基于家属赋权的护理干预结合凯格尔运动对妊娠晚期孕产妇盆底功能及分娩信心的影响

Effects of nursing intervention based on family empowerment combined with Kegel exercise on pelvic floor function and delivery confidence of pregnant women in late pregnancy

目的探究基于家属赋权的护理干预结合凯格尔运动对妊娠晚期孕产妇盆底功能及分娩信心的影响。方法选择2020年1月至2022年9月我院收治的80例妊娠晚期孕产妇作为研究对象,以随机数字表法将其分为对照组和观察组,每组40例。对照组接受常规护理干预,观察组在对照组基础上加施基于家属赋权的护理干预结合凯格尔运动。比较两组的干预效果。结果干预后,观察组的盆底肌收缩压力大于对照组,盆底肌收缩持续时间长于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的结果期望、自我效能期望评分均高于对照组,差异具有统计学意义(P<0.05)。观察组的盆底功能障碍性疾病总发生率显著低于对照组,差异具有统计学意义(P<0.05)。结论基于家属赋权的护理干预结合凯格尔运动用于妊娠晚期孕产妇的护理中,不仅能提高孕产妇的分娩信心,改善盆底功能,还能降低分娩后盆底功能障碍性疾病发生率,值得推广。

Objective To explore the effects of nursing intervention based on family empowerment combined with Kegel exercise on pelvic floor function and delivery confidence of pregnant women in late pregnancy.Methods A total of 80 pregnant women in late pregnancy admitted in our hospital from January 2020 to September 2022 were selected as the research objects,and the pregnant women were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received routine nursing intervention,and the observation group received nursing intervention based on family empowerment combined with Kegel exercise on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the contraction pressure of pelvic floor muscle in the observation group was greater than that in the control group,and the contraction duration of pelvic floor muscle was longer than that in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of outcome expectation and self-efficacy expectation in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of pelvic floor dysfunction in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Nursing intervention based on family empowerment combined with Kegel exercise in the nursing of pregnant women in late pregnancy can not only improve the delivery confidence of pregnant women,improve pelvic floor function,but also reduce the incidence of pelvic floor dysfunction after childbirth,which is worthy of promotion.