综合护理干预用于产后盆底功能障碍所致便秘的疗效观察

Clinical Efficacy of Comprehensive Nursing Intervention in Postpartum Pelvic Floor Dysfunction Induced Constipation

目的:分析综合护理干预用于产后盆底功能障碍(PFD)所致便秘的临床效果。方法:选取2020年3月至2023年3月,本院治疗的62例产后PFD所致便秘患者,随机分为观察组与对照组,每组各31例。对照组患者实施常规护理干预,观察组在常规护理基础上联合综合护理干预,比较2组生活质量、便秘改善情况和盆底肌力变化。结果:干预前,2组患者生活质量、便秘症状评分比较,差异无统计学意义(P>0.05)。干预后,观察组患者生活质量评分高于对照组(P<0.05),便秘症状评分低于对照组(P<0.05)。观察组患者产后6个月Ⅰ类纤维肌力值、Ⅱ类纤维肌力值及阴道最大压力均优于对照组(P<0.05)。结论:产后PFD所致便秘患者实施综合护理干预,不仅能改善便秘症状,同时也能提高盆底肌力和患者生活质量,值得临床推广应用。

Objective To analyze the clinical effect of comprehensive nursing intervention on postpartum pelvic floor dysfunction(PFD)induced constipation.Methods Total 62 patients with postpartum PFD induced constipation treated in our hospital from March 2020 to March 2023 were randomly divided into observation group and control group,with 31 cases in each group.The control group received routine nursing intervention,while the observation group combined with comprehensive nursing intervention on the basis of routine nursing.The quality of life,constipation improvement and pelvic floor muscle strength were compared between the two groups.Results Before intervention,there was no significant difference in scores of quality of life and constipation symptom between the two groups(P>0.05).After interven-tion,the quality of life score of the observation group was higher than that of the control group(P<0.05),and the constipation symptom score was lower than that of the control group(P<0.05).Class I fiber muscle strength,class II fiber muscle strength and maximum vaginal pressure in the observation group were better than those in the control group 6 months after delivery(P<0.05).Conclusion The comprehensive nursing intervention can not only improve the symptoms of constipation,but also enhance the pelvic floor muscle strength and the quality of life of patients,which is worthy of clinical promotin and application.