产褥期妇女坚持盆底肌功能锻炼的影响因素分析及护理对策

Analysis of influencing factors for persevering in pelvic floor muscle exercise in puerperal womenand nursing countermeasures

目的探讨产褥期妇女坚持盆底肌功能锻炼的影响因素及护理对策。方法对2010年6月前120例产褥期妇女坚持盆底肌功能锻炼的影响因素进行分析，列为对照组；根据分析结果制定针对性的护理对策，采用护理干预结合健康教育的综合性护理方法，对2010年6月至2011年6月观察组116例产褥期妇女进行护理，观察2组产妇盆底肌张力恢复情况。结果产妇坚持盆底肌功能锻炼的影响因素主要有4个方面，排列顺位依次是未作为产后访视的项目进行检查、产科护士未进行必要的宣传、不了解盆底肌功能锻炼的重要性、产妇认识不足。2组产妇产褥期后盆底肌张力检查结果为观察组I度9例占7．76％；Ⅱ度31例占26．72％；Ⅲ度76例占65．52％；对照组I度35例占29．17％；Ⅱ度44例占36．67％；HI度41例占34．17％；观察组产妇盆底肌张力恢复效果明显好于对照组。结论产褥期妇女坚持盆底肌功能锻炼的影响因素是多方面的，针对其影响因素进行个性化护理干预，可提高产褥期妇女盆底肌锻炼的依从性，有利于盆底肌张力的恢复。

Objective To investigate the influencing factors for persevering in pelvic floor muscle exercise in puerperal women and nursing countermeasures. Methods The influencing factors for perse- vering in pelvic floor muscle exercise in 120 puerperal women before June 2010 were analyzed, and they were set as the control group. According to the analysis results, targeted nursing were de- veloped, comprehensive care approach that combined nursing intervention with health education were ap- plied in 116 cases of puerperal women from June 2010 to June 2011, who were set as the observation group. The situation of recovery for maternal pelvic floor muscle tension was observed. Results There were four main factors that affected maternal pelvic floor muscle exercise： pelvic floor muscle exercise is not inspected as post-natal visits items, obstetric nurses did not carry out necessary propaganda, did not understand the importance of pelvic floor muscle exercise and lack of knowledge among the puerperal women. The test re- suhs for pelvic floor muscle tension were as followed： in the observation group I degree was in 9 cases, ac- counting for 7.76%; Ⅱ degree was in 31 cases, accounting for 26.72%; Ⅲ degree was in 76 cases, account- ing for 65.52%. In the control group, I degree was in 35 cases, accounting for 29.17 %; Ⅱ degree was in 44 cases, accounting for 36.67%; Ⅲ degree was in 41 cases, accounting for 34.17%. The recovery effect of pelvic floor muscle tension in the observation group was obviously better than the control group, the differ- ence was significant. Conclusions Factors influencing the puerperal women in persevering in pelvic floor muscle exercise was various, personalized care and intervention according to the influencing factors can im- prove compliance of pelvic floor muscle exercise for puerperal women, contribute to the recovery of pelvic floor muscle tension.