护理干预对产后妇女盆底功能康复治疗效果的影响

摘要

目的:探讨护理干预对产后妇女盆底功能康复治疗效果的影响.方法:选取2016年6月 ～2017年6月我院产科分娩存在盆底功能障碍的产妇100例作为研究对象.随机将其等分为对照组与试验组,其中对照组实施常规康复护理,试验组在对照组基础上加用盆底功能康复护理干预.观察比较两组产妇的盆底肌力(手测阴道横断面肌力、盆底Ⅰ类肌纤维肌电压、盆底Ⅰ类肌纤维肌疲劳指数、盆底Ⅱ类肌纤维肌电压、盆底Ⅱ类肌纤维肌疲劳指数)以及其分级情况,并观察两组产妇尿失禁、盆腔脱垂以及护理满意度情况.结果:两组产妇的盆底肌力各指标比较差异有统计学意义,且试验组手测阴道横断面肌力、盆底Ⅰ类肌纤维肌电压、盆底Ⅰ类肌纤维肌疲劳指数、盆底Ⅱ类肌纤维肌电压、盆底Ⅱ类肌纤维肌疲劳指数均优于对照组,差异具有统计学意义(P<0.05);试验组盆底肌力分级3级及以上产妇占比明显高于对照组,差异具有统计学意义(P<0.05);试验组尿失禁发生率、盆腔脱垂发生率均低于对照组,差异具有统计学意义(P<0.05);试验组护理满意度明显高于对照组,差异具有统计学意义(P<0.05).结论:康复护理干预可改善产后妇女的盆底功能,对于盆底功能康复治疗具有良好效果.%Objective:To explore the effect of nursing intervention on pelvic floor functional rehabilitation of postpartum women. Methods:A total of 100 pregnant women with pelvic floor dysfunction in obstetrical department in our hospital from June 2016 to June 2017 were selected and randomly divided into control group and observation group. While the control group was treated with routine rehabilitation nursing,the observation group was treated with pelvic floor functional rehabilitation nursing intervention on the basis of routine rehabilitation nursing. The following aspects of the two groups were observed and compared:pelvic floor muscle strength (hand measured vaginal cross - sectional muscle strength,voltage of typeⅠmuscle fiber muscle in pelvic floor,fa-tigue index of typeⅠmuscle fiber muscle in pelvic floor,voltage of typeⅡmuscle fiber muscle in pelvic floor,fatigue index of typeⅡmuscle fiber muscle in pelvic floor )and its classification,as well as maternal urinary incontinence,pelvic prolapse and nursing satisfaction. Results:There were statistical signif-icance in comparing indicators of pelvic floor muscle strength between the two groups. Hand measured vaginal cross - sectional muscle strength,voltage of typeⅠmuscle fiber muscle in pelvic floor,fatigue index of typeⅠmuscle fiber muscle in pelvic floor,voltage of typeⅡmuscle fiber muscle in pelvic floor, fatigue index of typeⅡmuscle fiber muscle in pelvic floor in the observation group were higher than those in the control group,and the difference is of statis-tical significance(P < 0. 05);the number of delivery women with grade 3 or above of the pelvic floor muscle strength were more than that in the control group,and the difference is of statistical significance(P < 0. 05);the incidence of urinary incontinence and pelvic prolapse was lower than that in the con-trol group,and the difference was of statistical significance(P < 0. 05);the nursing satisfaction was significantly higher than that of the control group,and the difference was of statistical significance(P < 0. 05). Conclusion:Rehabilitation nursing intervention can improve pelvic floor function of postpartum women and has good effect on pelvic floor functional rehabilitation.