KAP护理模式结合低频电刺激及盆底肌训练对剖宫产产妇术后恢复的影响

Effect of KAP Nursing Mode Combined with Low-Frequency Electrical Stimulation and Pelvic Floor Muscle Training on Postoperative Recovery of Cesarean Section Women

目的探究知信行(KAP)护理模式结合低频电刺激及盆底肌训练对剖宫产产妇术后恢复的影响.方法选择2019年3月—2021年9月于本院行剖宫产手术的88例产妇,按照随机数字表法分为对照组和观察组,每组44例.对照组采用常规护理联合盆底肌训练,观察组在对照组基础上实施KAP护理模式结合低频电刺激.比较两组负性情绪、盆底肌力、排尿情况及护理满意度.结果护理前,两组负性情绪、盆底肌力比较,组间差异无统计学意义(P>0.05);护理1个月后,观察组抑郁自评量表、焦虑自评量表评分均低于对照组,阴道静息压、阴道收缩压均高于对照组,阴道收缩持续时间长于对照组,组间差异有统计学意义(P<0.05).观察组排尿情况优于对照组,护理满意度97.73%高于对照组的81.82%,组间差异有统计学意义(P<0.05).结论KAP护理模式结合低频电刺激及盆底肌训练能够有效减轻产妇负性情绪,加快盆底肌力恢复,促进排尿,进而获得更高的护理满意度.

Objective To explore the effect of knowledge-attitude-practice(KAP)nursing mode combined with low-fre quency electrical stimulation and pelvic floor muscle training on postoperative recovery of cesarean section women.Methods A total of 88 puerperae who underwent cesarean section in the hospital from March 2019 to September 2021 were selected and divided into a control group and an observation group according to the random number table method,with 44 cases in each group.The control group was given routine nursing combined with pelvic floor muscle training,while the observation group was given KAP nursing mode combined with low-frequency electrical stimulation on the basis of the control group.The negative emotions,pelvic floor muscle strength,urination and nursing satisfaction were compared between the two groups.Results Before nursing,there were no significant differences in negative emotion and pelvic floor muscle strength between the two groups(P>0.05);after 1 month of nursing,the scores of self-rating depression scale and self-rating anxiety scale in the observation group were lower than those in the control group,and the vaginal resting pressure and vaginal systolic blood pressure were higher than those of control group,the duration of vaginal contraction was longer than that of control group,the differences between the groups were statistically significant(P<0.05).The urination of the observation group was better than that of the control group,and the nursing satisfaction was 97.73%higher than that of the control group,which was 81.82%,and the differences between the groups were statistically significant(P<0.05).Conclusion The KAP nursing mode combined with low-frequency electrical stimulation and pelvic floor muscle training can effectively reduce maternal negative emotions,speed up the recovery of pelvic floor muscle strength,and promote urination,thereby achieving higher nursing satisfaction.