG),post-resting average EMG,slow muscle average EMG and fast muscle average EMG of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the scores of pelvic floor impact questionnaire short form 7,pelvic floor distress inventory-short form 20 and international consultation on incontinence questionnaire urinary incontinence short form in the observation group were(28.74±3.22)points,(27.32±3.06)points and(8.51±0.68)points,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Goal-oriented rehabilitation nursing combined with biofeedback therapy instrument can effectively enhance postpartum pelvic floor muscle strength,improve the pelvic floor electromyography and pelvic floor function,and reduce the occurrence of urinary incontinence.