社区产褥期阴道分娩妇女盆底肌锻炼依从性影响因素分析

Analysis of the influencing factors of pelvic floor muscle exercise compliance in community women with vaginal delivery during puerperium

目的分析社区产褥期阴道分娩产妇盆底肌锻炼依从性的影响因素。方法将2022年7月至2023年10月在上海市徐汇区长桥街道社区卫生服务中心行盆底肌锻炼的134例产褥期阴道分娩产妇作为研究对象,根据盆底肌训练依从性调查问卷结果分为不依从组(74例)、依从组(60例)。收集两组临床资料,采用单因素及多因素logistic回归分析社区产褥期阴道分娩产妇盆底肌锻炼依从性的影响因素。结果单因素分析显示,盆底肌功能锻炼认知程度、孕晚期及产褥期漏尿、产褥期社区医护干预、智能盆底功能锻炼APP与盆底肌锻炼依从性有关(P<0.05);多因素logistic回归分析显示,盆底肌功能锻炼认知程度、产褥期社区医护干预、孕晚期及产褥期漏尿、智能盆底功能锻炼APP是盆底肌锻炼依从性的影响因素(P<0.05)。结论影响社区产褥期阴道分娩产妇盆底肌锻炼依从性的因素较多,临床应根据上述相关因素给予干预。

Objective To analyze the influencing factors of pelvic floor muscle exercise compliance in community women with vaginal delivery during puerperium.Methods A total of 134 puerperal women with vaginal delivery who underwent pelvic floor muscle exercise in Shanghai Xuhui District Changqiao Street Community Health Service Center from July 2022 to October 2023 were selected as the research objects.According to the results of the pelvic floor muscle training compliance questionnaire,they were divided into non-compliance group(74 cases)and compliance group(60 cases).The clinical data of the two groups was collected.Univariate and multivariate logistic regression were used to analyze the influencing factors of pelvic floor muscle exercise compliance in community women with vaginal delivery during puerperium.Results Univariate analysis showed that the awareness of pelvic floor muscle function exercise,leakage of urine during late pregnancy and puerperium,community medical intervention during puerperium,and intelligent pelvic floor function exercise APP were related to the compliance of pelvic floor muscle exercise(P<0.05).Multivariate logistic regression analysis showed that the influencing factors of pelvic floor muscle exercise compliance included the awareness of pelvic floor muscle function exercise,community medical intervention during puerperium,leakage of urine during late pregnancy and puerperium,and intelligent pelvic floor function exercise APP(P<0.05).Conclusion There are many factors affecting the compliance of pelvic floor muscle exercise in community women with vaginal delivery during puerperium,and clinical intervention should be given according to the above related factors.