基于IMB模型的盆底康复护理及认知干预在产后盆底康复中的应用  

Application of pelvic floor rehabilitation nursing and cognitive intervention based on information-motiva-tion-behavior skills model in postpartum pelvic floor rehabilitation

作　　者：张盈 潘红芳 ZHANG Ying;PAN Hong-fang(Department of Obstetrics and Gynecology,Shaanxi Rehabilitation Hospital,Xi'an 710065,Shaanxi,CHINA)

机构地区：[1]陕西省康复医院妇产科,陕西西安710065

出　　处：《海南医学》2023年第10期1491-1494,共4页Hainan Medical Journal

基　　金：陕西省重点研发计划项目(编号:2021SF-009)。

摘　　要：目的 观察基于信息-动机-行为理论(IMB)模型的盆底康复护理及认知干预在产后盆底康复中的应用效果。方法 选取2021年4月至2022年4月于陕西省康复医院妇产科分娩的产妇148例为研究对象,按照随机数表法分为研究组和对照组,每组74例。对照组产妇接受常规护理,研究组产妇接受基于IMB模型的盆底康复护理及认知干预。门诊诊疗后期随访护理1个月后比较两组产妇盆底功能障碍发生率、盆底功能指标(盆底静息压、盆底收缩压)及尿失禁问卷表简表(ICI-Q-SF)评分。结果 研究组产妇的盆底功能障碍发生率为5.41%,明显低于对照组的16.22%,差异有统计学意义(P<0.05);护理前,两组产妇的盆底静息压、盆底收缩压比较差异无统计学意义(P>0.05);护理后,研究组产妇的盆底静息压为(4.40±0.43) mmHg,明显低于对照组的(5.37±0.38) mmHg,盆底收缩压为(47.94±2.39) mm Hg,明显高于对照组的(44.46±3.31) mmHg,差异均有统计学意义(P<0.05);护理前,两组产妇的ICI-Q-SF评分比较差异无统计学意义(P>0.05);护理后,研究组产妇的ICI-Q-SF评分为(1.15±0.32)分,明显低于对照组的(2.96±0.63)分,差异有统计学意义(P<0.05)。结论 基于IMB模型的盆底康复护理及认知干预应用于产后盆底康复中可明显改善产妇的盆底功能及尿失禁,降低其盆底功能障碍发生率。Objective To observe the application effect of pelvic floor rehabilitation nursing and cognitive in-tervention based on information-motivation-behavior skills(IMB)model in postpartum pelvic floor rehabilitation.Methods A total of 148 puerperae who gave birth in Department of Obstetrics and Gynecology,Shaanxi Rehabilitation Hospital from April 2021 to April 2022 were selected as the research objects.According to the random number table method,they were divided into a study group and a control group,with 74 cases in each group.The puerperae in the con-trol group received routine nursing,and the puerperae in the study group received pelvic floor rehabilitation nursing and cognitive intervention based on the IMB model.After one month of follow-up care in the late stage of outpatient diag-nosis and treatment,the incidence of pelvic floor dysfunction,pelvic floor function indicators(pelvic floor resting pres-sure,pelvic floor systolic blood pressure)and international consultation on incontinence questionnaire urinary inconti-nence short form(ICI-Q-SF)were compared between the two groups.Results The incidence of pelvic floor dysfunc-tion in the study group was 5.41%,which was significantly lower than 16.22%in the control group(P<0.05).Before nursing,there was no significant difference in resting pressure and systolic pressure of pelvic floor between the two groups(P>0.05).After nursing,the resting pressure of the pelvic floor of the puerperae in the study group was(4.40±0.43)mmHg,which was significantly lower than(5.37±0.38)mmHg in the control group,while the systolic pressure was(47.94±2.39)mmHg,significantly higher than(44.46±3.31)mmHg in the control group(P<0.05).Before nursing,there was no significant difference in ICI-Q-SF scores between the two groups(P>0.05).After nursing,the ICI-Q-SF scores of puerperae in the study group were(1.15±0.32)points,which were significantly lower than(2.96±0.63)points in the control group(P<0.05).Conclusion The application of pelvic floor rehabilitation nursing and cognitive int

关 键 词：产妇 盆底功能障碍 产后盆底康复 信息-动机-行为理论模型 盆底康复护理 认知护理 盆底功能 

分 类 号：R473.71[医药卫生—护理学]