知信行模式对孕妇盆底肌锻炼依从性的影响  

Effect of knowledge attitude practice mode on compliance of pelvic floor muscle training in pregnant woman

作　　者：吴智萍[1] 胡楚霞[1] 

机构地区：[1]广东省中山市陈星海医院产科,广东中山528415

出　　处：《中国当代医药》2015年第11期71-73,共3页China Modern Medicine

摘　　要：目的探讨知信行模式对孕妇盆底肌锻炼依从性的影响,旨在为心理模式干预盆底肌锻炼提供可靠依据。方法选择2013年1~7月在本院定期产检并分娩的孕20周以上健康初产妇282例为研究对象,随机分为两组,实验组141例采用知信行知信行模式指导盆底肌训练,对照组141例采用常规模式指导,产后42 d,对两组盆底功能进行评价。结果实验组依从率（63.12%）高于对照组（31.21%）,差异有统计学意义（P〈0.05）。实验组依从时间长于对照组,差异有统计学意义（P〈0.05）。实验组盆底Ⅰ和Ⅱ类肌肌力、VRP及VSP均高于对照组,POP-Q评分低于对照组,差异有统计学意义（P〈0.05）。实验组的POP-Q评分9例（6.38%）达到Ⅰ度,无一例超过Ⅰ度;对照组有93例（65.96%）达到Ⅰ度,10例（7.09%）达Ⅱ度,1例（0.71%）为Ⅲ度。结论知信行模式干预盆底肌锻炼,可提高依从性,且有效降低盆底功能障碍性疾病的发生率。Objective To discuss the effect of knowledge attitude practice mode on compliance of pelvic floor muscle training in pregnant woman in order to provide reliable basis for psychological pattern pelvic floor muscle exercise intervention. Methods 282 healthy pregnant women（more than 20 weeks of gestation） in our hospital from January 2013 to July 2013 were selected as research objects and randomly divided into two groups.Knowledge attitude practice mode to guide the pelvic floor muscle training were used in experimental group（141 cases）.Conventional mode was applied in control group（141 cases）.After parturition of 42 days,function of pelvic floor muscle between two groups was evaluated.Results The compliance rate of experimental group（63.12%） was higher than that of control group（31.21%）,with statistical difference（P〈0.05）.The compliance time of experimental group was longer than that of control group,with statistical difference（P〈0.05）.The pelvic floor muscle myodynamia of class Ⅰ and Ⅱ,VRP and VSP in experimental group was higher than that in control group respectively,POP-Q score in experimental group was lower than that in control group,with statistical difference（P〈0.05）.POP-Q score showed,9 cases（account for 6.38%） of experimental group reached degree Ⅰ,and none reached degree Ⅱ,while there were 93 cases（account for 65.96%） of control group reached degreeⅠ,10 cases（account for 7.09%） reached degree Ⅱ,and one case（account for 0.71%）reached degree Ⅲ. Conclusion Pelvic floor muscle exercise under the intervention of knowledge attitude practice mode can improve compliance,and effectively reduce the incidence rate of PFD.

关 键 词：妊娠期 盆底功能障碍性疾病 康复锻炼 知信行 

分 类 号：R711.3[医药卫生—妇产科学]