影响产后女性盆底肌训练自我效能的相关因素分析  

Analysis of the related factors influencing the self-efficacy on the postpartum pelvic floor muscle training of women

作　　者：李传松[1] 刘衍凤 朱丽娜 LI Chuansong;LIU Yanfeng;ZHU Lina(Jinan Maternal and Child Health Care Hospital,Jinan,25000l;Shandong Medical College,Jinan,Shandong Province)

机构地区：[1]山东省济南市妇幼保健院,250001 [2]山东医学高等专科学校

出　　处：《中国计划生育学杂志》2025年第3期538-542,共5页Chinese Journal of Family Planning

摘　　要：目的:探究产后女性盆底肌训练自我效能的影响因素。方法:选择2023年1月-2024年1月本院行盆底肌训练的168例产妇为研究对象,产后12周采用一般资料调查表、盆底肌锻炼自我效能量表(BPMSES)、盆底功能障碍简表(PFDI-20)、匹兹堡睡眠质量指数问卷(PSQI)进行调查,应用多元线性回归模型探究产后女性盆底肌训练自我效能的有关因素。结果:168例产后女性BPMSES评分71.63±20.52分,PFDI-20评分31.47±5.45分,PSQI评分5.49±1.18分。Pearson相关分析显示,BPMSES评分与PFDI-20评分呈正相关,与PSQI评分呈负相关(均P<0.001)。多元线性回归分析显示,居住地为城镇、受教育水平为大专及以上、配偶支持良好、盆底功能障碍程度严重可对产妇盆底肌训练自我效能产生正向影响,睡眠质量差可产生负面影响(均P<0.05)。结论:产后女性盆底肌训练自我效能水平仍有较大提升空间,且影响因素较多,临床应针对影响因素积极进行干预,以提升产后女性盆底肌训练自我效能水平。Objective:To explore the influencing factors of the self-efficacy on the postpartum pelvic floor muscle training of women.Methods:A total of 168 women who were given the postpartum pelvic floor muscle training in the hospital from January 2023 to January 2024 were selected as the research objects.In 12 weeks after delivery,the general data questionnaire,the Broome pelvic muscle self-efficacy scale(BPMSES),the pelvic floor distress inventory-short form 20(PFDI-20)and the Pittsburgh sleep quality index questionnaire(PSQI)were used to investigate these women.Multiple linear regression model was used to explore the related factors influencing the self-efficacy of the postpartum pelvic floor muscle training of the women.Results:The scores of BPMSES,PFDI-20 and PSQI of 168 women after delivery were 71.63±20.52 points,31.47±5.45 points and 5.49±1.18 points,respectively.Pearson correlation analysis showed that the BPMSES score of the women was positively correlated with their PFDI-20 score and was negatively correlated with their PSQI score(all P<o.o01).Multiple linear regression analysis showed that the urban residence,the education level of college or above,the better support from spouse and the severity of the pelvic floor dysfunction of the women had the positive impacts on their self-efficacy of the pelvic floor muscle training,but the poor sleep quality of the women had the negative impact on their self-efficacy of the pelvic floor muscle training(all P<0.05).Conclusion:There is still much space for improvement of the self-efficacy of the postpartum pelvic floor muscle training of the women.There are many factors influencing the self-efficacy of the postpartum pelvic floor muscle training of the women,and the clinical intervention should be actively carried out according to these influencing factors to improve the self-efficacy of the postpartum pelvic floor muscle training of the women.

关 键 词：产后 盆底肌训练 自我效能 影响因素 

分 类 号：R47[医药卫生—护理学]