摘要
目的探讨小组式盆底肌肉锻炼结合同伴支持干预对初产妇分娩后盆底功能障碍的影响。方法选取山东省德州市陵城区人民医院2017年2月-2019年3月收治的104例分娩后盆底功能障碍初产妇,利用简单随机抽样法分为对照组与观察组,每组52例。对照组采用常规盆底肌肉锻炼干预,观察组在对照组基础上采用小组式盆底肌肉锻炼结合同伴支持干预,比较两组干预效果。结果观察组干预后盆底肌功能障碍(Pelvic Floor Diseress Inventory-20,PFDI-20)、盆底肌功能影响(Pelvic Floor Impact Questionnaire Short Form,PFIQ-7)、尿失禁评分均明显低于对照组,差异有统计学意义(t=9.798、5.067、18.109,P<0.05);观察组干预后盆腔器官脱垂(Pelvicorgan prolapse,POP)0度82.69%高于对照组的59.52%,Ⅰ度15.38%低于对照组的36.54%,差异有统计学意义(Z=6.761,P=0.034);观察组干预后汉密尔顿抑郁量表(Hamilton's Depression Scale,HAMD)和汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)评分均明显低于对照组,差异有统计学意义(t=5.876、6.652,P<0.05),性生活质量评分显著高于对照组,差异有统计学意义(t=5.167,P<0.05)。结论小组式盆底肌肉锻炼结合同伴支持干预应用于初产妇分娩后盆底功能障碍效果良好,可有效改善患者盆底肌功能及负性情绪,有利于提高其性生活质量。
Objective To investigate the effect of group pelvic floor muscle exercise combined with peer support in⁃tervention on pelvic floor dysfunction in primipara after childbirth.Methods A total of 104 primiparas with postpar⁃tum pelvic floor dysfunction who were admitted to Lingcheng District People's Hospital,Dezhou City in Shandong Province from February 2017 to March 2019 were selected and divided into a control group and an observation group by simple random sampling,with 52 cases in each group.The control group was given routine pelvic floor muscle ex⁃ercise intervention,while the observation group was given group pelvic floor muscle exercise combined with peer sup⁃port intervention on the basis of the control group,and the intervention effects of the two groups were compared.Re⁃sults After intervention,the pelvic floor muscle dysfunction(PFDI-20),pelvic floor muscle function impact(PFIQ 7),and urinary incontinence score in the observation group were significantly lower than those in the control group,and the differences were statistically significant(t=9.798,5.067,18.109,P<0.05);after intervention,the pelvic organ prolapse(POP)of the observation group was 82.69%higher than that of the control group 59.52%,and the first degree was 15.38%,lower than 36.54%of the control group,the differences were statistically significant(Z=6.761,P=0.034);the Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)scores in the observation group were significantly lower than those in the control group after intervention,and the difference was statistically significant(t=5.876,6.652,P<0.05).The quality of life score was significantly higher than that of the control group,and the difference was statistically significant(t=5.167,P<0.05).Conclusion Group pelvic floor muscle exercise com⁃bined with peer support intervention has a good effect on pelvic floor dysfunction in primipara after childbirth.It can effectively improve patients'pelvic floor muscle function and negative emotions,and is conducive to improving their quality of sexual life.
作者
穆晓文
邱士瑜
MU Xiaowen;QIU Shiyu(Department of Obstetrics,Lingcheng District People's Hospital,Dezhou,Shandong Province,253500 China)
出处
《系统医学》
2022年第11期144-148,共5页
Systems Medicine
关键词
盆底功能障碍
盆底肌肉锻炼
同伴支持
盆腔器官脱垂
性生活质量
Pelvic floor dysfunction
Pelvic floor muscle exercise
Peer support
Pelvic organ prolapse
Quality of sexual life
