基于微视频健康宣教对初产妇产后康复效果的影响

Influence of health education based on micro-video on postpartum rehabilitation effect of primiparae

目的探究微视频健康宣教对初产妇产后康复效果的影响。方法选择2019年3月至2021年3月瑞金市人民医院收治的60例初产妇为本次研究对象, 采用双盲法分为两组, 各30例。对照组年龄(30.34±2.22)岁, 接受常规干预;观察组年龄(30.25±2.15)岁, 基于对照组进行微视频健康宣教。比较组间康复指标及产后抑郁情况、性功能、盆底肌力恢复情况。计量资料组间比较采用独立样本t检验, 组内采用配对t检验, 计数资料用χ^(2)检验。结果观察组子宫复旧时间、恶露持续时间、泌乳时间、爱丁堡产后抑郁量表(EPDS)评分分别为(7.02±1.02)周、(5.21±0.81)d、(2.71±0.32)d、(5.05±0.72)分、(145.52±10.26)ml, 均低于对照组[(8.01±1.15)周、(7.36±1.05)d、(3.52±0.52)d、(7.65±1.02)分、(123.21±9.15)ml], 泌乳量多于对照组, 差异均有统计学意义(均P<0.05)。干预前, 两组初产妇性高潮、性交痛、性欲、阴道润滑、性生活满意度、性唤起评分及总分比较, 差异均无统计学意义(均P>0.05);干预后, 观察组性高潮、性交痛、性欲、阴道润滑、性生活满意度、性唤起评分及总分均高于对照组, 差异均有统计学意义(均P<0.05)。观察组产后盆底肌力3~5级恢复率分别为26.67%(8/30)、33.33%(10/30)、30.00%(9/30), 均高于对照组的6.67%(2/30)、10.00%(3/30)、6.67%(2/30), 1~2级恢复率分别为3.33%(1/30)、6.67%(2/30), 均低于对照组的40.00%(12/30)、36.67%(11/30), 差异均有统计学意义(均P<0.05)。结论初产妇产后予以微视频健康宣教可促进产后相关指标的改善, 改善性功能及盆底肌力, 应用效果显著。

Objective To explore the effect of micro-video health education on the postpartum rehabilitation effect of primiparae.Methods A total of 60 primiparae admitted to Ruijin People's Hospital from March 2019 to March 2021 were selected as the study objects,and were divided into a control group and an observation group by the double-blind method,with 30 cases in each group.The control group were(30.34±2.22)years old,and received routine intervention.The observation group were(30.25±2.15)years old,and received micro-video health education based on the control group.The rehabilitation indicators,postpartum depression,sexual function,and pelvic floor muscle recovery were compared between the two groups.The measurement data were compared between these two groups by independent-sample t test,and were compared within the group by paired t test.The numeration data were compared byχ^(2) test.Results The time of uterine involution, durations of lochia and lactation, score of Edinburgh Postpartum Depression Scale (EPDS), and lactation amount were (7.02±1.02) weeks, (5.21±0.81) d, (2.71±0.32) d, (5.05±0.72), and (145.52±10.26) ml in the observation group, and were (8.01±1.15) and (7.36±1.05) d, (3.52±0.52) d, (7.65±1.02), and (123.21±9.15) ml in the control group, with statistical differences (all P<0.05). There were no statistical differences in the scores of orgasm, dyspareunia, libido, vaginal lubrication, sexual life satisfaction, and sexual arouse and total score between these two groups before the intervention (all P>0.05), and were after the intervention (all P<0.05). The postpartum recovery rates of pelvic floor muscle strength grade 3-5 were higher and the recovery rates of muscle strength grade 1-2 were lower in the observation group than in the control group [26.67% (8/30) vs. 6.67% (2/30), 33.33% (10/30) vs. 10.00% (3/30), 30.00% (9/30) vs. 6.67% (2/30), 3.33% (1/30) vs. 40.00% (12/30), and 6.67% (2/30) vs. 36.67% (11/30)], with statistical differences (all P<0.05). Conclusion Postpartum micro-video health education for primiparae can improve their postpartum related indicators, sexual function, and pelvic floor muscle strength, and the application effect is remarkable.