中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
11期
71-73
,共3页
妊娠期%盆底功能障碍性疾病%康复锻炼%知信行
妊娠期%盆底功能障礙性疾病%康複鍛煉%知信行
임신기%분저공능장애성질병%강복단련%지신행
Pregnancy%Pelvic floor dysfunction%Rehabilitation training%Knowledge attitude practice
目的：探讨知信行模式对孕妇盆底肌锻炼依从性的影响，旨在为心理模式干预盆底肌锻炼提供可靠依据。方法选择2013年1~7月在本院定期产检并分娩的孕20周以上健康初产妇282例为研究对象，随机分为两组，实验组141例采用知信行知信行模式指导盆底肌训练，对照组141例采用常规模式指导，产后42 d，对两组盆底功能进行评价。结果实验组依从率(63.12%)高于对照组(31.21%)，差异有统计学意义(P<0.05)。实验组依从时间长于对照组，差异有统计学意义(P<0.05)。实验组盆底Ⅰ和Ⅱ类肌肌力、VRP及VSP均高于对照组，POP-Q评分低于对照组，差异有统计学意义(P<0.05)。实验组的POP-Q评分9例(6.38%)达到Ⅰ度，无一例超过Ⅰ度；对照组有93例(65.96%)达到Ⅰ度，10例(7.09%)达Ⅱ度，1例(0.71%)为Ⅲ度。结论知信行模式干预盆底肌锻炼，可提高依从性，且有效降低盆底功能障碍性疾病的发生率。
目的：探討知信行模式對孕婦盆底肌鍛煉依從性的影響，旨在為心理模式榦預盆底肌鍛煉提供可靠依據。方法選擇2013年1~7月在本院定期產檢併分娩的孕20週以上健康初產婦282例為研究對象，隨機分為兩組，實驗組141例採用知信行知信行模式指導盆底肌訓練，對照組141例採用常規模式指導，產後42 d，對兩組盆底功能進行評價。結果實驗組依從率(63.12%)高于對照組(31.21%)，差異有統計學意義(P<0.05)。實驗組依從時間長于對照組，差異有統計學意義(P<0.05)。實驗組盆底Ⅰ和Ⅱ類肌肌力、VRP及VSP均高于對照組，POP-Q評分低于對照組，差異有統計學意義(P<0.05)。實驗組的POP-Q評分9例(6.38%)達到Ⅰ度，無一例超過Ⅰ度；對照組有93例(65.96%)達到Ⅰ度，10例(7.09%)達Ⅱ度，1例(0.71%)為Ⅲ度。結論知信行模式榦預盆底肌鍛煉，可提高依從性，且有效降低盆底功能障礙性疾病的髮生率。
목적：탐토지신행모식대잉부분저기단련의종성적영향，지재위심리모식간예분저기단련제공가고의거。방법선택2013년1~7월재본원정기산검병분면적잉20주이상건강초산부282례위연구대상，수궤분위량조，실험조141례채용지신행지신행모식지도분저기훈련，대조조141례채용상규모식지도，산후42 d，대량조분저공능진행평개。결과실험조의종솔(63.12%)고우대조조(31.21%)，차이유통계학의의(P<0.05)。실험조의종시간장우대조조，차이유통계학의의(P<0.05)。실험조분저Ⅰ화Ⅱ류기기력、VRP급VSP균고우대조조，POP-Q평분저우대조조，차이유통계학의의(P<0.05)。실험조적POP-Q평분9례(6.38%)체도Ⅰ도，무일례초과Ⅰ도；대조조유93례(65.96%)체도Ⅰ도，10례(7.09%)체Ⅱ도，1례(0.71%)위Ⅲ도。결론지신행모식간예분저기단련，가제고의종성，차유효강저분저공능장애성질병적발생솔。
Objective To discuss the effect of knowledge attitude practice mode on compliance of pelvic floor muscle training in pregnant woman in order to provide reliable basis for psychological pattern pelvic floor muscle exercise in-tervention. Methods 282 healthy pregnant women (more than 20 weeks of gestation) in our hospital from January 2013 to July 2013 were selected as research objects and randomly divided into two groups.Knowledge attitude practice mode to guide the pelvic floor muscle training were used in experimental group(141 cases).Conventional mode was applied in control group (141 cases).After parturition of 42 days,function of pelvic floor muscle between two groups was evaluated. Results The compliance rate of experimental group(63.12%) was higher than that of control group(31.21%),with statisti-cal difference (P<0.05).The compliance time of experimental group was longer than that of control group,with statistical difference (P<0.05).The pelvic floor muscle myodynamia of classⅠ and II,VRP and VSP in experimental group was higher than that in control group respectively,POP-Q score in experimental group was lower than that in control group, with statistical difference(P<0.05).POP-Q score showed,9 cases (account for 6.38%) of experimental group reached de-gree Ⅰ,and none reached degree II,while there were 93 cases (account for 65.96%) of control group reached degreeⅠ,10 cases (account for 7.09%) reached degree II,and one case (account for 0.71%)reached degree Ⅲ. Conclusion Pelvic floor muscle exercise under the intervention of knowledge attitude practice mode can improve compliance,and ef-fectively reduce the incidence rate of PFD.
