康复治疗仪结合盆底训练对初产妇剖宫产术后康复的应用价值研究

Research on the Application Value of Rehabilitation Therapy Instrument Combined with Pelvic Floor Training in the Rehabilitation of Primipara after Cesarean Section

目的探究初产妇剖宫产后应用康复治疗仪结合盆底训练的康复效果.方法选取本院2020年1月—2021年10月行剖宫产手术的112例初产妇,按照随机数字表法分为对照组(n=56)和观察组(n=56).对照组采用常规护理,观察组在此基础上实施康复治疗仪结合盆底训练.比较两组泌乳功能、术后恢复情况、负性情绪、盆底功能、自护能力及生活质量.结果观察组泌乳始动时间、自主排气时间及排尿时间均短于对照组,产后24 h泌乳量多于对照组,组间差异有统计学意义(P<0.05).干预前,两组负性情绪、盆底功能、自护能力及生活质量比较,组间差异无统计学意义(P>0.05);干预后,与对照组相比,观察组抑郁自评量表和焦虑自评量表评分均较低,盆底功能障碍影响简易问卷评分较低,自我管理能力测定量表中自我概念、健康认知、自我管理意识、自我管理能力评分均较高,世界卫生组织生存质量测定简表中生理、心理健康、周围环境及社会关系评分均较高,组间差异有统计学意义(P>0.05).结论康复治疗仪结合盆底训练能够有效促进初产妇剖宫产术后恢复,减轻负性情绪,提高泌乳功能及自护能力,改善盆底功能,进而提升生活质量.

Objective To explore the rehabilitation effect of the rehabilitation therapy apparatus combined with pelvic floor training in primipara after cesarean section.Methods A total of 112 primiparas who underwent cesarean section in the hospital from January 2020 to October 2021 were selected and divided into the control group(n=56)and the observation group(n=56)according to the random number table method.The control group received routine nursing care,and the observation group received rehabilitation therapy equipment combined with pelvic floor training on this basis.The lactation function,postoperative recovery,negative emotions,pelvic floor function,self-care ability and quality of life were compared between the two groups.Results The lactation initiation time,spontaneous exhaust time and urination time of the observation group were shorter than those of the control group,and the amount of milk 24 h postpartum was more than that of the control group,and the differences between the groups were statistically significant(P<0.05).Before the intervention,there were no significant differences in negative emotion,pelvic floor function,self-care ability and quality of life between the two groups(P>0.05).After the intervention,compared with the control group,the scores of the self-rating depression scale and the selfrating anxiety scale in the observation group were lower,the scores of the simple questionnaire on the impact of pelvic floor dysfunction were lower,and the the scores of self-concept,health cognition,self-management awareness,and self-management ability exercise of self-care agency scale were higher,and the scores of physiology,mental health,surrounding environment and social relationship in the World Health Organization quality of life short form were higher,and the differences between the groups were statistically significant(P>0.05).Conclusion Rehabilitation therapy instrument combined with pelvic floor training can effectively promote the recovery of primipara after cesarean section,reduce negative emotions,improve lacta-tion function and self-care ability,improve pelvic floor function,and then improve the quality of life.