盆底肌功能锻炼前移渗透法的康复干预对子宫切除后患者睡眠质量的影响研究  

Effect of Rehabilitation Intervention of Pelvic Floor Muscle Function Exercise with Advance Penetration Method on Sleep Quality of Patients after Hysterectomy

作　　者：周素珍 陈金娜 ZHOU Suzhen;CHEN Jinna(The First Affiliated Hospital of Xiamen University,Xiamen 361100,China)

机构地区：[1]厦门大学附属第一医院,厦门361100

出　　处：《世界睡眠医学杂志》2024年第8期1760-1762,1766,共4页World Journal of Sleep Medicine

摘　　要：目的:探究在子宫切除患者护理时开展盆底肌功能锻炼前移渗透法的康复干预对患者盆底功能恢复以及睡眠质量的影响。方法:选取2022年5月至2023年10月厦门大学附属第一医院妇产科收治的子宫切除患者86例作为研究对象,按照随机数字表法分为对照组和观察组,每组43例。对照组给予常规护理干预,观察组给予盆底肌功能锻炼前移渗透法的康复干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,借助盆底肌功能检测仪针对患者护理前后静息平均肌电值、慢肌平均肌电值、快肌最大肌电值进行检测,采用失眠严重程度指数量表(ISI-C)对患者治疗期间失眠症状评估。结果:干预后,观察组PSQI评分、ISI-C评分显著低于对照组,观察组静息平均肌电值、慢肌平均肌电值、快肌最大肌电值均显著高于对照组,差异均有统计学意义(均P<0.05)。结论:在对子宫切除患者护理时开展盆底肌功能锻炼前移渗透法的康复干预,可以促进患者盆底功能恢复,提升患者睡眠质量,值得临床推广应用。Objective:To explore the effect of rehabilitation intervention of pelvic floor muscle function exercise with advance penetration on the recovery of pelvic floor function and sleep quality in patients with hysterectomy.Methods:A total of 86 patients with hysterectomy admitted to the Department of Obstetrics and Gynecology of the First Affiliated Hospital of Xiamen University from May 2022 to October 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 43 cases in each group.The control group was given routine nursing intervention,and the observation group was given rehabilitation intervention of pelvic floor muscle function exercise by advancing penetration method.Pittsburgh Sleep Quality Index(PSQI)was used to compare the difference in sleep quality between the two groups.The average resting EMG value,average slow EMG value,maximum fast EMG value of the patients before and after care were detected by the pelvic floor muscle function detector,and the insomnia severity Index scale(ISI-C)was used to evaluate the insomnia symptoms of the patients during treatment.Results:After the intervention,PSQI score and ISI-C score in the observation group were significantly lower than those in the control group,while average resting electromyography,average slow muscle electromyography,maximum fast muscle electromyography in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).Conclusion:In the nursing of patients with hysterectomy,the rehabilitation intervention of pelvic floor muscle function exercise with advance penetration can promote the recovery of pelvic floor function and improve the sleep quality of patients,which is worthy of clinical application.

关 键 词：盆底肌功能锻炼 前移渗透法 康复护理 子宫切除 睡眠 盆底肌功能 失眠 

分 类 号：R713.42[医药卫生—妇产科学] R338.63[医药卫生—临床医学]