信息-动机-行为护理对初产妇产后心理状况及盆底康复护理依从性的影响  

Effect of Information-motivate-behavior Nursing on Psychological Status of Primipara and Compliance of Pelvic Floor Rehabilitation Nursing

作　　者：蔡娟 Cai Juan(Fuqing Fifth Hospital,Formerly Fuqing Gaoshan Town Central Hospital,Fuzhou 350319,China)

机构地区：[1]福清市第五医院(原福清市高山镇中心卫生院)妇产科,福建福州350319

出　　处：《中国医药指南》2023年第16期168-170,共3页Guide of China Medicine

摘　　要：目的对初产妇产后心理状况、盆底康复护理依从性等方面内容展开探究,以明确信息-动机-行为护理的有效性、可行性。方法选择初产妇为研究对象,自我院产科2020年9月至2022年9月随机抽取96例进行研究,经随机数字表法进行分组,对照组(48例,常规护理)、观察组(48例,在常规护理基础上辅以信息-动机-行为护理),比较两组盆底康复护理依从性、产后并发症(产后抑郁、尿失禁),同时采用爱丁堡产后抑郁量表(EPDS)、女性性功能指数量表(FSFI)分别评估产妇焦虑情绪变化、性生活质量情况,由此全面评价信息-动机-行为护理的价值效果。结果护理后,观察组EPDS评分较对照组低(P<0.05);在盆底康复依从性方面,观察组(95.83%)较对照组(81.25%)高(P<0.05);在产后并发症发生率方面,观察组(4.16%)较对照组(18.75%)低(P<0.05);随访3、6个月性生活质量方面,观察组FSFI评分较对照组高(P<0.05)。结论信息-动机-行为护理对初产妇的干预效果更高,可维持产妇稳定的情绪,使其主动配合进行盆底康复训练,进而减少产后并发症,改善性生活质量。Objective To explore primiparas postpartum psychological status,pelvic floor rehabilitation nursing compliance and other aspects,and to clarify the effectiveness and feasibility of information-motivate-behavior nursing.Methods A total of 96 primipara were randomly selected from our hospital from September 2020 to September 22 for study.They were divided into two groups by random number table:control group(48 cases,routine nursing)and observation group(48 cases,supplemented by information-motivate-behavior nursing on the basis of routine nursing).The compliance of pelvic floor rehabilitation nursing and postpartum complications(postpartum depression,urinary incontinence)were compared between the two groups,At the same time,the Edinburgh postpartum depression scale(EPDS)and the female sexual function index(FSFI)were used to evaluate the change of maternal anxiety and the quality of sexual life,so as to comprehensively evaluate the value and effect of information-motivation-behavior nursing.Results After nursing,the EPDS score of the observation group was lower than that of the control group(P<0.05).Pelvic floor rehabilitation compliance was 95.83%in the observation group was higher than 81.25%in the control group(P<0.05).The incidence of postpartum complications was 4.16%in the observation group was lower than 18.75%in the control group(P<0.05).The FSFI score of the observation group was higher than that of the control group(P<0.05).Conclusion The effect of information-motivate-behavior nursing is higher,which can maintain the stable mood of the parturient,actively cooperate with pelvic floor rehabilitation training,thus reducing postpartum complications and improving the quality of sexual life.

关 键 词：初产妇 信息-动机-行为护理 产后心理状况 盆底康复护理依从性 

分 类 号：R271.43[医药卫生—中医妇科学] R473.71[医药卫生—中医学]