子宫脱垂患者盆底肌锻炼依从性及其相关危险因素分析  

Compliance of Pelvic Floor Muscle Exercise in Patients with Uterine Prolapse and Analysis of Its Related Risk Factors

作　　者：黄丽君[1] HUANG Lijun(Affiliated Hospital of Putian College,Putian 351100,China)

机构地区：[1]莆田学院附属医院,建莆田351100

出　　处：《中外医学研究》2023年第19期95-98,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析子宫脱垂患者盆底肌锻炼依从性及其相关危险因素。方法:选取2021年1月—2022年1月于莆田学院附属医院生产后发生子宫脱垂的80例患者作为研究对象。于1个月后入院复查时采用盆底肌功能锻炼依从性调查问卷评估患者锻炼依从性情况,将得分≥14分的患者纳入依从性良好组,将<14分的患者纳入依从性差组。并采用自制基线资料调查问卷记录患者一般资料并比较,采用logistic回归分析影响子宫脱垂患者盆底肌锻炼依从性的危险因素。结果:80例子宫脱垂患者,产后盆底肌功能锻炼依从性良好42例(52.50%),依从性差38例(47.50%);两组文化程度、家属监督、康复锻炼认知、产后抑郁比较,差异有统计学意义(P<0.05);logistic回归分析结果显示,文化程度低、无家属监督、康复锻炼认知不足、伴有产后抑郁是影响子宫脱垂患者盆底肌功能锻炼依从性的危险因素(OR>1,P<0.05)。结论:子宫脱垂患者盆底肌锻炼依从性不佳,可能受到文化程度低、无家属监督、康复锻炼认知不足、产后抑郁等危险因素影响。Objective:To analyze the compliance of pelvic floor muscle exercise in patients with uterine prolapse and its related risk factors.Method:A total of 80 patients with uterine prolapse after giving birth in Affiliated Hospital of Putian College from January 2021 to January 2022 were selected as the research objects.The pelvic floor muscle function exercise compliance questionnaire was used to evaluate the patients'exercise compliance when they were admitted to the hospital at 1 month later,patients with scores≥14 points were included in the good compliance group,and those with scores<14 points were included in the poor compliance group.And a self-made baseline survey questionnaire was used to record and compare patient general information,logistic regression analysis was used to analyze the risk factors of pelvic floor muscle exercise compliance in patients with uterine prolapse.Result:Among 80 patients with uterine prolapse,42 cases(52.50%)had good compliance with postpartum pelvic floor muscle function exercise,and 38 cases(47.50%)had poor compliance.There were statistically significant differences in the educational level,family supervision,rehabilitation exercise cognition,and postpartum depression between the two groups,the differences were statistically significant(P<0.05);the results of multiple logistic regression analysis showed that low educational level,no family supervision,insufficient awareness of rehabilitation exercise,and postpartum depression were the main risk factors affecting the compliance of pelvic floor muscle function exercise in patients with uterine prolapse(OR>1,P<0.05).Conclusion:The poor compliance of pelvic floor muscle exercise in patients with uterine prolapse may be affected by risk factors such as low education level,lack of family supervision,insufficient awareness of rehabilitation exercise and postpartum depression.

关 键 词：子宫脱垂 盆底肌锻炼 依从性 文化程度 

分 类 号：R473.71[医药卫生—护理学]