康复日记联合情景演练式健康指导在产后压力性尿失禁患者中应用

Application of target rehabilitation diary combined with situational exercise health guidance in pelvic floor muscle function training for patients with postpartum stress urinary incontinence

目的探讨康复日记联合情景演练式健康指导在产后压力性尿失禁患者盆底肌功能锻炼中的应用效果。方法选取2018年1-12月我院收治的90例产后压力性尿失禁患者,采用随机数字表法将其分为观察组及对照组,每组各45例。2组均给予盆底肌功能训练,对照组行常规健康指导,观察组行康复日记联合情景演练式健康指导。结果观察组疾病知识知晓率、锻炼依从率、治疗有效率均高于对照组(χ^2=12.180,P<0.001;χ^2=10.879,P=0.001;χ^2=12.180,P<0.001)。干预后,观察组Ⅰ类肌力、Ⅱ类肌力评分均高于对照组(t=7.541,P<0.001;t=7.698,P<0.001)。观察组行为限制、社交尴尬、对心理影响及生活质量量表总评分均高于对照组(P<0.001)。结论目标康复日记联合情景演练式健康指导能有效提高产后压力性尿失禁患者盆底肌功能锻炼依从性,改善患者盆底肌功能,提高患者生活质量。

Objective To explore the application of target rehabilitation diary combined with situational exercise health guidance for pelvic floor muscle function training in patients with postpartum stress urinary incontinence.Methods Ninety patients with postpartum stress urinary incontinence admitted to our hospital in 2018 were selected and divided into an observation group(n=45)and a control group(n=45)according to a random number table.Both groups underwent pelvic floor muscle function training,and the control group was given routine health guidance,while the observation group was asked to write the target rehabilitation diary and provided with situational exercise health guidance.Results After the intervention,the awareness rate,exercise compliance rate and treatment efficiency of the observation group were higher than that of the control group(χ^2=12.180,P<0.001;χ^2=10.879,P=0.001;χ^2=12.180,P<0.001).The class I and class II muscle strength scores of the observation group were significantly higher than that of the control group(t=7.541,P<0.001;t=7.698,P<0.001).Moreover,the score of pelvic organ prolapse/urinary incontinence sexual questionnaire(PISQ-12)of the observation group were significantly higher than that of the control group(P<0.001).Conclusion Target rehabilitation diary combined with situational exercise health guidance in the pelvic floor muscle function exercise can effectively improve the compliance of exercise,improve the pelvic floor muscle function and improve the quality of life of patients with postpartum stress urinary incontinence.