基于健康行为改变整合理论的综合康复护理在产后盆底康复中的应用

Application of comprehensive rehabilitative nursing based on the integrated theory of health behavior change in postpartum pelvic floor rehabilitation

目的探讨基于健康行为改变整合理论的综合康复护理在产后盆底康复中的应用。方法选择2021年4月至2022年4月在太白县医院接受产后盆底康复治疗的70例阴道分娩产妇为研究对象,按照干预方案不同分为两组,每组35例。对照组采用常规护理,研究组采用常规护理联合基于健康行为改变整合理论的综合康复护理,比较两组应用效果。结果干预后,研究组心理状态评分较对照组更低,自我效能感与性生活质量评分均较对照组更高(P<0.05);研究组不良事件总发生率较对照组更低(P<0.05);研究组盆底肌力优于对照组(P<0.05)。结论基于健康行为改变整合理论的综合康复护理在产后盆底康复中应用,可改善心理状态,提高自我效能感及性生活质量,降低不良事件发生率。

Objective To explore the application of comprehensive rehabilitation nursing based on the integrated theory of health behavior change in postpartum pelvic floor rehabilitation.Methods A total of 70 puerperae with vaginal delivery who received postpartum pelvic floor rehabilitation treatment in Taibai County Hospital from April 2021 to April 2022 were selected as the research objects.According to different intervention programs,they were divided into two groups,with 35 cases in each group.The control group received routine nursing,and the study group received routine nursing combined with comprehensive rehabilitation nursing based on the integrated theory of health behavior change.The application effect of the two groups was compared.Results After intervention,the psychological state score of the study group was lower than that of the control group,and the self-efficacy and quality of sexual life scores were higher than those of the control group(P<0.05).The total incidence of adverse events in the study group was lower than that in the control group(P<0.05).The pelvic floor muscle strength of the study group was better than that of the control group(P<0.05).Conclusion The application of comprehensive rehabilitation nursing based on the integrated theory of health behavior change in postpartum pelvic floor rehabilitation can improve the psychological state,self-efficacy,and quality of sexual life,and reduce th e incidence of adverse events.