基于健康信念模式的VR技术盆底肌肉锻炼在产后盆底功能障碍中的干预效果

Intervention Effect of VR Technology Pelvic Floor Muscle Exercise Based on Health Belief Model on Postpartum Pelvic Floor Dysfunction

目的探究基于健康信念模式的虚拟现实(VR)技术盆底肌肉锻炼在产后盆底功能障碍(PFD)中的干预效果。方法前瞻性选取洛阳市中心医院产科收治的95例产后PFD患者,以就诊时间先后分为对照组(43例)和实验组(52例)。对照组采取健康信念模式干预,实验组在对照组基础上加入VR技术进行盆底肌肉锻炼,均干预2个月。对比两组患者干预前、干预2个月后盆腔脏器脱垂量化分度(POP-Q)、盆底功能影响问卷简表(PFIQ-7)评分、盆腔器官脱垂-尿失禁功能问卷(PISQ-12)评分、性功能障碍指标积分、健康信念量表评分情况。结果干预2个月后两组POP-Q分度情况比较差异具统计学意义(P<0.05),两组PFIQ-7、FDI-20评分均上升,且实验组高于对照组(P<0.05),两组患者性生活质量、性欲望、性功能总积分均上升,且实验组高于对照组(P<0.05),干预2个月后,两组患者罹患性认知、严重性认知、利益性认知评分均上升,且实验组高于对照组,障碍性认知评分均下降,且实验组低于对照组,(P<0.05)。结论基于健康信念模式的VR技术盆底肌肉锻炼在产后PFD患者中干预效果理想,能够有效提升盆腔及盆底功能,改善性功能障碍并提高健康信念,值得参考借鉴。

Objective To explore the intervention effect of virtual reality(VR)technology pelvic floor muscle exercise based on health belief model in postpartum pelvic floor dysfunction(PFD).Methods 95 patients with postpartum PFD admitted to the obstetrics department of Luoyang Central Hospital were prospectively selected and divided into a control group(43 cases)and an experimental group(52 cases)according to the sequence of consultation time.The control group received health belief model intervention,while the experimental group received pelvic floor muscle exercise using VR technology based on the control group.The intervention lasted for 2 months.The quantitative pelvic organ prolapse scale(POP-Q),pelvic floor function impact questionnaire(PFIQ-7)scores,pelvic organ prolapse urinary incontinence function questionnaire(PISQ-12)scores,sexual dysfunction index scores,and health belief scale scores were compared between the two groups before and after the intervention for 2 months.Result After 2 months of intervention,there was a statistically significant difference in POP-Q scores between the two groups(P<0.05).After 2 months of intervention,the scores of PFIQ-7 and FDI-20 in both groups increased,and the experimental group was higher than the control group(P<0.05).After 2 months of intervention,the total scores of sexual life quality,sexual desire,and sexual function in both groups increased,and the experimental group was higher than the control group(P<0.05).(4)After 2 months of intervention,the scores of patients in the two groups on attack cognition,severity cognition,and benefit cognition increased,and the scores of patients in the experimental group were higher than those in the control group,while the scores of patients in the obstructive cognition decreased,and the scores of patients in the experimental group were lower than those in the control group(P<0.05).Conclusion VR technology pelvic floor muscle exercise based on the health belief model has an ideal intervention effect in postpartum PFD patients.It can effectively enhance pelvic and pelvic floor functions,improve sexual dysfunction and increase health belief,which is worthy of reference.