产后早期康复干预模式的构建与效果分析

Construction and Evaluation of Early Postpartum Rehabilitation Intervention Model

目的 探索新型产后早期康复干预模式的构建,并评价其对产后康复的效果。方法 选取2021年自贡市第一人民医院1—3月分娩的76名产妇为对照组,4—6月分娩的72名产妇为试验组,对照组实施常规产后护理,试验组按照本研究建立的产后早期康复干预模式进行管理直至产后42 d,比较两组产后康复相关数据及盆底功能状况。结果 试验组产后首次解大便时间(52.44±9.10)h较对照组(59.39±9.29)h明显提前(P<0.05);出院时,试验组尿潴留发生率低于对照组(P<0.05)。产后42 d,试验组在腹直肌分离度、腰背部疼痛程度及满意度评分方面与对照组比较,差异均有统计学意义(P<0.05);试验组盆底肌功能中快肌、慢肌、总分分值均高于对照组,差异有统计学意义(P<0.05)。结论 在产后实施基于整体康复理念建立的产后早期康复干预模式能促进产后康复,改善产妇产后盆底功能。

Objective To explore the construction of a new early postpartum rehabilitation intervention model and evaluate its effect in postpartum rehabilitation.Methods Seventy-six parturients who gave birth in Zigong First People's Hospital from January to March 2021 were selected as the control group,and 72 parturients who gave birth in the same hospital from April to June of the same year were selected as the experimental group.The control group received routine postpartum care,while the experimental group was managed according to the early postpartum rehabilitation intervention model established in this project until 42 days after delivery.The postpartum rehabilitation related data and pelvic floor function were compared between the two groups for evaluation.Results The time of postpartum first defecation in the experimental group[(59.39±9.29)h]was significantly earlier than that in the control group[(52.44±9.10)h](P<0.05).At discharge,the incidence of urinary retention in the experimental group was lower than that in the control group(P<0.05).At 42 days after delivery,there were statistically significant differences between the two groups in diastasis recti abdominis,low back pain and satisfaction score(P<0.05).And there were statistically significant differences between the two groups in the function scores of fast muscle and slow muscle,and in the total score of pelvic floor muscle function(P<0.05).Conclusion The implementation of the early postpartum rehabilitation intervention model based on the concept of holistic rehabilitation can promote postpartum rehabilitation and improve postpartum pelvic floor function.