基于信息-动机-行为模式的健康教育联合盆底肌训练对宫颈癌术后患者心理状态和性生活质量的影响

Effects of IMB-based health education combined with pelvic floor muscle training on psychological status and sexual quality of postoperative patients with cervical cancer

目的探讨信息-动机-行为(IMB)模式的健康教育联合盆底肌训练对宫颈癌术后患者心理状态及性生活质量的影响。方法选择2022年1月—2022年12月温州市中心医院收治的80例宫颈癌患者为研究对象,随机数字表法分组,观察组和对照组各40例。常规治疗+盆底肌训练干预对照组,基于IMB模式的健康教育+盆底肌训练干预观察组,比较心理弹性、应对方式、盆底功能及性生活质量。结果干预后,坚韧性、力量性及乐观性评分及总分,与干预前相比,观察组和对照组各评分均提高,且观察组更高(P<0.05);干预后,回避及屈服评分,回避、屈服及面对评分,与干预前比较,观察组和对照组均降低,且观察组更低,面对评分,观察组和对照组均提高,且观察组更高(P<0.05);干预后,盆底障碍影响问卷7(PFIQ-7)、盆底障碍功能调查表(PFDI-20)评分,与干预前比较,观察组和对照组评分均降低,且观察组更低tPFIQ-7:(8.56±1.15)分vs.(13.22±2.01)分,t=12.727,P<0.001;PFDI-20:(7.21±1.02)分vs.(9.74±1.11)分,t=10.615,P<0.001;干预后,性态度、性焦虑、性反应、性体像、性交流及性满意度评分,与干预前比较,观察组和对照组各维度评分均提高,且观察组更高(P<0.05)。结论基于IMB模式的健康教育联合盆底肌训练可有效缓解宫颈癌患者应激反应,提升心理韧性,以此正视疾病,改善应对方式,调节盆底功能,提升性生活质量。

Objective To investigate the effect of health education based on information-motivation-behavior(IMB)model combined with pelvic floor muscle training on psychological status and sexual life quality of patients after cervical cancer surgery.Methods 80 patients with cervical cancer admitted to Wenzhou City Central Hospital from January 2022 to December 2022 were selected as the research objects,and were randomly divided into observation group and control group,40 in each group.The control group was given routine treatment and pelvic floor muscle training intervention,and the observation group was given health education and pelvic floor muscle training intervention based on IMB model.Resilience,coping style,pelvic floor function and quality of sexual life were compared.Results After the intervention,the scores of tenacity,strength,optimism and the total score were improved in the observation group and the control group,and the observation group was higher(P<0.05).After the intervention,the scores of avoidance and yield,avoidance,yield and facing were decreased in both the observation group and the control group,and the observation group was lower than that before the intervention.Face score,the observation group and the control group were improved,and the observation group was higher(P<0.05).After the intervention,the scores of Pelvic Floor Impact Questionnaire 7(PFIQ-7)and Pelvic Floor Disturbance Function Questionnaire(PFDI-20)decreased in both the observation group and the control group compared with those before the intervention,and the scores in the observation group were lower[PFIQ-7:(8.56±1.15)points vs.(13.22±2.01)points,t=12.727,(P<0.001);PFDI-20:(7.21±1.02)points vs.(9.74±1.11)points,t=10.615,P<0.05].After the intervention,the scores of sexual attitude,sexual anxiety,sexual reaction,sexual body image,sexual communication and sexual satisfaction were improved in both the observation group and the control group,and the observation group was higher(P<0.05).Conclusion Health education combined with pelvic floor muscle training based on IMB model can effectively relieve stress reaction of cervical cancer patients,enhance psychological resilience,face up to the disease,improve coping style,regulate pelvic floor function and improve sexual life quality.