产后压力性尿失禁病人盆底训练依从性调查及其与家庭因素和认知的关系  

Investigation on pelvic floor training compliance in patients with postpartum stress urinary incontinence and its relationship with family factors and cognition

作　　者：李玉萍 梁东芝 舒红 王丹 LI Yuping;LIANG Dongzhi;SHU Hong;WANG Dan(Department of Obstetrics,Tongren Hospital of Wuhan University,Wuhan Third Hospital,Wuhan Hubei 430060,China)

机构地区：[1]武汉大学同仁医院,武汉市第三医院产科,湖北武汉430060

出　　处：《蚌埠医学院学报》2024年第11期1514-1518,共5页Journal of Bengbu Medical College

基　　金：湖北省自然科学基金项目(2019CFB784);湖北省武汉市卫健委科研项目(WX21B21)。

摘　　要：目的:调查产后压力性尿失禁(SUI)病人盆底训练依从性,并分析其与家庭因素和认知的关系。方法:选取SUI病人144例,采用一般资料调查问卷、盆底肌锻炼依从性调查问卷、家庭支持自评量表、SUI认知问卷进行调查,分析SUI病人盆底肌锻炼依从性的影响因素及其与家庭、认知的相关性。结果:剔除失效问卷2份,最终142例SUI病人进入本次研究。产后SUI病人盆底肌锻炼依从性平均得分为(13.61±3.86)分。不同文化程度、家庭平均月收入、分娩方式、家庭支持水平、认知程度的SUI病人盆底肌锻炼依从性评分差异均有统计学意义(P<0.05~P<0.01)。多元线性回归分析显示,文化程度、家庭人均月收入、家庭支持水平、认知程度均为SUI病人盆底肌锻炼依从性的独立影响因素(P<0.01)。SUI病人盆底肌锻炼依从性与家庭支持水平、认知程度均呈明显正相关关系(P<0.01)。结论:产后SUI病人文化程度、家庭人均月收入、家庭支持水平、认知程度均为盆底肌锻炼依从性的独立影响因素,且锻炼依从性与家庭支持水平和认知程度呈明显正相关关系。Objective:To explore the pelvic floor training compliance in patients with postpartum stress urinary incontinence(SUI),and analyze its relationship with family factors and cognition.Methods:A total of 144 SUI patients were investigated using the general data questionnaire,pelvic floor muscle exercise compliance questionnaire,family support self-rating scale and SUI cognition questionnaire.The influencing factors of pelvic floor muscle exercise compliance in SUI patients and its correlation with family and cognition were analyzed.Results:After excluding 2 invalid questionnaires,142 patients with SUI were finally enrolled in this study.The average score of pelvic floor muscle exercise compliance in postpartum SUI patients was(13.61±3.86)points.The differences of pelvic floor muscle exercise compliance scores among SUI patients with different education level,average monthly family income,delivery mode,family support level and cognitive level were statistically significant(P<0.05 to P<0.01).The results of multiple linear regression analysis showed that the education level,average monthly family income,family support level and cognition level were the independent influencing factors of compliance of pelvic floor muscle exercise in SUI patients(P<0.01).The compliance of pelvic floor muscle exercise in SUI patients was positively correlated with the level of family support and cognition(P<0.01).Conclusions:The education level,average monthly family income,family support level and cognition level of postpartum SUI patients are the independent influencing factors of pelvic floor muscle exercise compliance,and the exercise compliance is significantly positively correlated with family support level and cognition level.

关 键 词：产后压力性尿失禁 盆底肌肌力锻炼 依从性 家庭支持 认知程度 

分 类 号：R711.59[医药卫生—妇产科学]