健康行为互动模式在接受子宫切除联合盆底重建术治疗重度子宫脱垂患者护理中的应用  

Application of interaction model of client health behavior in the care of patients with severe uterine prolapse treated with hysterectomy combined with pelvic floor reconstruction

作　　者：米星星 王想[1] 李一南[1] 李静[1] Mi Xingxing;Wang Xiang;Li Yinan;Li Jing(Department of Gynecology,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang Henan 471003,China)

机构地区：[1]河南科技大学第一附属医院妇科,河南洛阳471003

出　　处：《保健医学研究与实践》2022年第5期139-143,共5页Health Medicine Research and Practice

基　　金：河南省医学攻关项目(182103510093)。

摘　　要：目的观察健康行为互动模式(IMCHB)在接受子宫切除联合盆底重建术治疗重度子宫脱垂患者中的应用效果。方法选取2017年3月—2020年7月洛阳市某医院行子宫切除联合盆底重建术治疗的74例重度子宫脱垂患者为研究对象,采用随机数字表法分为对照组和观察组,每组37例。对照组患者实施常规健康宣教及康复训练干预,观察组患者在对照组护理基础上实施IMCHB康复训练干预,2组患者均持续干预6个月。比较2组患者干预前及干预3、6个月时盆底功能[盆底功能障碍简表-7(PFIQ-7)]、心理状态[凯斯勒心理困扰量表(K10)]、性生活[国际女性性功能指数(FSFI)]恢复情况,比较2组患者干预3、6个月时的盆底康复训练依从性。结果干预3、6个月时,观察组患者PFIQ-7、K10评分均低于对照组;性欲望、性交痛、主动性唤起、性高潮、性活动时阴道润滑度、性生活满意度评分及FSFI总评分均高于对照组,差异均有统计学意义(P<0.05)。干预3、6个月时,观察组患者盆底康复训练依从性均优于对照组,差异均有统计学意义(P<0.05)。结论IMCHB康复干预模式可有效提高子宫切除联合盆底重建术后患者盆底康复训练依从性,减轻心理困扰,提升盆底功能康复效果。Objective To observe the application of interaction model of client health behavior(IMCHB)in the rehabilitation of pelvic floor function in patients with severe uterine prolapse treated with hysterectomy combined with pelvic floor reconstruction.Methods Seventy-four patients who underwent hysterectomy combined with pelvic floor reconstruction for severe uterine prolapse in a hospital in Luoyang City from March 2017 to July 2020 were selected as subjects and assigned to control and observation groups using the random number table method,with 37 participants in each group.Patients in the control group received conventional health education and rehabilitation training interventions,and patients in the observation group received IMCHB rehabilitation training interventions after the same conventional interventions in the control group,and subjects in both groups received continuous interventions for 6 months.The recovery of pelvic floor function[Pelvic Floor Impact Questionnaire short-7(PFIQ-7)],psychological state[Kessler Psychological Distress Scale(K10)],and sexual life[Female Sexual Function Index(FSFI)]were compared between the two groups before intervention and at 3 and 6 months after the intervention.The compliance of pelvic floor rehabilitation training was compared between the groups at 3 and 6 months of intervention.Results The PFIQ-7 and K10 scores of the observation group were lower than those of the control group at 3 and 6 months of intervention;the scores of sexual desire,dyspareunia,active sexual arousal,orgasm,vaginal lubrication during sexual activity,sexual life satisfaction and the FSFI scores were higher than those in the control group,and the differences were statistically significant(P<0.05).The pelvic floor rehabilitation training compliance of the observation group was higher than that of the control group at 3 and 6 months of intervention,and the differences were statistically significant(P<0.05).Conclusion The IMCHB rehabilitation intervention can effectively improve the compliance of pelvic

关 键 词：子宫脱垂 盆底重建 盆底功能障碍 健康行为互动模式 心理困扰 

分 类 号：R711.5[医药卫生—妇产科学]