信息化平台辅助延续护理对阴道分娩妇女盆底康复的影响

Effect of Information Platform-assisted Continuous Nursing on the Pelvic Floor Rehabilitation Training in Women with Vaginal Delivery

目的:探讨信息化平台辅助延续护理对阴道分娩妇女盆底康复效果、自我管理能力、生活质量及康复训练依从性的影响。方法:自2021年1月1日~7月31日经阴道分娩后予以产后指导干预的产妇中随机选取60例,纳入对照组;自2021年8月1日~2022年3月31日经阴道分娩后予以信息化平台辅助延续护理的产妇中随机选取60例,纳入观察组。记录干预前后,两组产妇盆底状况[女性盆底功能障碍性疾病问卷(PFD)]、自我管理能力[自我管理能力量表(ESCA)]、生活质量[世界卫生组织生活质量测定量表(WHOQOL-BREF)]及产妇训练依从性(产后盆底肌肉康复训练依从性量表)。结果:干预2个月后,两组产妇PFD问卷评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05);干预2个月后,两组产妇ESCA、WHOQOL-BREF评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05);干预1、2个月后,两组产妇产后盆底肌肉康复训练依从性量表评分均高于干预前(P<0.05),且观察组高于对照组同期(P<0.05)。结论:信息化平台辅助延续护理能够帮助阴道分娩产妇提高盆底肌康复训练依从性,增强自我行为管理能力,促进盆底肌功能恢复,提高生活质量。

Objective:To explore the effect of information platform-assisted continuous nursing on pelvic floor rehabilitation training,self-management ability and rehabilitation compliance in women undergoing vaginal delivery.Methods:A total of 60 puerperae who received postpartum guidance intervention after vaginal delivery were randomly selected between January 1 and July 31,2021 and were included in the control group,and another 60 puerperae who underwent informationplatform-assisted continuous nursing after vaginal delivery from August 1,2021 to March 31,2022 were randomly enrolled as the observation group.Before and after intervention,the pelvic floor status by Female Pelvic Floor Dysfunction Questionnaire(PFD),self-management ability by Exercise of Self-Care Agency Scale(ESCA),quality of life by World Health Organization Quality of Life Brief Scale(WHOQOL-BREF)and the training compliance(postpartum pelvic floor muscle rehabilitation training compliance scale)of puerperae in the two groups were recorded.Results:After 2 months of intervention,the scores of PFD questionnaire in the two groups were lower than those before intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.05).The scores of ESCA scale,WHOQOL-and BREF scale in the two groups were higher after 2 months of intervention than those before intervention,and those were higher in the observation group than those in the control group(P<0.05).After 1 and 2 months of intervention,the scores of postpartum pelvic floor muscle rehabilitation training compliance scale in both groups were higher than those before intervention,and those in the observation group were higher than those in the control group in the same period(P<0.05).Conclusion:Information platform-assisted continuous nursing can help to improve pelvic floor rehabilitation training compliance,strengthen self-behavior management ability,promote pelvic floor muscle function recovery and enhance quality of life in puerperae with vaginal delivery.