摘要
目的分析邯郸地区育龄女性产后42天盆底康复认知现状、相关因素及康复效果。方法选择2021年1月至2022年1月首次在邯郸市中心医院入院产检建档的600例育龄女性,采用自行设计的盆底康复认知调查问卷统计其对产后42天盆底康复的认知状况、需求情况,根据其产后42天接受盆底康复治疗情况分为治疗组(接受盆底肌肉锻炼)和参照组(仅接受出院前健康教育),分析影响育龄女性接受盆底康复的相关因素,比较两组产妇产后42天及产后6个月的盆底肌力及性功能。结果两组患者盆底康复认知状况及需求情况比较,差异有统计学意义(P<0.05)。相较于产后42天,两组产后6个月盆底肌力、女性性功能指数量表(FSFI)评分明显提高(P<0.05);治疗组产后6个月盆底肌力、FSFI评分及FSFI评分提高程度明显高于参照组(P<0.05)。结论育龄女性对盆底康复相关知识较为缺乏;盆底康复治疗有助于提高产妇产后盆底肌力,改善产妇性功能。
Objective To analyze the cognitive status,related factors,and rehabilitation effects of pelvic floor rehabilitation in 600 women of childbearing age in Handan area after 42 days postpartum.Methods A total of 600 women of childbearing age who were admitted to Handan Central Hospital for the first time from January 2021 to January 2022 for birth examination and file establishment were selected.The self-designed cognitive questionnaire for pelvic floor rehabilitation was used to analyze their cognitive status and needs for the 42-day postpar‑tum pelvic floor rehabilitation,and the patients receiving pelvic floor rehabilitation treatment(pelvic floor muscle exercise)were included in the treatment group.Only the health educators before discharge were included in the reference group,and the relevant factors affecting the pelvic floor rehabilitation of women of childbearing age were analyzed.The pelvic floor muscle strength and sexual function of women in the two groups were compared at 42 days and 6 months postpartum.Results The cognitive status and demand of pelvic floor rehabilitation between the two groups had statistical significance elevated(P<0.05).Compared with 42 days after delivery,FSFI scores in both groups were signifi‑cantly increased(P<0.05).The FSFI score at 6 months postpartum in the treatment group was significantly higher than that in the reference group(P<0.05).Conclusion Pelvic floor rehabilitation treatment is helpful in improving postpartum pelvic floor muscle strength and improv‑ing maternal sexual function,with significant effects;however,currently,women of childbearing age lack knowledge about pelvic floor rehabili‑tation,with only half of them undergoing postpartum pelvic floor rehabilitation treatment.
作者
刘彩茹
宋学东
王付敏
李婷
刘彩红
杨丽萍
LIU Cairu;SONG Xuedong;WANG Fumin;LI Ting;LIU Caihong;YANG Liping(Department of Obstetrics and Gynecology,Handan Central Hospital,Handan 056000,China;Department of Clinical Laboratory,Handan Central Hospital,Handan 056000,China;Department of Ultrasound,Handan Central Hospital,Handan 056000,China)
出处
《安徽医学》
2024年第9期1172-1176,共5页
Anhui Medical Journal
基金
河北省医学科学研究课题计划(编号:20211732)。
关键词
育龄女性
盆底康复
康复效果
Women of childbearing age
Pelvic floor rehabilitation
Rehabilitation effect
