盆底康复治疗依从性的影响因素分析

Analysis of Influencing Factors on Compliance of Pelvic Floor Rehabilitation Therapy

目的:分析盆底康复治疗产妇依从性的影响因素。方法:回顾性分析福清市妇幼保健院2020年3月—2022年3月收治的200例盆底康复治疗产妇的临床资料。分析产妇盆底康复治疗的依从性,统计产妇年龄、分娩史、分娩方式、盆底肌力分级等一般资料,采用多因素logistic回归分析法分析盆底康复治疗产妇依从性的独立危险因素。结果:200例盆底康复治疗产妇中,有98例(49.00%)产妇治疗依从性差,纳为非依从组;其余102例(51.00%)治疗依从性佳,纳为依从组。两组年龄、分娩史、分娩方式、盆底肌力分级及盆底肌表面电信号比较,差异均无统计学意义(P>0.05);非依从组产妇医务人员无督促、家庭无监督、初中及以下文化的比例均显著高于依从组,差异均有统计学意义(P<0.05)。医务人员无督促[OR=5.369,95%CI(4.105,7.005)]、家庭无监督[OR=3.532,95%CI(2.115,5.886)]、文化程度为初中及以下[OR=5.679,95%CI(3.239,9.940)]是影响盆底康复治疗依从性的独立危险因素(P<0.05)。结论:医务人员督促情况、家庭监督情况、文化程度与盆底康复治疗产妇的依从性密切相关。

Objective:To analyze the influencing factors on compliance of parturient with pelvic floor rehabilitation therapy.Method:The clinical data of 200 parturient with pelvic floor rehabilitation therapy treated in Fuqing Maternal and Child Health Hospital from March 2020 to March 2022 were retrospectively analyzed.The compliance of parturient with pelvic floor rehabilitation therapy was analyzed,and general data such as parturient age,delivery history,delivery mode and pelvic floor muscle strength grading were collected.Multivariate logistic regression analysis was used to analyze the independent risk factors of compliance of parturient with pelvic floor muscle rehabilitation therapy.Result:Among 200 parturient with pelvic floor rehabilitation therapy,98 cases(49.00%)had poor therapy compliance and were included in non-compliance group,the remaining 102 cases(51.00%)had good therapy compliance and were included in the compliance group.There were no significant differences in age,delivery history,delivery mode,pelvic floor muscle strength grading and pelvic floor muscle surface electrical signal between the two groups(P>0.05).The proportion of health-care provider without supervision,family without supervision,junior high school or below education in non-compliance group were significantly higher than those in compliance group,the differences were statistically significant(P<0.05).Health-care provider without supervision[OR=5.369,95%CI(4.105,7.005)],family without supervision[OR=3.532,95%CI(2.115,5.886)]and education level of junior high school or below[OR=5.679,95%CI(3.239,9.940)]were independent risk factors affecting the compliance of pelvic floor rehabilitation therapy(P<0.05).Conclusion:Health-care provider supervision situation,family supervision situation and education level are closely related to the compliance of parturient with pelvic floor rehabilitation therapy.