盆底肌训练联合健康教育应用于产后子宫脱垂患者中的效果观察

Effect of pelvic floor muscle training combined with health education on the nursing of patients with postpartum uterine prolapse

目的 探讨盆底肌训练联合健康教育应用于产后子宫脱垂患者护理中的效果观察,以期为临床治疗提供参考。方法本次研究选取江西省赣州市赣县区人民医院2021年7—12月收治的49例产后子宫脱垂患者作为对照组,选取2022年1—6月江西省赣州市赣县区人民医院收治的49例产后子宫脱垂患者作为研究组。对照组患者给予常规健康教育,研究组患者在对照组基础上采用盆底肌训练。出院时,比较2组患者治疗效果及护理满意度;比较2组患者干预前后(干预后为出院时)盆底肌力情况及盆底功能问卷(PFDI-20)评分。结果 研究组患者治疗有效率高于对照组,差异有统计学意义(P<0.05)。干预前,2组患者盆底肌力评分比较,差异无统计学意义(P>0.05)。干预后,2组患者盆底肌力评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者PFDI-20评分比较,差异无统计学意义(P>0.05)。干预后,2组患者PFDI-20评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论 健康教育联合盆底肌训练可提高子宫脱垂治疗效果和患者护理满意度,增强患者盆底肌力,改善患者盆底功能,效果显著,值得推广应用。

Objective This paper aims to investigate the effect of pelvic floor muscle training combined with health education on the nursing of patients with postpartum uterine prolapse to provide evidence for clinical treatment.Methods A total of 49 patients with postpartum uterine prolapse admitted to Ganxian People's Hospital from July to December 2021 were selected as the control group,and another 49 patients admitted from January to June 2022 were selected as the study group.Patients in the control group received routine health education,and patients in the study group received pelvic floor muscle training on the basis of the control group.At discharge,the treatment outcomes and degree of satisfaction with nursing were compared between the two groups.The pelvic floor muscle strength and Pelvic Floor Distress Inventory Questionnaire-20(PFDI-20)scores were compared between the two groups before and after intervention(after intervention as at discharge).Results The response rate of the study group was significantly higher than that of the control group(P<0.05).Before intervention,no significant difference was observed in pelvic floor muscle strength scores between the two groups(P>0.05).After intervention,the pelvic floor muscle strength scores of patients in both groups were increased,and the study group was higher than the control group,with statistical significance(P<0.05).Before intervention,no significant difference was found in PFDI-20 scores between the 2 groups(P>0.05).After intervention,the PFDI-20 scores of patients in both groups were dropped,and the study group was lower than the control group,with statistical significance(P<0.05).The degree of satisfaction with nursing in the study group was significantly higher than that in the control group(P<0.05).Conclusion Health education combined with pelvic floor muscle training can improve the treatment outcomes of uterine prolapse and degree of satisfaction with nursing,enhance pelvic floor muscle strength,and ameliorate pelvic floor function,with marked effects.These advantages justify a wider application.