早期盆底康复对产妇家庭亲密程度及抑郁情绪的影响

The effect of early postpartum pelvic floor rehabilitation on maternal family intimacy and post-delivery depression

目的:观察产后早期盆底康复对家庭亲密程度以及产后抑郁情绪的影响。方法:选取产后42d在本院进行产后检查且存在不同程度盆底功能障碍的103名产妇作为研究对象,将接受盆底治疗产妇的设为观察组,未接受盆底治疗的产妇设为对照组。观察组在医院采用盆底肌肉电刺激和生物反馈治疗,在家辅以凯格尔(Kegel)训练的方法进行盆底康复,治疗总时长为10周,对照组未接受盆底康复治疗;以家庭亲密度适应性量表(FACES量表)评分和爱丁堡产后抑郁量表(EPDS量表)评分作为观测指标,产后42d检查时做第一次评估,观察组治疗结束后(10周后)做第二次评估,观察早期盆底康复对产妇的影响。结果:共采集101名产妇的数据(观察组59人,对照组42人)。1)两组一般资料和第一次评估得分比较均无统计学差异。2)观察组治疗前后FACES量表评分、EPDS量表评分比较,差异有统计学意义(P<0.01)。3)对照组前后两次FACES量表评分、EPDS量表评分比较,无统计学意义(P>0.05)。4)观察组与对照组治疗后FACES量表评分、EPDS量表评分比较,观察组治疗后FACES评分明显高于对照组,EPDS评分明显低于对照组,差异具有统计学意义(P<0.01)。结论:产后进行早期盆底康复能提高产妇家庭亲密度和适应性,同时可减少产后抑郁的发生,对改善产后家庭关系具有重要意义。

Objective:To observe the effect of early postpartum pelvic floor rehabilitation on maternal family intimacy and post-delivery depression.Methods:A total of 103 women with pelvic floor muscle dysfunction 42 days after childbirth were assigned into two groups.The observation group received electrical stimulation with bio-feedback on their pelvic floor muscles at hospital and conducted Kegel pelvic floor muscle exercise at home for a session of 10 weeks,while the control group received no intervention.The situation of maternal family intimacy was evaluated through the Family Closeness Adaptation Scale(FACES),and the post-delivery depression level was assessed by the Edinburgh Postpartum Depression Scale(EPDS).The FACES score and EPDS score were assessed before,and immediately after the 10-week intervention or control session.Results:101 women completed the trial[observation group(n=59),Control group(n=42)].1)There was no significant difference between two groups on baseline characteristics or on the scores for the first assessment before the trial.2)The observation group showed a significantly increased FACES score(including intimacy and adaptability scores)and decreased EPDS score after 10 weeks of postpartum pelvic floor interventions(P<0.01).3)The control group showed no significant change neither on FACES or EPDS score before and after the 10-week session(P>0.05).4)After the 10-week trial,the observation group showed a significantly higher FACES sore and significantly lower EPDS score in comparison to the control group(P<0.01).Conclusion:Early pelvic floor rehabilitation after delivery can improve the maternal family intimacy and adaptability,and reduce the occurrence of postpartum depression,indicating its importance for improving family relationships after childbirth.