影响产妇盆底肌锻炼的因素及针对性指导

The impact of maternal factors that pelvic floor muscle exercise and specific guidance

目的:探讨影响产妇进行盆底肌锻炼的因素,促进盆底功能康复。方法:采用问卷方式对287例产妇在产后第2天进行面对面调查,所得数据用SPSS12.0软件进行汇总分析,再分组进行盆底肌锻炼指导。结果:产妇及家属(尤其丈夫)对盆底肌锻炼知识非常缺乏(93.16%、98.42%),同时表现出很高的自愿参与率(78.42%);实验组针对每位产妇实施一对一盆底肌锻炼指导,就产妇42天检查盆底肌张力PC肌力评分及盆底器官脱垂情况POP-Q分度,与对照组进行比较,差异有统计学意义(P<0.01;P<0.05)。结论:现阶段的产妇对产后盆底肌康复知识匮乏,有针对性的进行个体化健康教育与盆底肌锻炼指导,可以明显促进产妇盆底功能的恢复。

Objective：To study the factors of affecting the parturient woman to carry on the pelvic floor muscle exercise in order to promote the pelvic floor function recoveryMethods：287 example parturient women in post-natal the 2nd day were investigated face-to-face by the questionnaire method,and the pelvic floor muscle exercise instruction was carried on for the women.Results：The investigation showed that the parturient woman and the family member（husband） were especially deficient in the knowledge of pelvic floor muscle exercise（93.16%,98.42%）,but the voluntary participation rate was higher（78.42%）.The instruction of pelvic floor muscle exercise was carried on by one-to-one in experimental group.The trough bottom organ function of the experimental group which had been carried on exercise and specific guidance was better than that of the control group,the difference between the two groups was remarkable（P〈0.05）.Conclusion：In present stage parturient woman is deficient in the knowledge of pelvic floor function recovery.The health education and the instruction of pelvic floor muscle exercise can obviously promote pelvic floor function recovery of parturient woman.