摘要
目的探讨IMCHB护理干预对重度子宫脱垂盆底重建术后患者盆底功能、心理困扰及生活质量的影响。方法选取本院2019-9月至2021年1月实施盆底重建的128例重度子宫脱垂患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组64例,对照组实施常规健康宣教及护理,观察组实施IMCHB护理干预,共实施3个月。比较干预前后两组患者盆底功能水平、心理困扰水平、生活质量及压力性尿失禁疗效。结果干预前,两组患者盆底功能障碍简表-7(PFIQ-7)、POP困扰量表(POPDI-6)、排尿障碍困扰量表(UDI-6)、标准盆腔器官脱垂/尿失禁性生活质量问卷(PISQ-12)评分比较,差异均无统计学意义(P>0.05)。干预3个月后,观察组患者PFIQ-7量表评分、POPDI-6量表评分和UDI-6量表评分均较对照组下降,PISQ-12问卷评分较对照组升高,组间比较差异均具有统计学意义(P<0.001);观察组压力性尿失禁治疗总有效率为95.31%(61/64),明显高于对照组的82.81%(53/64),差异有统计学意义(χ^(2)=5.133,P=0.024)。结论IMCHB护理模式可有效提高重度子宫脱垂盆底重建术后患者盆底功能、生活质量和压力性尿失禁疗效,改善患者心理困扰水平。
Objective To explore the effect of IMCHB nursing intervention on pelvic floor function,psychological distress and quality of life in patients with severe uterine prolapse after pelvic floor reconstruction.Methods A total of 128 patients with severe uterine prolapse who underwent pelvic floor reconstruction in our hospital from September 2019 to January 2021 were selected as the research objects,and divided into the control group and the observation group by random number table method,64 cases in each group,the control group Routine health education and nursing were implemented,and the observation group was implemented with IMCHB nursing intervention for a total of 3 months.The levels of pelvic floor function,psychological distress,quality of life,and stress urinary incontinence were compared between the two groups before and after the intervention.Results Before the intervention,the two groups of patients were evaluated with the Pelvic Floor Dysfunction Brief Inventory-7(PFIQ-7),the POP Difficulty Inventory(POPDI-6),the Urinary Disorder Difficulty Inventory(UDI-6),and the international standard pelvic organ prolapse.There was no significant difference in the scores of Urinary Incontinence Quality of Life Questionnaire(PISQ-12)(P>0.05).After 3 months of intervention,the scores of PFIQ-7,POPDI-6 and UDI-6 in the observation group were all decreased compared with those in the control group,and the scores of PISQ-12 were increased compared with those in the control group,and there were differences between the groups.All were statistically significant(P<0.001);The total effective rate of stress urinary incontinence treatment in the observation group was 95.31%(61/64),which was significantly higher than that in the control group,82.81%(53/64),with a statistically significant difference(χ^(2)=5.133,P=0.024).Conclusion The IMCHB nursing model can effectively improve the pelvic floor function,quality of life and stress urinary incontinence in patients with severe uterine prolapse after pelvic floor reconstruction,and improve the psychological distress level of patients.
作者
张伟
段梦子
白石莹
ZHANG Wei;DUAN Mengzi;BAI Shiying(Department of Gynecology,Nanyang Central Hospital,Henan Province,Nanyang,473000,Henan,China)
出处
《新疆医学》
2022年第8期965-968,976,共5页
Xinjiang Medical Journal
基金
河南省医学科技攻关项目(项目编号:182103510093)
关键词
健康行为互动护理
子宫脱垂
盆底重建
盆底功能障碍
心理困扰
生活质量
health behavior interactive nursing
uterine prolapse
pelvic floor reconstruction
pelvic floor dysfunction
psychological distress
quality of life
