摘要
目的:观察集束化护理联合盆底康复训练在女性盆底功能障碍性疾病(PFD)患者中的应用效果。方法:选取2020年4月至2021年4月该院收治的66例PFD患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各33例。对照组采用盆底康复训练,研究组在对照组基础上联合集束化护理,比较两组护理前后盆底功能障碍[盆底功能障碍问卷简表(PFDI-20)]评分、盆底肌肌力情况和性生活质量[性生活质量调查表(SLQQ)]评分。结果:护理3个月后,两组肛门直肠障碍、泌尿生殖障碍和盆腔器官脱垂等PFDI-20评分均低于入院时,且研究组低于对照组,SLQQ评分均高于入院时,且研究组高于对照组,差异有统计学意义(P<0.05);护理3个月后,研究组盆底肌肌力分级明显优于对照组,差异有统计学意义(P<0.05)。结论:集束化护理联合盆底康复训练应用于PFD患者可降低PFDI-20评分,改善盆底肌肌力情况,提高SLQQ评分,效果优于单纯盆底康复训练。
Objective:To observe application effects of cluster nursing combined with pelvic floor rehabilitation exercise in female patients with pelvic floor dysfunction(PFD).Methods:A prospective study was conducted on 66 patients with PFD admitted to the hospital from April 2020 to April 2021.According to the random number table method,they were divided into study group and control group,33 cases in each group.The control group was treated with pelvic floor rehabilitation exercise,while the study group was combined with cluster nursing on the basis of that of the control group.The pelvic floor dysfunction[pelvic floor dysfunction inventory(PFDI-20)]score,the pelvic floor muscle strength,and the quality of sexual life[quality of sexual life questionnaire(SLQQ)]were compared between the two groups before and after the nursing.Results:After 3 months of nursing,the PFDI-20 scores of anorectal disorders,urogenital disorders and pelvic organ prolapse in the two groups were lower than those at admission,and those in the study group were lower than those in the control group;the SLQQ scores were higher than those at admission,and that in the study group was higher than that in the control group;and the differences were statistically significant(P<0.05).After 3 months of nursing,the pelvic floor muscle strength grading of the study group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:Cluster nursing combined with pelvic floor rehabilitation exercise can reduce the PFDI-20 scores,improve the pelvic floor muscle strength and the SLQQ scores in the patients with PFD.Moreover,it is superior to single pelvic floor rehabilitation exercise.
作者
陈慧慧
李营营
CHEN Huihui;LI Yingying(Obstetrics Department of Kaifeng Gynecology and Obstetrics Hospital,Kaifeng 475000 Henan,China)
出处
《中国民康医学》
2023年第7期183-186,共4页
Medical Journal of Chinese People’s Health
关键词
女性盆底功能障碍性疾病
盆底康复锻炼
集束化护理
盆底肌功能
性生活质量
Female pelvic floor dysfunction
Pelvic floor rehabilitation exercise
Cluster nursing
Pelvic floor muscle function
Quality of sexual life
