摘要
目的分析产后盆底功能障碍患者采用产后盆底康复护理对压力性尿失禁的改善效果.方法选取该院2019年9月—2020年9月收治的80例产后盆底功能障碍致压力性尿失禁患者,按照随机数字表法将患者分为两组.对照组(40例)采用常规护理,观察组(40例)采用产后盆底康复护理,比较两组患者护理前后的尿失禁情况.结果两组的护理总有效率进行比较,观察组95.00%高于对照组的75.00%,差异有统计学意义(P<0.05).护理后,观察组尿失禁<Ⅱ级比率为87.50%,低于对照组的60.00%,差异有统计学意义(P<0.05).护理后,观察组患者的阴道静息压、阴道收缩压均高于对照组,组间差异有统计学意义(P<0.05).护理后,两组患者的焦虑、抑郁评分与同组治疗前比较均降低,且观察组各项评分均低于对照组,组间差异有统计学意义(P<0.05).护理后,两组患者的各项生活质量评分与护理前比较均改善,且观察组各项评分均优于对照组,组间差异有统计学意义(P<0.05).结论产后盆底康复护理应用于盆底功能障碍致压力性尿失禁患者中的效果良好,能有效改善患者尿失禁症状,提高盆腔肌肉肌力,减轻焦虑、抑郁情绪,提高生活质量.
Objective To analyze the improvement effect of postpartum pelvic floor rehabilitation nursing on urinary incontinence in patients with postpartum pelvic floor dysfunction.Methods A selection of 80 patients with postpartum pelvic floor dysfunction caused stress urinary incontinence admitted to the hospital from September 2019 to September 2020 were divided into two groups according to a random number table.The control group(40 cases)received routine nursing,and the observation group(40 cases)received postpartum pelvic floor rehabilitation nursing.The urinary incontinence before and after nursing was compared between the two groups.Results The total effective rate of nursing between the two groups was compared,95.00%of the observation group was higher than 75.00%of the control group,and the difference was statistically significant(P<0.05).After nursing,the rate of urinary incontinence<gradeⅡin the observation group was 87.50%,which was lower than 60.00%in the control group,the difference was statistically significant(P<0.05).After nursing,the vaginal resting pressure and vaginal systolic pressure of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the anxiety and depression scores of the two groups of patients were lower than those of the same group before treatment,and the scores of the observation group were lower than those of the control group,and the differences between groups were statistically significant(P<0.05).After nursing,the quality of life scores of the two groups of patients improved compared with those before nursing,and the scores of the observation group were better than those of the control group,the differences between groups were statistically significant(P<0.05).Conclusion Postpartum pelvic floor rehabilitation nursing has a good effect on patients with stress urinary incontinence caused by pelvic floor dysfunction,which can effectively improve the symptoms of urinary incontinence,improve pelvic muscle strength,relieve anxiety and depression,and improve the quality of life.
作者
肖敬
袁海静
侯芳慧
XIAO Jing;YUAN Haijing;HOU Fanghui(Department of Infertility and Family Planning,Dongchangfu People's Hospital,Liaocheng Shandong,252000,China;Department of General Medicine,Dongchangfu People's Hospital of Liaocheng,Liaocheng Shandong,252000,China;Department of Obstetrics,Dongchangfu People's Hospital,Liaocheng Shandong,252000,China)
出处
《反射疗法与康复医学》
2021年第7期144-147,共4页
Reflexology And Rehabilitation Medicine
关键词
产后
盆底功能障碍
压力性尿失禁
康复护理
盆底肌力
效果
Postpartum
Pelvic floor dysfunction
Stress urinary incontinence
Rehabilitation nursing
Pelvic floor muscle strength
Effect
