Kegel运动联合全程性健康教育对改善产后性问题的效果评价  

Effect evaluation on Kegel exercise combined with fuU sexual health education in improving postpartum sexual problems

作　　者：陈翠辉[1] 白淑秋[1] 

机构地区：[1]湛江中心人民医院产科,524037

出　　处：《国际医药卫生导报》2014年第11期1616-1619,共4页International Medicine and Health Guidance News

摘　　要：目的探讨Kegel运动联合全程性健康教育对改善顺产产妇产后性问题的效果。方法326例顺产的初产妇随机分为对照组和联合组，每组163例。对照组于出院时常规性健康教育，联合组采用Kegel运动联合全程性健康教育（由主管护士负责性健康教育及Kegel运动指导，院外电话随访）。出院6个月后回院复查时，采用本科室内自拟的《妇女产后性问题调查表》调查其产后性问题的发生情况及检查其盆底功能肌力。结果《妇女产后性问题调查表》调查显示联合组产妇产后性交疼痛、性欲低下、阴道松驰、性高潮障碍和性厌恶的发生率较对照组低（P〈0．01）。产后6个月联合组产妇盆底肌力情况优于对照组（He=44．1194，P〈0．01），且盆底综合肌力基本恢复正常及完全恢复正常率均高于对照组（61．4％VS31．3％，18．4％VS10．4％，P〈0．01或0．05）。结论Kegel运动联合全程性健康教育有助于提高产妇产后的盆底综合肌力，减少产后性问题的发生，对提高产女生活质量有重要意义。Objective To study the effect of Kegel exercise combined with full sexual health education in improving postpartum sexual problems of natural labor maternal. Methods 326 uniparas in our hospital were randomly divided into a control group and an experimental group （163 cases per group）. Normal sexual health education was used in the control group, Kege! exercise combined with full sexual health education was used in the experimental group. The guidance of sexual health education and Kegel exercise was introduced to uniparas by charge nurses. Furthermore, telephone interviews were involved in this experiment. By using the Women Postpartum Sexual Problem Questionnaire, postpartum sexual condition and pelvic floor muscle function of the patients were checked six months later. Results The incidence of sexual intercourse pain, low sexual desire, vaginal relaxation, sexual dysfunction and sexual aversion of the uniparas in the experimenta! grgup were obviously lower than those in the control group （P 〈 0.01）. Their functions of pelvic floor muscle was better than those in the control group after 6 months （Hc=44.1194, P 〈 0.01）. The rate of their basic or Complete recovery of pelvic floor muscle was both higher than that of the control group （61.4% vs 31.3%, 18.4% vs 10.4%, P 〈 0.01 or 0.05）. Conclusion Kegel exercise combined with full sexual health education are conducive to improve postpartum puerperas＇ functions of pelvic floor muscle and reduce the occurrence of postpartum sexual problems. It has an important sense to improve the postpartum puerperas ＇ quality of sexual lives.

关 键 词：Kegel运动 性健康教育 性问题 产妇 

分 类 号：R473.71[医药卫生—护理学]