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。方法选取本院2017年2月-2019年3月期间收治的104例分娩后盆底功能障碍的初产妇,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(PFDI-20)、盆底肌功能影响(PFIQ-7)、尿失禁评分均明显低于对照组(P<0.05);观察组干预后盆腔器官脱垂(POP)0度82.69%高于对照组的59.52%(P<0.05),Ⅰ度15.38%低于对照组的36.54%(P<0.05);观察组干预后汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分均明显低于对照组(P<0.05),性生活质量评分显著高于对照组(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以及负性情绪,有利于提高其性生活质量。
Objective To explore effect of group pelvic floor muscle training(PFMT)combined with peer support intervention on pelvic floor dysfunction(PFD)of primiparas after delivery.Methods A total of 104 PFD primiparas after delivery who were admitted to the hospital from February 2017 to March 2019 were enrolled.They were divided into control group and observation group by simple random sampling method,52 cases in each group.The control group was given routine PFMT intervention,while observation group was given group PFMT combined with peer support intervention on basis of control group.The intervention effect was compared between the two groups.Results After intervention,scores of Pelvic Floor Distress Inventory-20(PFDI-20),Pelvic Floor Impact Questionnaire Short Form(PFIQ-7)and urinary incontinence in observation group were significantly lower than those in control group(P<0.05).After intervention,rate of Pelvic Organ Prolapse(POP)at level 0 in observation group was higher than that in control group(82.69%vs 59.52%)(P<0.05),while rate at level I was lower than that in control group(15.38%vs 36.54%)(P<0.05).After intervention,scores of Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)in observation group were significantly lower than those in control group(P<0.05),while score of sexual life quality was significantly higher than that in control group(P<0.05).Conclusion The application effect of group PFMT combined with peer support intervention is good on PFD of primiparas after delivery,which can effectively improve pelvic floor muscle function and negative emotion,and is beneficial to improve quality of sexual life.
作者
赵靖雅
赵瑞
何全中
ZHAO Jingya;ZHAO Rui;HE Quanzhong(Department of Obstetrics and Gynecology,The Third Affiliated Hospital of Xinxiang Medical College,Xinxiang,453000,Henan,China;Operating Room of Yongcheng People's Hospital,Shangqiu,476600,Henan,China)
出处
《新疆医学》
2022年第11期1302-1305,共4页
Xinjiang Medical Journal
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 training
peer support
pelvic organ prolapse
sexual life quality
