生物反馈训练结合护理干预对妊娠期妇女盆底肌肉和负性情绪的影响  

Effects of biofeedback training combined with nursing intervention on pelvicfloor muscles and negative emotions in pregnant women

作　　者：黄柳婷[1] Huang Liuting(Department of Obstetrics,Jiangmen Maternity and Child Health Hospital,Guangdong Province,529000,China)

机构地区：[1]江门市妇幼保健院产科,广东省529000

出　　处：《现代电生理学杂志》2020年第3期157-160,共4页Journal of Modern Electrophysiology

基　　金：2018年江门市医疗卫生领域科技计划项目(2018D017)。

摘　　要：目的:探讨生物反馈训练结合护理干预对妊娠妇女盆底肌肉和负性情绪的影响。方法:选择2018年7月至2020年1月在江门市妇幼保健院接受产检的65例妊娠妇女作为研究对象,均接受生物反馈训练与肌电图检查,同时配合针对性护理干预。在生物反馈训练第1周和第4周时观察妊娠期间盆底肌肉肌电图变化,护理前及护理4周后观察孕妇焦虑抑郁情况。结果:第4周时,第1次慢收缩、第2次慢收缩、静息期、第1次快收缩、第2次快收缩的肌电图振幅明显高于第1周时(P<0.001)。护理后的抑郁自评量表、焦虑自评量表、认知能力评分均优于护理前(P<0.001)。结论:生物反馈训练应用于妊娠妇女中可有效改善其盆底肌肉的肌电活动,联合护理干预后还可减轻负性情绪,增强认知能力。Objective:To explore the effects of biofeedback training combined with nursing intervention on pelvic floor muscles and negative emotions in pregnant women.Methods:Sixty-five pregnant women in Jiangmen Maternity and Child Health Hospital from July 2018 to January 2020 were enrolled in the study.All pregnant women received biofeedback training and electromyography(EMG),and cooperated with targeted nursing intervention.At the first and fourth week of biofeedback training,the changes of EMG of pelvic floor muscles were observed,and the anxiety and depression of pregnant women were observed before and after the nursing intervention.Results:At the fourth week,the amplitude of electromyogram was significantly higher in the first slow contraction,the second slow contraction,the rest period,the first fast contraction and the second fast contraction than that at the first week(P<0.001).The scores of self-rating depression scale,self-rating anxiety scale and cognitive ability after the nursing intervention were all better than those before the nursing intervention(P<0.001).Conclusion:Biofeedback training can effectively improve the myoelectric activity of pelvic floor muscle.Nursing intervention can reduce negative emotion and enhance cognitive ability.

关 键 词：妊娠 骨盆底 肌肉 肌电描记术 护理 生物反馈 

分 类 号：R473.71[医药卫生—护理学]