持续健康教育在初产妇产后盆底康复治疗过程中的应用

Application of continuous health education in postpartum pelvic floor rehabilitation in primipara

目的观察持续性健康教育对初产妇产后盆底肌康复的效果,并探索出一种可用于临床的初产妇产后盆底康复持续性健康教育方法。方法选取2017年2至8月到福州总医院盆底治疗中心接受盆底康复治疗的初产妇200例,随机分为观察组和对照组,各100例。对照组进行常规康复治疗,观察组产妇在对照组实施干预的基础上,再应用持续性健康教育干预措施进行干预。结果进行盆底治疗后,观察组盆底Ⅰ、Ⅱ类肌肉的盆底肌力均比对照组高,差异均有统计学意义(t值分别为4.61、5.40,均P<0.01),观察组盆底Ⅰ、Ⅱ类肌肉的肌疲劳度均比对照组低,差异均有统计学意义(t值分别为4.63、4.93,均P<0.01);干预后观察组产妇主动锻炼依从性为89%,显著高于对照组的40%(χ~2=54.43,P<0.01);产妇满意度观察组显著高于对照组(χ~2=52.54,P<0.01)。结论初产妇在产后盆底康复治疗过程中对其进行持续性健康教育,可以提高产妇的盆底功能状态、进行盆底主动锻炼的依从性和对盆底康复治疗的满意度。

Objective To observe the effect of continuous health education on postpartum pelvic floor rehabilitation in primipara and to explore a sustainable healthy education method for postpartum pelvic floor rehabilitation.Methods Two hundred cases of primipara receiving pelvic floor rehabilitation were selected from February to August 2017 in Fuzhou General Hospital.The patients were randomly divided into observation group and control group with 100 cases in each group.In the control group,routine rehabilitation therapy was performed,and continuous health education was performed in the observation group based on the intervention for the control group.Results After pelvic floor treatment,the pelvic floor muscle strength of group Ⅰ and Ⅱ was higher in the observation group than that in the control group,and the difference was statistically significant（t value was 4.61 and5.40,respectively,both P〈0.01）.The muscle fatigue was lower in the observation group than in the control group（t value was4.63 and 4.93 respectively,both P〈0.01）.The compliance of mothers in the observation group after intervention was 89%,and it was higher than that（40%）in the control group（χ^2=54.43,P〈0.01）.The observation group had higher satisfaction degree than the control group（χ^2=52.54,P〈0.01）.Conclusion Postpartum continuous health education for primipara during pelvic floor rehabilitation can improve the functional state of pelvic floor,the compliance of pelvic floor active exercise and the satisfaction degree on pelvic floor rehabilitation.