集束化干预策略预防产后压力性尿失禁临床研究

Study on Cluster Intervention Strategy in Patients with Postpartum Stress Urinary Incontinence

目的探讨集束化干预策略在产后压力性尿失禁患者中的应用效果。方法选取2018年9月—2019年12月产后42 d后恶露干净的对象,随机分为对照组35例(单纯给予盆底肌康复电刺激+生物反馈治疗预防+常规护理)和试验组35例(在对照组的基础上加入患者宣教+家庭康复器+雷火灸+集束化干预策略)。比较2组患者护理总有效率、肌肉疲劳度改善情况。结果观察组治疗总有效率高于对照组,治疗后肌肉疲劳度改善良好度优于对照组,差异具有统计学意义(P<0.05)。结论对产后压力性尿失禁患者采用集束化干预策略,能够提高其生活质量,改善产后压力性尿失禁症状,临床应用价值较高。

Objective To explore the effect of cluster intervention strategy in patients with postpartum stress urinary incontinence.Methods From September 2018 to December 2019,subjects who were cleaned of lochia 42 days postpartum were selected and randomly divided into control group(only pelvic floor muscle rehabilitation electrical stimulation,biofeedback therapy prevention and routine care)and experimental group of 35 cases(on the basis of the control group,add patient education,family rehabilitation device,thunder fire moxibustion and cluster intervention strategy).The total effective rate of nursing care and the improvement of muscle fatigue were compared between the two groups.Results The total effective rate of treatment in the observation group was higher than that of the control group,and the improvement of muscle fatigue after treatment was better than that of the control group.The difference in data was statistically significant(P<0.05).Conclusion The use of cluster intervention strategies for patients with postpartum stress urinary incontinence can improve their quality of life and improve the symptoms of postpartum stress urinary incontinence,which has high clinical application value.