摘要
目的:探讨信息-动机-行为护理模式指导kegel运动训练应用在子宫脱垂术后患者效果。方法:选取2022年5月-2024年5月在本院妇科行手术治疗的子宫脱垂患者168例,随机数字表法分为对照组(n=84)行常规护理、观察组(n=84)在对照组基础上行信息-动机-行为护理模式指导kegel运动训练,比较护理前后两组知信行水平、训练的依从性、盆底肌张力、生活质量水平及护理后宫颈脱垂改善情况。结果:护理干预3个月后,观察组相关知识、信念、行为评分均高于对照组,身体参与训练(22.00±4.00分)、训练效果监督(16.83±2.85分)、寻求训练建议评分(6.17±1.95分)均高于对照组(19.59±3.71分、13.48±2.12分、5.28±1.40分),阴道收缩压(32.44±4.58 cmH_(2)O)、阴道静息压(36.66±6.05 cmH_(2)O)、持续收缩时间(5.16±1.34s)均高于对照组(29.86±3.67 cmH_(2)O、33.69±5.71 cmH_(2)O、4.59±0.99s),漏尿频率、漏尿量程度、原因自我诊断、对生活质量影响总评分(7.21±0.58分)低于对照组(8.76±0.63分),宫颈脱垂发生情况低于对照组(均P<0.05)。结论:信息-动机-行为护理模式指导kegel运动训练有助于提升子宫脱垂术后患者的相关知信行水平,提高训练的依从性,改善盆底肌张力及子宫脱垂的情况,提升生活质量。
Objective:To explore the effect of information-motivation-behavior nursing model for guiding kegel exercise training of patients with uterine prolapse after operation.Methods:From May 2022 to May 2024,168 patients with uterine prolapse who underwent surgical treatment in the gynecology department of the hospital were randomly divided into two groups.84 patients in the control group received routine nursing,and 84 patients in the experimental group received kegel exercise training based on the information-motivation-behavior nursing mode.The situation of knowledge,belief and behavior,the compliance of training,the pelvic floor muscular tension,the quality of life before and after nursing and the improvement of cervical prolapse after nursing of the patients were compared between the two groups.Results:After 3 months of nursing intervention,the scores of the related knowledge,attitude and behavior of the patients in the experimental group were significantly higher than those of the patients in the control group.The scores of the physical participation in training(22.00±4.00 points),the training effect supervision(16.83±2.85 points)and the seeking training advice(6.17±1.95 points)of the patients in the experimental group were significantly higher than those(19.59±3.71 points,13.48±2.12 points and 5.28±1.40 points)of the patients in the control group.The values of the vaginal systolic pressure(32.44±4.58 cmH_(2)O),the vaginal resting pressure(36.66±6.05 cmH_(2)O)and the continuous contraction time(5.16±1.34s)of the patients in the experimental group were significantly higher than those(29.86±3.67 cmH_(2)O,33.69±5.71 cmH_(2)O and 4.59±0.99s)of the patients in the control group.The frequency of urine leakage,the degree of urine leakage,the cause of self-diagnosis and the total score of the influencing on the quality of life(7.21±0.58 points)of the patients in the experimental group were significantly lower than those(8.76±0.63 points)of the patients in the control group.The incidence of cervical prolapse of the patients in the experimental group was significantly lower than that of the patients in the control group(all P<0.05).Conclusion:The information-motivation-behavior nursing model for guiding kegel exercise training of the patients with prolapse of uterus after operation is helpful to improve their related knowledge,attitude and practice,improve their pelvic floor muscle tension and uterine prolapse,and increase their quality of life.
作者
吴倩
丛美华
WU Qian;CONG Meihua(Nantong Maternal and Child Health Care Hospital,Nantong,Jiangsu Province,226000)
出处
《中国计划生育学杂志》
2025年第3期631-636,共6页
Chinese Journal of Family Planning
关键词
子宫脱垂手术
信息-动机-行为护理模式
kegel运动训练
知信行
依从性
生活质量
Operation of uterine prolapse
Information-motivation-behavior nursing model
Kegel sports training
Knowledge,attitude and practice
Compliance
Quality of life
