盆底康复操训练在自然分娩产妇中的应用效果及对产后心理状态的影响

Application effect of pelvic floor rehabilitation exercise in natural delivery puerpera and its influence on postpartum psychological state

目的探讨盆底康复操训练在自然分娩产妇中的应用效果及对产后心理状态的影响。方法选取2021年5月至2022年5月于本院完成自然分娩的120例产妇为研究对象,使用随机数字表法将其分为对照组和观察组,各60例。对照组给予常规康复护理,观察组在此基础上给予盆底康复操训练。比较两组的干预效果。结果干预后,观察组的盆底肌肉张力评分显著高于对照组,尿失禁、盆底功能障碍评分显著低于对照组(P<0.05)。干预后,观察组的生活质量综合评定问卷(GQOLI-74)各维度评分均高于对照组(P<0.05)。干预后,两组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低,且观察组低于对照组(P<0.05);观察组的并发症总发生率低于对照组(P<0.05)。结论盆底康复操训练可显著缓解自然分娩产妇负性情绪,促进盆底功能恢复,降低并发症发生率,改善生活质量。

Objective To explore the application effect of pelvic floor rehabilitation exercise in natural delivery puerpera and its influence on postpartum psychological state.Methods From May 2021 to May 2022,120 puerperae who completed natural delivery in our hospital were selected as the research objects and divided into control group and observation group by random number table method,with 60 cases in each group.The control group was given routine rehabilitation nursing,and the observation group was given pelvic floor rehabilitation exercise on this basis.The intervention effects of the two groups were compared.Results After intervention,the pelvic floor muscle tension score of the observation group was significantly higher than that of the control group,and the scores of urinary incontinence and pelvic floor dysfunction were significantly lower than those of the control group(P<0.05).After intervention,the scores of each dimension of Generic Quality of Life Inventory-74(GQOLI-74)in the observation group were higher than those in the control group(P<0.05).After intervention,the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores of the two groups decreased,and those in the observation group were lower than the control group(P<0.05);the total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Pelvic floor rehabilitation exercise can significantly alleviate the negative emotion of natural delivery puerpera,promote the recovery of pelvic floor function,reduce the incidence of complications,and improve the quality of life.