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知信行模式干预在孕妇中的应用观察 被引量:6

Observation of KAP mode of intervention in pregnant women
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摘要 目的:了解妊娠中晚期孕妇的营养知识、态度及行为(知信行)现状,探讨知信行模式干预对孕妇盆底肌锻炼依从性的影响,提升患者进行康复训练的积极性,最终实现提升治疗效果的目的。方法:选择行产前检查并定点在该院分娩的健康初孕妇200例,按计算机序列随机分成试验组和对照组,试验组的孕妇进行盆底肌肉锻炼,并在入院前完成依从性问卷调查及检查锻炼记录表,进行主观评价,在产后42 d对盆底功能的客观指标进行评价,对照组依常规指导盆底肌肉训练,对两组盆底功能进行评价。结果:两组孕妇的依从率、盆底肌肉肌力、阴道静息压、阴道收缩压及POP-Q评分相比差异均有统计学意义(P<0.05)。结论:知信行干预是一种行之有效的健康教育干预模式,可以对产后盆底女性功能障碍性疾病形成较强干预,进一步丰富康复训练的相关知识和技能,提升其自身依从性,最终实现降低盆底功能障碍性疾病发病率的目的。 Objective To explore the KAP mode interference influence on pregnant women pelvic floor muscle exercise adherence,improve the enthusiasm of patients in rehabilitation training, finally realizes the treatment effect of effective promotion. MethodSelection in our hospital antenatal examination and fixed point at the beginning of our labor health,200 cases of pregnant women,accordingto the sequence of computer randomly were divided into experimental group and control group, experimental group of pregnantwomen with pelvic floor muscle exercise,and in front of the hospital and check exercise adherence questionnaire form,subjectiveevaluation,postpartum 42 days of pelvic floor functional objective index to evaluate,to the control group in accordance with theconventional pelvic floor muscle training,evaluate the function of two groups of pelvic floor. Results two groups of pregnant womenthe compliance rate,pelvic floor muscle strength, vaginal resting pressure, systolic blood pressure and POP - Q score were compared,the differences were statistically significant (P <0. 05). Conclusion KAP intervention is an effective mode of health educationintervention, can function of women with postpartum pelvic floor disorder to form strong intervention, further enrich the rehabilitationtraining of relevant knowledge and skills, improve their own dependency, eventually reduce the incidence of pelvic floor functionaldisorder.
作者 吴智萍 杨碧霞 WU Zhi - ping;YANG Bi - xia(CHEN Xing -hai hospital ^Zhongshan City, Guangdong Province Zhongshan 5 2 S4 1 5 , China)
出处 《吉林医学》 CAS 2016年第7期1794-1795,共2页 Jilin Medical Journal
关键词 知信行模式 孕妇 盆底肌肉锻炼依从性 KAP mode Pregnant women Pelvic floor muscle exercise adherence
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