以自我效能理论为基础的护理干预结合阶段性目标干预对产后盆底肌康复训练患者康复积极性及盆底功能的影响  

Effects of nursing intervention based on self-efficacy theory combined with phased goals intervention on the rehabilitation enthusiasm and pelvic floor function of postpartum pelvic floor muscle rehabilitation training patients

作　　者：蹇丹 秦欢 JIAN Dan;QIN Huan(Shaanxi Province Mianxian Hospital,Hanzhong 724200,China)

机构地区：[1]陕西省勉县医院,陕西汉中724200

出　　处：《临床医学研究与实践》2025年第4期179-182,共4页Clinical Research and Practice

摘　　要：目的探讨以自我效能理论为基础的护理干预结合阶段性目标干预对产后盆底肌康复训练患者康复积极性及盆底功能的影响。方法选取2020年2月至2023年2月在我院接受产后盆底肌康复训练的100例患者为研究对象,以随机数字表法将其分为对照组和观察组,各50例。对照组给予常规康复护理,观察组给予以自我效能理论为基础的护理干预结合阶段性目标干预。比较两组的干预效果。结果干预后,观察组的积极举动、康复护理配合度评分高于对照组,放弃举动评分低于对照组(P<0.05)。干预后,观察组的盆底收缩压、盆底静息压、Ⅰ类肌纤维持续收缩压、Ⅱ类肌纤维持续收缩压均高于对照组(P<0.05)。干预后,观察组的盆底功能影响问卷7(PFIQ-7)、国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分低于对照组(P<0.05)。结论以自我效能理论为基础的护理干预结合阶段性目标干预可提高产后盆底肌康复训练患者康复积极性,促进盆底功能恢复,值得推广。Objective To explore the effects of nursing intervention based on self-efficacy theory combined with phased goals intervention on the rehabilitation enthusiasm and pelvic floor function of postpartum pelvic floor muscle rehabilitation training patients.Methods A total of 100 patients who received postpartum pelvic floor muscle rehabilitation training in our hospital from February 2020 to February 2023 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was given routine rehabilitation nursing,and the observation group was given nursing intervention based on self-efficacy theory combined with phased goals intervention.The intervention effects of the two groups were compared.Results After intervention,the scores of positive behavior and rehabilitation nursing cooperation in the observation group were higher than those in the control group,and the score of giving up behavior was lower than that in the control group(P<0.05).After intervention,the pelvic floor systolic blood pressure,pelvic floor resting pressure,typeⅠmuscle fiber continuous systolic blood pressure and typeⅡmuscle fiber continuous systolic blood pressure in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of Pelvic Floor Impact Questionnaire 7(PFIQ-7)and International Consultation Committee on Incontinence Questionnaire Short Form(ICI-Q-SF)in the observation group were lower than those in the control group(P<0.05).Conclusion Nursing intervention based on self-efficacy theory combined with phased goals intervention can improve the rehabilitation enthusiasm of patients with postpartum pelvic floor muscle rehabilitation training and promote the recovery of pelvic floor function,which is worthy of promotion.

关 键 词：自我效能理论 阶段性目标 产后盆底肌康复训练 康复积极性 盆底功能 

分 类 号：R473[医药卫生—护理学]