康复护理对产后盆底功能障碍产妇的影响

【摘要】目的：探讨康复护理模式对产妇产后盆底功能障碍的干预效果。方法：选取2018年1月至2019年10月我院妇科收治的79例产后盆底功能障碍患者作为本次研究对象。根据护理措施不同分为对照组和观察组，对照组31例患者采用常规护理干预，观察组48例患者在对照组基础上实施康复护理干预，对比两组患者盆底肌力情况及盆底功能障碍的发生率。结果：经不同护理模式护理后，产妇的盆底肌功能均得到了有效恢复，采用康复护理措施的患者恢复在四级以上的有20例，远高于常规护理模式下对照组6例，具有统计学意义（P<0.05）；常规护理模式下对照组并发症总发生10例，发生率为32.26%，显著高于康复护理模式下的观察组3例，发生率6.25%，具有统计学意义（P<0.05）；对照组性生活满意度为54.84%，显著低于观察组85.42%，具有统计学意义（P<0.05）。结论：康复护理干预模式对产后妇女盆底功能恢复的临床效果显著，值得临床推广应用。

【关键词】康复护理；产妇；盆底功能障碍

[中图分类号]R473.71 [文献标识码]A [文章编号]2096-5249（2021）03-0003-02

Effect of Rehabilitation Nursing on Postpartum Pelvic Floor Dysfunction

WANG Qing-xia（The first people’s Hospital of Yanggu County， Liaocheng Shandong 252300， China）

[Abstract] Objective： To explore the intervention effect of rehabilitation nursing mode on postpartum pelvic floor dysfunction. Methods： 79 cases of postpartum pelvic floor dysfunction in our hospital from January 2018 to October 2019 were selected as the research object. According to different nursing measures， they were divided into control group and observation group. 31 patients in the control group were given routine nursing intervention， while 48 patients in the observation group were given rehabilitation nursing intervention on the basis of the control group. The pelvic floor muscle strength and incidence of pelvic floor dysfunction were compared between the two groups. Results： After different nursing mode nursing， the pelvic floor muscle function of puerpera has been effectively recovered， 20 cases of patients with rehabilitation nursing measures recovered above level 4， which was much higher than 6 cases in the control group under the conventional nursing mode（P<0.05）； the total incidence of complications in the control group under the conventional nursing mode was 32.26%， which was significantly higher than that of the observation group in 3 cases under the rehabilitation nursing mode The rate was 6.25%（P<0.05）； The sexual life satisfaction of the control group was 54.84%， which was significantly lower than that of the observation group 85.42%（P<0.05）. Conclusion： the clinical effect of rehabilitation nursing intervention mode on postpartum pelvic floor function recovery is significant， which is worthy of clinical application.

[Key words] Rehabilitation Nursing； Parturient； Pelvic Floor Dysfunction

盆底功能障礙是阴道分娩产妇产后最为常见的并发症之一，据国家卫生部公布的数据显示，我国约有1/3的成年女性患有女性盆底功能障碍疾病，并法律随着患者年龄增长而增长。研究证实妊娠、分娩是导致盆底功能性障碍的高危因素。妊娠期间患者体内松弛素和激素的变化容易使患者产道松弛、骨盆关节软化不稳定，因此采取科学有效的方法改善患者产后盆底功能具有重要意义。……