康复训练护理干预在产后盆底功能障碍患者中的应用效果

The effect of complex training nursing intervention in patients with postpartum pelvic floor dysfunction

目的探讨康复训练联合护理干预在产后盆底功能障碍的临床效果。方法选取我院2016年11月~2017年11月收治的80例产后盆底功能障碍患者为研究对象,根据患者就诊时间将其分为两组,其中常规组(40例)患者单纯采用常规护理干预,实验组(40例)患者在常规护理基础上,加用康复训练干预。将两组患者干预前后的盆底肌力情况(盆底肌力肌电压、盆底肌力分级)进行比较,并比较干预前后各盆底功能障碍(压力性尿失禁、盆腔脏器脱垂、腰骶部疼痛)发生率以及患者性生活的满意度情况。结果干预后,实验组患者盆底肌力肌电压、盆底肌力分级情况均优于干预前,且优于常规组(P<0.05);干预后,实验组患者的盆底功能障碍发生率明显低于干预前及常规组(P<0.05);且实验组患者性生活满意度为92.50%,明显高于常规组,差异均有统计学意义(P<0.05)。结论对产后出现的盆底功能障碍,采用康复训练联合护理干预的治疗效果显著,可促进其盆底功能恢复,值得推荐应用。

Objective To explore the clinical effect of rehabilitation training combined with nursing intervention in postpartum pelvic floor dysfunction.Methods 80 patients with postpartum pelvic floor dysfunction admitted to our hospital from November 2016 to November 2017 were enrolled in this study.The patients were divided into two groups based on the time of their visit.Among them,conventional nursing intervention(40 cases)was used in the routine group,the experimental group patients were treated with rehabilitation training(40 cases)on the basis of routine nursing.The pelvic floor muscle strength(Pelvic floor muscle voltage,pelvic floor muscle grading)of the two groups before and after intervention were compared and compared before and after intervention of pelvic floor dysfunction(stress urinary incontinence,pelvic organ prolapsed,Lumbosacral pain)incidence and the patient′s satisfaction with sexual life.Results After intervention,pelvic floor muscle strength and pelvic floor muscle grading of the experimental group were better than that those before the intervention,which were better than that the conventional group(P<0.05);after the intervention,the experimental group had pelvic floor dysfunction.The incidence was significantly lower than that of the conventional group and the conventional group(P<0.05).The satisfaction rate of sexual life in the experimental group was 92.50%,which was significantly higher than that of the conventional group(P<0.05).Conclusion For post-natal pelvic floor dysfunction,the effect of rehabilitation training combined with nursing intervention is significant,which can promote the recovery of pelvic floor function,which is worth recommending.