论著 Original Article

多维健康教育模式在孕产妇妊娠及产后盆底肌锻炼中的运用

Published at: 2017年第37卷第4期

王新侠 1 , 徐贵红 2 , 徐桂梅 3 , 郑春兰 1 , 杨艳红 1
1 郑州大学第一附属医院妇产科,郑州 450044
2 新乡医学院第三附属医院妇产科,河南 新乡 453000
3 郑州大学第三附属医院术后监护室,郑州 450052
通讯作者 新侠 王 Email: wangxiaxin1976@126.com
DOI: 10.3978/j.issn.2095-6959.2017.04.010
基金:

摘要

目的:建立妊娠及产后盆底肌锻炼多维度健康教育模型,并探讨其在临床的运用价值。方法:以2016年1至5月在郑州大学第一附属医院产科门诊规范产检的146名孕妇为研究对象,按照患者门诊号顺序进行随机分组,其中对照组采取传统的健康教育模式,观察组采用多维健康教育模式,比较两组患者干预后盆底康复锻炼健康知识水平、康复锻炼的依从性、分娩方式、盆底肌力变化情况及产后盆底功能障碍疾病的发生情况。结果:观察组盆底肌锻炼相关健康知识水平和依从性均明显高于对照组,两组分娩方式无明显差异;产后3个月观察组盆底I类和II类纤维肌力明显高于对照组,且观察组产后尿失禁发生率和盆腔脏器脱垂程度明显低于对照组。结论:在妊娠期及产后开展多维度的健康宣教,可提升孕产妇盆底肌锻炼相关健康知识水平和盆底康复锻炼的依从性;有效降低盆底功能障碍性疾病的发生率,在临床值得进一步推广。


Application of multi-dimensional health education mode to pelvic floor muscle exercise during gestation of pregnant and lying-in women and after delivery

Abstract

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.


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引用

引用本文: 新侠 王, 贵红 徐, 桂梅 徐, 春兰 郑, 艳红 杨. 多维健康教育模式在孕产妇妊娠及产后盆底肌锻炼中的运用[J]. 临床与病理杂志, 2017, 37(4): 707-712.
Cite this article as: WANG Xinxia, XU Guihong, XU Guimei, ZHENG Chunlan, YANG Yanhong . Application of multi-dimensional health education mode to pelvic floor muscle exercise during gestation of pregnant and lying-in women and after delivery[J]. Journal of Clinical and Pathological Research, 2017, 37(4): 707-712.