认知行为式自我管理对产后盆底康复患者治疗依从性的影响

Effect of cognitive behavioral self-management on treatment compliance of postpartum patients with pelvic floor rehabilitation

目的探讨认知行为式自我管理对产后盆底康复患者治疗依从性的影响。方法将兰溪市妇幼保健院2017年1至9月收治的200例产后盆底康复患者分为两组,每组各100例,对照组采用常规的自我管理模式,研究组在对照组的基础上采用认知行为式自我管理,比较两组临床资料。结果干预后两组患者盆底康复治疗认知评分、治疗依从性评分均显著性升高(t值分别为3.987、4.155、3.932、6.144,均P<0.05),认知合格率、治疗依从率亦显著性升高(χ~2值分别为6.494、18.731、15.026、47.465,均P<0.05),但干预后研究组认知评分、治疗依从性评分均显著高于对照组(t值分别为2.976、3.047,均P<0.05),且认知合格率、治疗依从率亦显著高于对照组(χ~2值分别为6.366、7.354,均P<0.05)。干预后两组盆底肌张力评分均显著性升高(t值分别为2.638、3.127,均P<0.05),且干预后研究组显著高于对照组(t=3.148,P<0.05)。结论认知行为式自我管理可增强患者的认知水平和治疗依从性,对促进产后盆底康复具有重要意义。

Objective To explore the effect of cognitive behavioral self-management on treatment compliance of postpartum patients with pelvic floor rehabilitation.Methods Two hundreds patients with postpartum pelvic floor rehabilitation in Maternal and Child Health Care Hospital of Lanxi City from January to September in 2017 were selected and divided into two groups with 100 cases in each group.Patients in control group accepted normal self management mode,and patients in research group accepted cognitive behavioral self-management on the basis of control group.The clinical data were compared between two groups.Results The pelvic floor rehabilitation cognitive score,treatment compliance scores were significantly increased after intervention in both groups（t value was 3.987,4.155,3.932 and 6.144,respectively,all P〈0.05）.The qualification rate of cognition and treatment compliance were also significantly increased after intervention in both groups（χ~2 value was 6.494,18.731,15.026 and 47.465,respectively,all P〈0.05）.Cognitive score and treatment compliance scores were significantly increased after intervention in research group compared with control group（t value was 2.976 and 3.047,respectively,both P〈0.05）,and the qualification rate of cognition and treatment compliance were also significantly increased in research group compared with control group（χ~2 value was 6.366 and7.354,respectively,both P〈0.05）.The scores of pelvic floor muscle tension after intervention were significantly increased in both groups（t value was 2.638 and 3.127,respectively,both P〈0.05）,which were more significant in research group than in control group（t=3.148,P〈0.05）.Conclusion Cognitive behavioral self-management can enhance the cognitive level and therapeutic compliance of patients,which is of great significance to promoting postpartum pelvic rehabilitation.