基于时限性自我调节理论的干预方案在妊娠期妇女盆底肌锻炼中的应用  

Application of intervention program based on temporal self-regulation theory in pelvic floor muscle exercise for women during pregnancy

作　　者：王改珍 万宾[1] 郭雪玲 付子悦 宋丽芳 武佳琪 WANG Gaizhen;WAN Bin;GUO Xueling;FU Ziyue;SONG Lifang;WU Jiaqi(Shanxi Provincial Children's Hospital&Shanxi Provincial Maternal and Child Healthcare Hospital,Taiyuan 030013,Shanxi,China;School of Nursing,Shanxi Medical University,Taiyuan 030001,Shanxi,China)

机构地区：[1]山西省儿童医院妇幼保健院,山西太原030013 [2]山西医科大学护理学院,山西太原030001

出　　处：《护士进修杂志》2024年第24期2639-2644,共6页Journal of Nurses Training

摘　　要：目的探讨基于时限性自我调节理论(temporal self-regulation theory,TST)的干预方案在妊娠期妇女盆底肌锻炼(pelvic floor muscle training,PFMT)中的应用效果。方法采用便利抽样法,选取2023年2-5月山西省太原市某三级甲等妇幼专科门诊定期产检的孕妇100例,采用随机数字表法分为对照组和干预组,各50例,但中途对照组失访2例,退出1例,干预组退出1例,最终对照组47例,干预组49例,共纳入96例。对照组采用常规PFMT宣教,干预组在对照组基础上采用基于TST的干预方案,2组均观察至产后6~8周。比较2组妊娠期妇女干预前、干预6周和产后6~8周PFMT依从性、PFMT自我效能、尿失禁(urinary incontinence,UI)严重程度,以及产后6~8周盆底肌力情况。结果(1)干预前,2组PFMT依从性、PFMT自我效能、UI严重程度比较,差异均无统计学意义(均P>0.05)。(2)干预6周和产后6~8周,干预组PFMT依从性和PFMT自我效能均优于对照组,差异有统计学意义(P<0.05),但2组UI严重程度比较,差异均无统计学意义(均P>0.05)。(3)产后6~8周,干预组盆底肌力情况优于对照组,差异有统计学意义(P<0.05)。结论基于TST的干预方案,可提高妊娠期妇女PFMT依从性和自我效能,提高产后盆底肌力。Objective To explore the application effect of the intervention program based on temporal self-regulation theory(TST)in pelvic floor muscle training(PFMT)for women in pregnancy.Methods A total of 100 cases of pregnant women who underwent regular maternity checkups in a tertiary-level A maternity and child specialty outpatient clinic in Taiyuan city,Shanxi province,from February to May 2023 were selected using convenience sampling method,and were divided into a control group and an intervention group of 50 cases each group by using the random number table method.However,2 cases in the control group were lost to follow-up and 1 case was withdrawn,and 1 case was withdrawn from the intervention group in the middle of the period.Finally,there were 47 cases of the control group and 49 cases of the intervention group,and a total of 96 cases were included.The control group used conventional PFMT preaching,and the intervention group used the TST-based intervention program based on the control group,and both groups were observed until 6-8 weeks postpartum.PFMT compliance,PFMT self-efficacy,urinary incontinence(UI)severity,and pelvic floor mus strength at 6-8 weeks postpartum were compared between the 2 groups of pregnant women before intervention,at 6 weeks after intervention,and at 6-8 weeks postpartum.Results(1)Before the intervention,there was no statistically significant difference in PFMT compliance,PFMT self-efficacy,and UI severity between the 2 groups(P>0.05).(2)At 6 weeks of intervention and 6-8 weeks postpartum,the PFMT compliance and PFMT self-efficacy of the intervention group were better than those of the control group,and the differences were statistically significant(P<0.05),but the differences in the severity of UI were not statistically significant when comparing the 2 groups(P>0.05).(3)At 6-8 weeks postpartum,the pelvic floor muscle strength of the intervention group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The TST-based intervention pro

关 键 词：时限性自我调节理论 妊娠期妇女 盆底肌锻炼 依从性 自我效能 尿失禁 盆底肌力 

分 类 号：R473.71[医药卫生—护理学]