计划-执行理论对产妇出院后盆底肌功能锻炼效果及依从性研究

Study on the Effect and Compliance of Plan-execution Theory on Pelvic Floor Muscle Function Exercise of Parturients after Discharge from Hospital

目的探讨计划-执行理论对产妇出院后盆底肌功能锻炼依从性的影响。方法便利选取2018年1月—2020年9月在该院生产的138名产妇,采用随机数表法分为对照组和观察组,每组69名。对照组出院后进行传统护理干预,观察组进行基于计划-执行理论的延续性护理干预,比较两组产妇功能锻炼依从性、盆底肌力、并发症及满意度。结果观察组出院后盆底肌锻炼依从性(94.21%)明显高于对照组(78.26%),差异有统计学意义(χ^(2)=7.385,P=0.007)。经干预后,两组盆底肌力分级明显升高,且观察组盆底肌力分级高于对照组,差异有统计学意义(P<0.05)。观察组盆底功能障碍、尿失禁发生率均低于对照组,满意度明显高于对照组,差异有统计学意义(P<0.05)。结论基于计划-执行理论的延续性护理模式可以提升产妇出院后盆底锻炼依从性,进而改善盆底肌张力,降低盆底功能障碍及尿失禁发生率,提高满意度。

Objective To explore the influence of plan-execution theory on the compliance of pelvic floor muscle exercises of parturients after discharge from hospital.Methods A total of 138 parturients who gave birth in the hospital from January 2018 to September 2020 were conveniently selected.The random number table was used to divide the patients into a control group and an observation group,with 69 in each group.The control group received traditional nursing intervention after discharge from the hospital,and the observation group received continuous nursing intervention based on the planning-execution theory.The compliance of functional exercise,pelvic floor muscle strength,complications and satisfaction of the two groups were compared.Results The compliance of pelvic floor muscle exercise in the observation group(94.21%)after discharge from the hospital was significantly higher than that of the control group(78.26%),and the difference was statistically significant(χ^(2)=7.385,P=0.007).After the intervention,the pelvic floor muscle strength grading of the two groups increased significantly,and the pelvic floor muscle strength grading of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The incidence of pelvic floor dysfunction and urinary incontinence in the observation group was lower than that of the control group,and the satisfaction degree was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The continuous nursing model based on plan-execution theory can improve the compliance of pelvic floor exercises after discharge from hospital,thereby improving pelvic floor muscle tone,reducing the incidence of pelvic floor dysfunction and urinary incontinence,and increasing satisfaction.