产褥期妇女坚持盆底肌功能锻炼的影响因素分析与护理对策

Study on influential factors and nursing countermeasures of puerperal women persisting in the pelvic floor muscle function exercise

目的探讨产褥期妇女坚持盆底肌功能锻炼的影响因素与护理对策。方法查阅相关文献并将制订好的自编问卷应用于2010年5月～2012年5月在首都医科大学附属北京妇产医院产科分娩的113例产褥期妇女临床资料,根据产褥期妇女有无坚持盆底肌功能锻炼分为A组(42例)和B组(71例),运用描述性统计方法和二分类Logistic回归分析法找出产褥期妇女坚持盆底肌功能锻炼的影响因素。结果产褥期妇女坚持盆底肌功能锻炼者占62.83%。单因素Logistic回归分析发现:有睡眠障碍(OR=3.540)是产褥期妇女坚持盆底肌功能锻炼的危险因素,文化程度高(OR=0.387)、孕次多(OR=0.284)、孕妇充分坚持盆底肌功能锻炼重要性(OR=0.238)、孕妇家属充分坚持盆底肌功能锻炼重要性(OR=0.176)和产后访视人员对产褥期妇女盆底肌功能锻炼的情况进行检查(OR=0.187)是产褥期妇女坚持盆底肌功能锻炼保护因素。多因素Logistic回归分析发现:有睡眠障碍(OR=3.891)是产褥期妇女坚持盆底肌功能锻炼危险因素,文化程度高(OR=0.320)、孕妇充分坚持盆底肌功能锻炼重要性(OR=0.124)和产后访视人员对产褥期妇女盆底肌功能锻炼的情况进行检查(OR=0.127)是产褥期妇女坚持盆底肌功能锻炼保护因素。结论产褥期妇女坚持盆底肌功能锻炼者比例尚不高,其坚持与否受到很多因素的影响,可以通过采用针对性的干预措施来强化产褥期妇女坚持盆底肌功能锻炼,减少产褥期妇女盆底功能障碍性疾病的发生。

Objective To investigate the influential factors and nursing countermeasures of puerperal women persisting in the pelvic floor muscle function exercise. Methods The clinical data of 113 puerperal women who deliveryed in the obstetrical department of Beijing Maternity Hospital Affiliated to the Capital Medical University from May 2010 to May 2012 were collected by the self-made general data questionnaire according to the literature review, and they were di- vided into group A and group B according to the puerperal women insisting on pelvic floor muscle function exercise, then they were analyzed by descriptive statistics and binary classification logistic regression analysis of the SPSS 16.0 to find out the influential factors of puerperal women persisting in the pelvic floor muscle function exercise. Results Puerperal women persisting in the pelvic floor muscle function dentate gyms accounted for 62.83%, the single factor logistic regression analysis showed that having a sleep disorder （OR=3.540, P 〈 0.01） was a risk factor of puerperal women persisting in the pelvic floor muscle function exercise, high degree of culture （OR=0.387, P 〈 0.01）, child more than once （OR=0.284, P 〈 0.01）, pregnant women fully knowing importance of persisting in the pelvic floor muscle function exercise （OR=0.238, P 〈 0.01）, pregnant women＂ family members fully knowing importance of persisting in the pelvic floor muscle function exercise （OR=0.176, P 〈 0.01） and postpartum supervision personnel checking puer- peral women persisting in pelvic floor muscle function exercise （OR=0.187, P 〈 0.01） were protective factor for puer- peral women persisting in the pelvic floor muscle function exercise. The multi-factor logistic regression analysis showed that having a sleep disorder （0R=3.891） was a risk factor of puerperal women persisting in the pelvic floor muscle function exercise, high degree of culture （OR=0.320）, pregnant women fully knowing importance of persisting in the pelvic floor muscle function exercise （OR=0.124） and postpartum supervision personnel checking puerperal women persisting in pelvic floor muscle function exercise （OR=0.127） were protective factor for puerperal women per- sisting in the pelvic floor muscle function exercise. Conclusion The puerperal women persisting in the pelvic floor muscle function exercise rate is not high, it is affected by various factors. In daily work, we can take the corresponding measures to strengthen the puerperal women persisting in the pelvic floor muscle function exercise, it can the puerperal women at the function obstacle the happening of the disease.