以IMB模型为指导的康复训练在初产妇产后盆底康复中应用研究

Application study of rehabilitation training guided by IMB model in postpartum rehabilitation of the pelvic floor in primigravid women

目的探讨基于信息-动机-行为理论(IMB)模型指导的康复训练对初产妇产后盆底功能康复效果的影响。方法选取2020年3月至2023年3月该院收治的80例初产妇为研究对象,按照随机数字表法分为2组。对照组40例产妇实施常规指导康复训练,观察组40例产妇实施基于IMB模型指导的康复训练。对比2组产妇的盆底肌力分级情况、盆底功能、生活质量。结果观察组产妇的盆底肌肌力分级优于对照组,差异有统计学意义(P<0.05);观察组的盆底收缩压、简明健康状况量表(SF-36)中情感职能、心理健康、躯体疼痛、总体健康、生理职能、生理功能、精神健康、社会功能均高于对照组,差异均有统计学意义(P<0.05);观察组产妇的盆底静息压低于对照组,差异有统计学意义(P<0.05)。结论基于IMB模型指导的康复训练能够促进初产妇产后盆底功能提升,改善盆底肌力,从而提高产妇的生活质量。

Objective To investigate the effect of rehabilitation training guided by information motivation behavior theory(IMB)based model on the effectiveness of postpartum pelvic floor function rehabilitation for primiparous women.Methods A total of 80 cases of primiparous women admitted to this hospital from March 2020 to March 2023 were selected as the study subjects,and were divided into two groups according to the randomized numerical table method.In the control group,40 mothers were given rehabilitation training under conventional guidance,and in the observation group,40 mothers were given rehabilitation training based on the IMB model.Pelvic floor muscle strength,pelvic floor function and quality of life were compared between the two groups.Results The grading of pelvic floor muscle strength of women in the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).In the observation group,the pelvic floor systolic blood pressure,and the affective functioning,mental health,somatic pain,general health,physical functioning,physiological functioning,emotional health,social functioning in the SF-36 were higher than those of the control group,the differences were statistically significant(P<0.05).The resting pelvic floor pressure of the women in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation training based on the IMB model can promote postpartum pelvic floor function enhancement and improve pelvic floor muscle strength of primiparous women,thus improving their quality of life.