盆底肌康复训练联合心理护理干预对产后压力性尿失禁患者的影响

Effect of Pelvic Floor Muscle Rehabilitation Training Combined with Psychological Nursing Intervention on Patients with Postpartum Stress Urinary Incontinence

目的分析盆底肌康复训练联合心理护理干预对产后压力性尿失禁患者的影响.方法将2020年9—11月该院诊治的62例产后压力性尿失禁患者纳为研究对象,依据随机数字表法分组,对照组31例与观察组31例.对照组开展盆底肌康复训练,观察组开展盆底肌康复训练联合心理护理.观察比较两组的盆底肌力水平、尿动力学水平及心理状态.结果护理前,两组的盆底肌力水平比较,差异无统计学意义(P>0.05);护理后,观察组的盆底肌力水平优于对照组,差异有统计学意义(P<0.05).护理后,观察组的最大尿流率、漏尿点压、尿道最大闭合力、尿道最大测量压均高于对照组,组间差异有统计学意义(P<0.05).护理前,两组患者的抑郁自评量表评分和焦虑自评量表评分比较,组间差异无统计学意义(P>0.05);护理后,观察组患者的上述评分均低于对照组,组间差异有统计学意义(P<0.05).结论盆底肌康复训练联合心理护理干预可加快产后压力性尿失禁患者的恢复速度,改善盆底肌肉状况,减轻其心理压力,优势显著,值得采纳推广.

Objective To analyze the effects of pelvic floor muscle rehabilitation training and psychological nursing intervention on patient with postpartum stress urinary incontinence.Methods A total of 62 patients with postpartum stress urinary incontinence who were diagnosed and treated in this hospital from September to November 2020 were included as the research objects,and were divided into the control group of 31 cases and the observation group of 31 cases according to the random number table method.The control group carried out pelvic floor muscle rehabilitation training,and the observation group carried out pelvic floor muscle rehabilitation training combined with psychological nursing.The pelvic floor muscle strength level,urodynamic level and psychological status of the two groups were observed and compared.Results No statistically significant difference between the pelvic floor muscle strength levels of the two groups before care(P>0.05);after care,the pelvic floor muscle strength of the observation group was better than that of the control group,and the difference was sta tistically significant(P<0.05).After care,the maximum urinary flow rate,leakage point pressure,maximum urethral closure force,and maximum urethral measurement pressure in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before care,there was no statistically significant difference between the two groups when comparing the depression self-rating scale scores and anxiety self-rating scale scores(P>0.05);after care,the above scores of patients in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Pelvic floor muscle rehabilitation training combined with psychological nursing intervention can speed up the recovery of patient with postpartum stress urinary incontinence,improve the condition of pelvic floor muscles and reduce maternal psychological stress,with significant advantages,which is worth adopting and promoting.