产后盆底肌综合康复训练改善产妇生活质量的护理效果分析

Analysis of nursing effect of postpartum female pelvic floor muscle comprehensive rehabilitation training to improve puerpera quality of life

目的探讨产后盆底肌综合康复训练改善产妇生活质量的护理效果。方法选取68名行阴道分娩产妇,根据随机数字表法分为两组,每组34名。对照组予以常规护理,观察组在常规护理基础上予以盆底肌综合康复训练。比较两组产妇盆底肌恢复、尿失禁严重程度与生活质量改善情况。结果观察组产妇盆底肌力3级以上比例为70.59%,显著高于对照组的41.18%(P<0.05);护理后3个月、6个月时观察组产妇尿失禁调查问卷(ICI-Q-SF)评分均低于对照组(P<0.05);护理后6个月时观察组行为限制、心理影响、社会尴尬以及尿失禁生活质量问卷(I-QOL)总评分均高于对照组(P<0.05)。结论产后盆底肌综合康复训练能够有效促进产妇盆底肌恢复,改善尿失禁症状,提高生活质量,值得临床推广。

Objective To explore the nursing effect of postpartumfemale pelvic floor muscle comprehensive rehabilitation training on improving puerpera quality of life.Methods 68 women who underwent vaginal delivery were selected and divided into 34 women in each group according to random number table method.The control group was given routine nursing,and the observation group was given comprehensive pelvic floor muscle rehabilitation training on the basis of routine nursing.The recovery of pelvic floor muscle,the severity of urinary incontinence and the improvement of life quality were compared between the two groups.Results The proportion of pelvic floor muscle strength above grade 3 in observation group was 70.59%,which was significantly higher than that in control group(41.18%)(P<0.05).At 3 months and 6 months after nursing,the scores of ICI Q-SF in the observation group were lower than those in the control group(P<0.05).At 6 months after nursing,the total scores of behavioral restriction,psychological impact,social embarrassment and urinary incontinence quality of life questionnaire(I-QOL)in the observation group were higher than those in the control group(P<0.05).Conclusion Postpartum female pelvic floor muscle comprehensive rehabilitation training can effectively promote the recovery of pelvic floor muscle,improve the symptoms of urinary incontinence,improve the quality of life,worthy of clinical promotion.