盆底肌康复训练联合心理护理在产后压力性尿失禁护理中的作用

Effect of Pelvic Floor Muscle Rehabilitation Training and Psychological Nursing on Postpartum Stress Urinary Incontinence

目的探讨盆底肌康复训练联合心理护理在产后压力性尿失禁护理中的应用价值。方法随机选取2017年10月至2019年3月间在我院接受诊治的60例产后压力性尿失禁患者为研究对象,根据护理手段均分为对照组和观察组。对照组用常规护理手段,予以观察组患者盆底肌康复训练联合心理护理,进行两组护理成效的对比。结果两组护理前盆底肌力无统计学差异存在(P>0.05),两组存在护理后盆底肌力的统计学差异(P<0.05);对照组和观察组患者的依从性分别为70.0%和93.3%,数据间有统计学差异存在(P<0.05);两组护理前心理状态基本一致,无统计学差异产生(P>0.05),观察组护理后SAS评分为(52.1±3.2)分,SDS评分为(52.7±1.6)分,明显低于对照组,所得数据间有统计学差异存在(P<0.05);观察组产后压力性尿失禁复发率和并发症发生率低于对照组,存在统计学层面的数据差异(P<0.05)。结论盆底肌康复训练联合心理护理可促进产后压力性尿失禁患者盆底肌功能和依从性的提升,也可缓解负面情绪,减少复发率和并发症发生风险,推广应用价值高。

Objective To explore the application value of pelvic floor muscle rehabilitation combined with psychological nursing in postpartum stress urinary incontinence nursing.Methods Sixty patients with postpartum stress urinary incontinence who were treated in our hospital from October to September 2019 were randomly selected as the study subjects.According to the nursing methods,they were divided into the control group and the observation group.In the control group,the pelvic floor muscle rehabilitation training combined with psychological nursing was performed in the observation group,and the results of the two groups were compared.Results There was no significant difference in pelvic floor muscle strength between the two groups(P>0.05).There was statistical difference between the two groups(P<0.05).The compliance of the control group and the observation group were 70.0%and 93.3%,there was statistical difference between the data(P<0.05);the psychological state of the two groups before treatment was basically the same,there was no statistical difference(P>0.05),and the observation group had the sas score after nursing(52.1±3.2).The sds score was(52.7±1.6)points,which was significantly lower than that of the control group.There was a statistically significant difference between the data(P<0.05).The recurrence rate and complication rate of postpartum stress urinary incontinence in the observation group was lower than that of the control group.There were statistical differences in the data(P<0.05).Conclusion Pelvic floor muscle rehabilitation combined with psychological nursing can promote the improvement of pelvic floor muscle function and compliance in postpartum stress urinary incontinence patients,and can also alleviate negative emotions,reduce the risk of recurrence and complications,and promote the application value.