知信行护理模式在妊娠晚期盆底功能障碍孕妇中的应用效果  

Application effect of knowledge-attitude-practice nursing model in pregnant women with pelvic floor dysfunction in late pregnancy

作　　者：杨惠芬[1] 钟秀珍 陈华群 蔡彬媚[1] YANG Hui-fen;ZHONG Xiu-zhen;CHEN Hua-qun;CAI Bin-mei

机构地区：[1]中山大学附属中山医院产科

出　　处：《护理实践与研究》2019年第16期87-89,共3页Nursing Practice and Research

摘　　要：目的探讨知信行(KAP)护理模式在妊娠晚期盆底功能障碍(PFD)孕妇中的应用效果,为PFD的护理提供参考。方法选取2015年1月至2017年12月在我院产科门诊诊断为PFD的妊娠晚期孕妇72例为研究对象,根据孕妇的需求分为观察组41例(有干预需求)与对照组31例(无干预需求),对照组在产检时常规给予健康教育及盆底肌肉锻炼指导,观察组给予KAP模式干预。观察两组产妇分娩方式、分娩孕周、新生儿体重、孕产妇依从性、干预前和产后42d时尿动力学指标变化。结果两组产妇分娩方式、分娩孕周、新生儿体重比较差异无统计学意义(P>0.05);观察组依从率高于对照组(P<0.05);产后42d两组膀胱初感容积与干预前比较差异无统计学意义(P>0.05),产后42d两组最大尿流率、最大膀胱容量、最大尿流率时逼尿肌压力均大于干预前(P<0.05),且产后42d观察组大于对照组同期(P<0.05)。结论妊娠晚期PFD孕妇给予KAP护理模式有助于提高盆底功能锻炼依从性,降低妊娠及分娩对盆底肌的影响。Objective To explore the application effect of knowledge-attitude-practice(KAP)nursing model in pregnant women with pelvic floor dysfunction(PFD)in late pregnancy,and provide reference of the nursing for PFD.Methods We selected 72 cases of pregnant women with PFD diagnosed in our department of obstetrics from January 2015 to December 2017as a study object.According to the needs of pregnant women,41 cases of patients were divided into the observation group(with intervention requirements)and 31 cases of patients were divided into the control group(no intervention needs).The control group was routinely given health education and pelvic floor muscle training guidance during the antenatal examination,and the observation group was given KAP mode intervention.All of the delivery methods,delivery gestational weeks,neonatal weight,maternal compliance,the changes of urodynamics pre-intervention and 42 days after birth were observed.Results There was no significant difference in maternal delivery mode,gestational age,and neonatal weight between the two groups(P>0.05).The compliance rate of the observation group was higher than that of the control group(P<0.05).There was no significant difference in the initial volume of bladder between the two groups after postpartum 42 days(P>0.05).The maximum urinary flow rate,maximum bladder volume,and maximum urinary flow rate of the two groups were greater than those before the intervention(P<0.05),and the observation group was larger than the control group at 42 days after birth(P<0.05).Conclusion The KAP nursing mode of pregnant women with PFD could improve the compliance of pelvic floor exercise and reduce the impact of pregnancy and childbirth on the pelvic floor muscles.

关 键 词：知信行 护理 妊娠晚期 盆底功能障碍 

分 类 号：R473.71[医药卫生—护理学]