护理干预对初产妇产后心理状况及盆底康复护理依从性的影响效果分析

Effects of nursing intervention on postpartum psychological status and compliance of pelvic floor rehabilitation nursing

目的探讨护理干预对初产妇产后心理状况及盆底康复护理依从性的影响。方法回顾分析我院2016年4月~2018年12月收治的初产妇60例,按不同的护理方式分为对照组(常规护理30例)和研究组(综合护理干预30例),比较护理干预效果,如产妇产后心理状况、盆底康复护理依从性等。结果研究组部分依从率6.67%与对照组的13.33%比较,差异无统计学意义(P>0.05),完全依从率90.00%高于对照组的50.00%,不依从率3.33%低于对照组的36.67%,差异有统计学意义(P<0.05);护理前,组间SDS、SAS评分差异无统计学意义(P>0.05),护理后,研究组SDS、SAS评分显著低于对照组,差异有统计学意义(P<0.05);护理前,组间盆底功能指标差异无统计学意义(P>0.05),护理后,研究组阴道静息压力、盆底肌力积分高于对照组,盆底疼痛评分显著低于对照组,差异有统计学意义(P<0.05)。结论初产妇接受综合护理干预,可显著改善其产后心理状态,提升盆底康复护理依从性,促进盆底肌康复。

Objective To explore the effects of nursing intervention on postpartum psychological status and compliance of pelvic floor rehabilitation nursing.Methods 60 primiparas admitted to our hospital from April 2016 to December 2018 were retrospectively analyzed.According to nursing methods,the patients were divided into control group(n=30,routine nursing)and study group(n=30,comprehensive nursing intervention).The nursing intervention efficacy was compared,such as postpartum psychological status,compliance of pelvic floor rehabilitation nursing and so on.Results The partial compliance rate in the study group was 6.67%,which was lower than 13.33%in the control group,and the difference was not statistically significant(P>0.05);The full compliance rate in the study group(90.00%)was higher than 50.00%in the control group,while the non-compliance rate in the study group(3.33%)was lower than 36.67%in the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no significant differences in self-rating depression scale(SDS)and self-rating anxietyscale(SAS)scores between the two groups(P>0.05);After nursing,the SDS and SAS scores in the study group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no significant differences in pelvic floor function indexes between the two groups(P>0.05);After nursing,the vaginal resting pressure,pelvic floor muscle strength score in the study group were higher than those in the control group,and the score of pelvic floor pain was significantly lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion The comprehensive nursing intervention for primiparas can significantly improve their postpartum psychological status,improve compliance with pelvic floor rehabilitation nursing,and promote pelvic floor muscle rehabilitation.