健康教育小组管理模式对产妇盆底肌康复及满意度的影响

Effect of health education group management on maternal pelvic floor muscle rehabilitation and satisfaction

目的探讨健康教育小组管理模式对产妇盆底肌康复和满意度的影响。方法选择2015年5月至2017年5月在我院分娩的500例产妇作为研究对象,将其随机等分为观察组和对照组,观察组采取健康教育小组模式进行康复训练,对照组采用常规的盆底康复训练。比较两组产妇的盆底康复知识掌握程度、盆底肌力、产后尿失禁和产后盆底脏器脱垂、性生活质量、满意度。结果观察组产妇盆底康复知识和盆底锻炼技能的掌握程度优于对照组(P <0. 05),盆腔肌力分级好于对照组(P <0. 05),盆腔脏器脱垂率和尿便的失禁率低于对照组(P <0. 05),各项性生活指标评分高于对照组(P <0. 05),满意度高于对照组(P <0. 05)。结论健康教育小组管理模式在盆底康复过程中具有良好的推动的作用,能够提高产妇的盆底肌力和性生活质量,降低不良事件发生率,提高对产妇对盆底康复知识和技能的掌握程度,提高患者满意度,值得在产妇盆底康复过程中推广应用。

Objective To explore the effect of health education group management on maternal pelvic floor muscle rehabilitation and satisfaction. Methods To compare the status of mastery of pelvic floor rehabilitation knowledge, pelvic floor muscle strength, postpartum urinary incontinence and postpartum pelvic organ prolapse, quality of sex life, and satisfaction, 500 cases of parturient who gave birth in our hospital from May 2015 to May 2017 were observed, and were randomly divided into study group and control group with equal members. Results The mastery of pelvic floor rehabilitation knowledge and pelvic floor exercise skills in the study group were better than that in the control group（ P ＜0.05）. The pelvic muscle strength was better than the control group（ P ＜0.05）. The pelvic organ prolapse rate and urine incontinence rate were lower than the control group（ P ＜0.05）. The sexual life index scores was higher than the control group（ P ＜0.05）, and the satisfaction was higher than the control group（ P ＜0.05）. Conclusion The application of health education group management played a good role in the pelvic floor rehabilitation progress, which could enhance the pelvic floor muscle strength and sexual life quality of the mother, reduce the incidence of adverse events, improve the maternal knowledge and skills of pelvic floor rehabilitation, and thereby promote patients’ satisfaction.It was worthy of clinical promotion and application.