1390例产后42天女性盆底功能障碍性疾病检测及对康复认知和需求程度的调查

The investigation of Cognition and Demand of 1 390 Women after 42 Days of Postpartum Rehabilitation for Pelvic Floor Rehabilitation

目的:通过问卷调查估测产后尿失禁发病率,了解产妇对女性盆底功能障碍性疾病(PFD)及产后盆底康复的认知程度和需求。方法:在产后42天随访,门诊采用自行设计问卷对1 390例产妇进行调查,内容包括一般信息、自觉症状及盆底功能障碍性疾病的相关知识认知和盆底康复需求情况,分析认知和需求的影响因素。结果:在孕期及产后有至少1次漏尿者共849例,占入组产妇61.08%。52.30%产妇了解产后盆底功能障碍性疾病,其中有413例知道产后盆底功能障碍的表现,672例知道预防方法,437例了解盆底肌肉锻炼方法。95.47%的产妇希望获得PFD和产后盆底康复的相关知识,84.17%的产妇希望通过医护宣教及宣传材料获取相关知识,74.10%的产妇更愿意使用网络及社交群获取相关知识。结论:孕期及产后尿失禁发病率高,产妇对PFD及盆底康复认知度低,但对相关知识的需求度较高。应加强对孕产妇女盆底功能障碍等相关知识的宣教,指导产妇进行盆底康复训练,以期降低妇女盆底功能障碍性疾病的发生。

Objective To estimate the incidence of postpartum urinary incontinence by questionnaire survey to understand the cognition and demand of maternal PFD and postpartum pelvic floor rehabilitation. Method A total of 1 390 maternal mothers were surveyed by self-designed questionnaire at 42 days postpartum follow-up clinic. The questionnaire included general information,subjective symptoms,knowledge of pelvic floor dysfunction and pelvic floor rehabilitation needs,analysis of cognition and needs Influencing factors. Results In pregnancy and postnatal at least once a total of 849 people who leak urine,accounting for 61. 08% of the group; 52. 30% of women understand postpartum pelvic floor dysfunction disease,of which 413 people know the performance of postpartum pelvic floor dysfunction,672 people know Prevention methods,437 people understand pelvic floor muscle training methods. 95. 47% expect to get knowledge of PFD and postpartum pelvic floor rehabilitation,84. 17% of expectant mothers want to get through health education and propaganda materials,and 74. 10% of women are more willing to use the internet and social groups. Conclusion The incidence of urinary incontinence during pregnancy and postpartum is high. Maternal awareness of PFD and pelvic floor rehabilitation is low,but the demand for related knowledge is high. Women should be strengthened pelvic floor dysfunction and other related knowledge of missionary guidance pelvic floor mothers training to reduce the incidence of pelvic floor dysfunction in women.