盆底康复综合护理对阴道分娩产妇产后负性情绪及盆底功能恢复影响

The Effect of Comprehensive Pelvic Floor Rehabilitation Nursing on Postpartum Negative Emotion and Pelvic Floor Function Recovery of Vaginal Delivery Women

目的探讨盆底康复综合护理对阴道分娩产妇产后负性情绪及盆底功能恢复的影响。方法随机选取2019年6月—2020年6月该院收治的经阴道分娩的盆底功能障碍性疾病产妇100例,按照组间基本特征具有可比性的原则分为对照组(50例)与观察组(50例)。选择常规护理为对照组提供干预,观察组则在常规护理干预的前提下,加用盆底康复综合护理,比较两组护理干预前后负性情绪水平、康复治疗依从性、盆底表面肌力水平、并发症发生率与生活质量水平。结果观察组护理后焦虑自评量表(SAS)与抑郁自评量表(SDS)评分低于对照组[(45.63±7.71)分vs(52.36±6.87)分,(47.14±5.82)分vs(54.95±6.32)分],差异有统计学意义(t=4.608、6.428,P<0.05);观察组康复治疗依从性为90.00%,高于对照组的70.00%,差异有统计学意义(χ^(2)=6.250,P=0.012);观察组护理后肌力与对照组比较,观察组产妇肌力高于对照组,差异有统计学意义(Z=2.760,P=0.006);护理后观察组并发症发生率低于对照组,生活质量量表(SF-36)评分高于对照组,差异有统计学意义(P<0.05)。结论盆底康复综合护理可有效缓解阴道分娩产妇产后负性情绪,提升患者盆底康复治疗依从性与盆底表面肌力水平,减少并发症发生。

Objective To explore the effect of pelvic floor rehabilitation comprehensive nursing on postpartum negative emotion and pelvic floor function recovery of vaginal delivery women.Methods 100 pregnant women with pelvic floor dysfunction who were delivered through vagina from June 2019 to June 2020 were randomly selected and divided into control group(50 cases)and observation group(50 cases)according to the principle of comparability of basic characteristics between groups.Routine nursing was selected to provide intervention for the control group,while the observation group was given pelvic floor rehabilitation comprehensive nursing under the premise of routine nursing intervention.The levels of negative emotion,compliance with rehabilitation treatment,pelvic floor surface muscle strength,complication rate and quality of life were compared between the two groups before and after nursing intervention.Results The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group after nursing were lower than those in the control group[(45.63±7.71)points vs(52.36±6.87)points,(47.14±5.82)points vs(54.95±6.32)points],and the differences were statistically significant(t=4.608,6.428,P<0.05).The compliance of the observation group was 90.00%,which was higher than that of the control group(70.00%),and the difference was statistically significant(χ^(2)=6.250,P=0.012).After nursing,the muscle strength of the observation group was higher than that of the control group,the difference was statistically significant(Z=2.760,P=0.006).After nursing,the incidence of complications in the observation group was lower than that in the control group,and the SF-36 score was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Comprehensive pelvic floor rehabilitation nursing can effectively relieve the postpartum negative emotions of the parturient during vaginal delivery,improve the compliance of patients with pelvic floor rehabilitation treatment and the level of pelvic floor surface muscle strength,and reduce the occurrence of complications.