盆底肌训练病人依从性影响因素的Meta分析  

Influencing factors of pelvic floor muscle training compliance in patients with pelvic floor dysfunction disease: a Meta-analysis

作　　者：张雪 王金炎 张亚辉 张红霞 独焕 张凤娃[2] ZHANG Xue;WANG Jinyan;ZHANG Yahui;ZHANG Hongxia;DU Huan;ZHANG Fengwa(School of Nursing,Gansu University of Chinese Medicine,Gansu 730000 China)

机构地区：[1]甘肃中医药大学护理学院,730000 [2]甘肃省人民医院,730000

出　　处：《全科护理》2023年第8期1019-1024,共6页Chinese General Practice Nursing

基　　金：甘肃省卫生行业科研计划项目,编号:GSWSKY-2019-59。

摘　　要：目的:明确盆底疾病病人盆底肌训练依从性的影响因素,为提高盆底肌训练依从性提供科学依据。方法:计算机检索中国知网(CNKI)、万方(WanFang Date)、CBM、维普(VIP)、PubMed、EMBase、Web of Science、The Library Cochrane数据库,搜集有关盆底疾病病人盆底肌训练依从性影响因素的相关研究,检索时限均从建库至2022年1月。由2名研究者独立筛选文献、提取资料、评价文献质量,采用Stata15.0软件对数据进行Meta分析。结果:共纳入17篇文献,包括4 356例研究对象。Meta分析结果显示:睡眠障碍[OR=2.10,95%CI(1.15,3.86),P=0.016]、产后抑郁[OR=2.94,95%CI(2.02,4.29),P=0.000]、文化程度低[OR=2.92,95%CI(1.84,4.62),P=0.000]和盆底肌训练认知度低[OR=3.02,95%CI(1.60,5.70),P=0.001]以及缺乏医务人员指导[OR=3.13,95%CI(1.59,6.15),P=0.001]和家属支持监督[OR=3.20,95%CI(2.82,3.64),P=0.000]是盆底肌训练依从性的危险因素,而产次≥2次[OR=0.51,95%CI(0.28,0.91),P=0.024]、文化程度高[OR=0.34,95%CI(0.30,0.39),P=0.000]和盆底肌训练认知度高[OR=0.22,95%CI(0.15,0.32),P=0.000]以及有医务人员指导[OR=0.18,95%CI(0.12,0.29),P=0.000]和家属支持监督[OR=0.31,95%CI(0.10,0.92),P=0.035]则是盆底肌训练依从性的保护因素。结论:当前证据表明,睡眠障碍、产后抑郁、产次、文化程度、盆底肌训练认知度以及有无医务人员指导和家属支持监督是盆底肌训练依从性的影响因素。因此,研究者应尽早识别盆底肌训练病人依从性的影响因素,加强盆底肌训练管理,以期采取针对性措施提高盆底肌训练依从性,提高其防治效果。Objective:To clarify the influencing factors of pelvic floor muscle training compliance in patients with pelvic floor diseases and to provide the scientific basis for improving pelvic floor muscle training compliance.Methods:Literature related to factors affecting pelvic floor muscle training compliance in patients with pelvic floor diseases was retrieved from China National Knowledge Infrastructure(CNKI),WanFang Database, China Biology Medicine disc(CBM),VIP Database, PubMed, EMBase, Web of Science, and The Library Cochrane databases until January 2022.Two researchers independently screened literature, extracted data, evaluated literature quality, and performed meta-analysis using Stata15.0 software.Results:A total of 17 articles were included, including 4 356 subjects.Meta-analysis results showed that sleep disturbance [OR=2.10,95%CI(1.15,3.86),P=0.016],postpartum depression [OR=2.94,95%CI(2.02,4.29),P=0.000],low education [OR=2.92,95%CI(1.84,4.62),P=0.000],low awareness of pelvic floor muscle training [OR=3.02,95%CI(1.60,5.70),P=0.001],lack of guidance from medical staff [OR=3.13,95%CI(1.59,6.15),P=0.001],and family support supervision [OR=3.20,95%CI(2.82,3.64),P=0.000] were risk factors for pelvic floor muscle training compliance.Parity ≥2 [OR=0.51,95%CI(0.28,0.91),P=0.024],high education level [OR=0.34,95%CI(0.30,0.39),P=0.000],high awareness of pelvic floor muscle training [OR=0.22,95%CI(0.15,0.32),P=0.000],guidance from medical staff [OR=0.18,95%CI(0.12,0.29),P=0.000],and family support supervision [OR=0.31,95%CI(0.10,0.92),P=0.035] were the protective factors for pelvic floor muscle training compliance.Conclusions:Current evidence showed that sleep disturbance, postpartum depression, parity, education level, awareness of pelvic floor muscle training, and whether there was guidance from medical staff and support and supervision from family members were the influencing factors of compliance with pelvic floor muscle training.Therefore, researchers should identify the influencing factors of patients′ comp

关 键 词：盆底肌训练 依从性 影响因素 META分析 

分 类 号：R473[医药卫生—护理学]