基于跨理论模型的延续性护理在产后盆底功能障碍患者中的应用效果  

Application effects of extended nursing based on trans-theoretical model in patients with postpartum pelvic floor dysfunction

作　　者：王欣 WANG Xin(Department of Obstetrics of Zhoukou Hospital of TCM,Zhoukou 466000 Henan,China)

机构地区：[1]周口市中医院产科,河南周口466000

出　　处：《中国民康医学》2025年第3期187-190,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于跨理论模型的延续性护理在产后盆底功能障碍患者中的应用效果。方法:选取2020年8月至2022年8月该院收治的100例产后盆底功能障碍患者进行前瞻性研究,根据随机数字表法将其分为观察组与对照组各50例。对照组采用常规产后护理,观察组在对照组基础上采用基于跨理论模型的延续性护理。比较两组锻炼依从性,护理前后盆底功能[盆底肌功能障碍问卷(PFDI-20)]、自护能力[自我护理能力量表(ESCA)]、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分,以及护理满意度。结果:观察组锻炼依从性为98.00%(49/50),高于对照组的84.00%(42/50),差异有统计学意义(P<0.05);护理后,两组PFDI-20评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组ESCA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组HAMA、HAMD评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为92.00%,高于对照组的68.00%,差异有统计学意义(P<0.05)。结论:在常规产后护理基础上采用基于跨理论模型的延续性护理可提高产后盆底功能障碍患者锻炼依从性、自护能力评分和护理满意度,以及降低盆底功能障碍和负性情绪评分的效果优于单纯常规产后护理。Objective:To observe application effects of extended nursing based on trans-theoretical model in patients with postpartum pelvic floor dysfunction.Methods:A prospective study was conducted on 100 patients with postpartum pelvic floor dysfunction admitted to the hospital from August 2020 to August 2022.According to the random number table method,they were divided into observation group and control group,50 cases in each group.The control group was given routine postpartum nursing,while the observation group was given the extended nursing based on trans-theoretical model on the basis of that of the control group.The exercise compliance,the pelvic floor muscle dysfunction[pelvic floor distress inventory(PFDI-20)],the self-care ability[exercise of self-care agency scale(ESCA)],the negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]score before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:The exercise compliance of the observation group was 98.00%(49/50),which was higher than 84.00%(42/50)of the control group,and the difference was statistically significant(P<0.05).After the nursing,the PFDI-20 scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the ESCA scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the HAMA and HAMD scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 92.00%,which was higher than 68.00%of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the

关 键 词：跨理论模型 延续性护理 盆底功能障碍 依从性 盆底功能 自护能力 负性情绪 

分 类 号：R711[医药卫生—妇产科学]