基于计划行为理论的多元训练在自然分娩初产妇产后盆底康复中的应用

Application of multivariate training based on planned behavior theory in postpartum pelvic floor rehabilitation of primiparous women after natural childbirth

目的探讨基于计划行为理论的多元训练在自然分娩初产妇产后盆底康复中的应用效果。方法选取2023年1月至10月复旦大学附属妇产科医院收治的128例接受自然分娩的初产妇为研究对象,按随机数字表法分为两组,每组64例。产后42 d,对照组给予多元训练,观察组给予基于计划行为理论的多元训练,连续干预1个月。比较两组干预前后健康自我管理能力、盆底康复和尿失禁发生情况。结果干预后,两组成年人健康自我管理能力测评量表评分及Ⅰ、Ⅱ类肌纤维肌力均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组尿失禁发生率均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论基于计划行为理论的多元训练可提高自然分娩初产妇自我管理能力,有助于促进盆底功能康复。

Objective To explore application effect of multivariate training based on planned behavior theory in postpartum pelvic floor rehabilitation of primiparous women after natural childbirth.Methods A total of 128 primipara received natural delivery from January to October 2023 in Affiliated Obstetrics and Gynecology Hospital of Fudan University were selected as study objects and divided into two groups according to random number table method,with 64 cases in each group.Forty-two days after delivery,control group was given multiple training,and observation group was given multivariate training based on planned behavior theory,and intervention lasted for one month.Healthy self-management ability,pelvic floor rehabilitation and urinary incontinence between two groups before and after intervention were compared.Results After intervention,scores of adult health self-management ability assessment scale and muscle strength of classⅠandⅡmuscle fibers in two groups were higher than those before intervention,and those in observation group were higher than those in control group,the differences were statistically significant(P<0.05).After intervention,incidence rates of urinary incontinence in two groups were lower than those before intervention,and those in observation group were lower than those in control group,the differences were statistically significant(P<0.05).Conclusion Multivariate training based on planned behavior theory can improve self-management ability of primiparous women after natural childbirth,and help promote pelvic floor function recovery.