不同时机的个体化产后盆底康复护理对于盆底肌作用研究

Study on the Effect of Individualized Postpartum Pelvic Floor Rehabilitation Nursing at Different Times on Pelvic Floor Muscles

目的不同时机个体化产后盆底康复护理对盆底肌的效果影响分析。方法选取2018年6月—2019年6月该院诊治的80名自然分娩产妇临床资料,按随机数表分两组,每组40名,研究组给予早期个体化产后盆底康复护理,对照组给予中期个体化产后盆底康复护理,分析两组心理状态、盆底肌指标、不良事件及生活质量情况。结果治疗后,研究组SDS(35.32±5.92)分、SAS(34.26±5.87)分均比对照组低,差异有统计学意义(t=5.417、7.182,P<0.05);两组盆底肌指标均提高,差异有统计学意义(P<0.05);研究组压力尿失禁、盆腔器官脱垂等不良事件发生率为5.00%比对照组低,差异有统计学意义(χ^(2)=6.275,P<0.05);且研究组躯体疼痛(85.26±7.28)分、社会功能(84.36±7.28)分、精力(85.16±7.23)分及生理机能(86.15±7.25)分等质量评分均比对照组高,差异有统计学意义(t=8.069、6.705、7.297、8.322,P<0.05)。结论自然分娩产妇采用早期个体化产后盆底康复,相比中期康复干预,更能有效改善产妇心理状态,降低不良事件,利于生活质量提高,且均能改善盆底肌功能。

Objective To analyze the effect of individualized postpartum pelvic floor rehabilitation nursing on pelvic floor muscles at different times.Methods The clinical data of 80 natural childbirth in the hospital from June 2018 to June 2019 were selected and divided into two groups according to the random number table,each with 40 people.The study group was given early and individualized postpartum pelvic floor rehabilitation care,and the control group was given mid-term Individualized postpartum pelvic floor rehabilitation nursing,analyzing the psychological status,pelvic floor muscle indicators,adverse events and quality of life of the two groups.Results After treatment,the scores of SDS(35.32±5.92)points and SAS(34.26±5.87)points of the study group were lower than those of the control group,and the difference was statistically significant(t=5.417,7.182,P<0.05);both groups of pelvic floor muscle indexes improved,the difference was statistically significant(P<0.05);the incidence of adverse events such as stress urinary incontinence and pelvic organ prolapse was 5.00%in the study group,which was lower than that in the control group,and the difference was statistically significant(χ^(2)=6.275,P<0.05);and the study group had physical pain(85.26±7.28)points,social function(84.36±7.28)points,energy(85.16±7.23)points and physiological function(86.15±7.25)points,the equal quality scores were all higher than those of the control group,and the difference was statistically significant(t=8.069,6.705,7.297,8.322,P<0.05).Conclusion Early and individualized postpartum pelvic floor rehabilitation for women with natural childbirth,compared with mid-term rehabilitation intervention,can effectively improve the mental state of pregnantwoman,reduce adverse events,improve the quality of life,and improve pelvic floor muscle function.