Application of multi-dimensional health education mode to pelvic floor muscle exercise during gestation of pregnant and lying-in women and after delivery
Objective: To build the multi-dimensional health education model for pelvic floor muscle exercise during gestation and after delivery, and to discuss the clinical value of this model. Methods: A total of 146 pregnant women who accepted standard antenatal care in the outpatient clinic of Obstetrical Department of First Affiliated Hospital of Zhengzhou University from January 2016 to May 2016 were selected as the research objects and divided into the control group and the observation group randomly according to the sequence of patients’ outpatient numbers. The control group adopted the conventional health education mode, while the observation group adopted multi-dimensional health education mode. After intervention, comparison of the two groups was conducted in these aspects: level of health knowledge about pelvic floor muscle exercise, compliance of rehabilitation exercise, delivery mode, variation of pelvic floor muscle force and occurrence of postnatal pelvic floor dyfunction. Results: The level of health knowledge about pelvic floor muscle exercise and compliance of the observation group were evidently higher than those of the control group. There was no obvious difference in the delivery modes of the two groups. Three months after delivery, type I and type II pelvic floor fiber muscle force of the observation group were evidently superior to those of the control group. Moreover, uracratia occurrence rate and pelvic viscera prolapsed degree after delivery of the observation group were evidently lower than those of the control group. Conclusion: Conducting multi-dimensional health education among patients before and after delivery can improve their level of health knowledge about pelvic floor muscle exercise as well as compliance of pelvic floor rehabilitation exercise, and can significantly reduce the occurrence rate of pelvic floor dysfunction. Therefore, this model is worth being promoted in clinic.