出 处:《国际护理学杂志》2025年第1期79-84,共6页international journal of nursing
基 金:陕西省重点研发计划项目(2021SF-199)。
摘 要:目的:探讨责任亲情交互正性暗示语言护理对提升顺产、初产妇女母亲角色适应能力及盆底康复锻炼依从性的效果。方法:选取2021年4月至2023年3月安康市中心医院产科顺产的102例产妇作为研究对象,按照随机数字表法分为对照组(n=51)和研究组(n=51);对照组采用常规护理干预,研究组在此基础上实施责任亲情交互联合正性暗示语言护理措施;通过3个月的持续干预,对两组产妇的母亲角色适应性[采用母亲角色适应调查表(MRAQ)]、主观幸福感[采用总体幸福感量表(GWB)]、盆底肌力恢复情况[盆底肌力、肌纤维疲劳值、肌电值]以及盆底康复锻炼坚持性情况进行对比。结果:两组干预后母亲角色转换适应情况、幸福感相较干预前均有显著提高(P<0.05),其中,研究组产妇的MRAQ问卷、GWB评分显著高于对照组,差异有统计学意义(P<0.05);两组干预3个月后的盆底肌肉Ⅰ、Ⅱ类纤维肌力、盆底肌疲劳度和肌电值相较干预前均有显著改善(P<0.05),且研究组产妇改善程度情况显著优于对照组,差异有统计学意义(P<0.05)。研究组产妇的盆底康复锻炼依从性明显高于对照组,差异有统计学意义(P<0.05)。结论:采用责任亲情交互正性暗示语言护理能显著提升初产妇母亲角色的适应能力、幸福感、盆底肌力恢复及锻炼依从性。Objective:To explore the effects of responsibility and affection interaction combined with positive suggestion language nursing in enhancing the motherhood role adaptation and compliance with pelvic floor rehabilitation exercises among primiparous women.Methods:A total of 102 pregnant women who underwent vaginal delivery in the Department of Obstetrics of Ankang Central Hospital from April 2021 to March 2023 were selected as the research objects.According to the random number table method,they were divided into the control group and the study group,with 51 cases in each group.The control group received standard nursing care,while the study group received responsibility and affection interaction combined with positive suggestion language nursing interventions.Through continuous intervention for 3 months,the adaptability to motherhood role[Motherhood Role Adaptation Questionnaire(MRAQ)],subjective well-being[General Well-being Scale(GWB)],pelvic floor muscle recovery(pelvic floor muscle strength,muscle fiber fatigue and electromyography values)and persistence in pelvic floor rehabilitation exercises were compared between the two groups.Results:After intervention,the role adaptation and well-being of mothers in the two groups were significantly improved compared with those before intervention(P<0.05).The MRAQ questionnaire and GWB scores of the study group were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).After 3 months of intervention,the pelvic floor muscle Ⅰ and Ⅱ fiber muscle strength,pelvic floor muscle fatigue and electromyography value of the two groups were significantly improved compared with those before intervention(P<0.05),with the study group showing significantly greater improvements than the control group,and the difference was statistically significant(P<0.05).The compliance of pelvic floor rehabilitation exercise in the study group was significantly higher than that in the control group,and the difference was statisticaly signifi
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