| 杨林,付高勇,田婧,李艳娇.基于健康行为改变整合理论的综合康复措施对自然分娩初产妇产褥期盆底功能的研究[J].中国康复,2024,39(12):751-754 |
| 基于健康行为改变整合理论的综合康复措施对自然分娩初产妇产褥期盆底功能的研究 |
| Effect of comprehensive rehabilitation measures based on the integrated theory of health behavior change (ITHBC) on pelvic floor function in primiparous women during the puerperium period following natural childbirth |
| |
| DOI：10.3870/zgkf.2024.12.009 |
| 中文关键词: 健康行为改变整合理论 综合康复 自然分娩 初产妇 盆底功能 |
| 英文关键词: integrated theory of health behavior change comprehensive rehabilitation natural childbirth primiparous women pelvic floor function |
| 基金项目:宜宾市卫生健康医学科研项目（2023YW003） |
|
| 摘要点击次数: 815 |
| 全文下载次数: 794 |
| 中文摘要: |
| 目的：研究基于健康行为改变整合理论（ITHBC）的综合康复措施，在自然分娩初产妇产后6周盆底功能的康复疗效，为产妇早期盆底康复提供科学依据。方法：选取2023年9月～2024年9月在我院就诊的72例阴道分娩初产妇为研究对象，随机分为2组各36例，观察组给予ITHBC为基础的个体化健康教育和盆底功能训练的综合康复措施，对照组采用常规健康教育，6周后比较2组盆底功能康复情况。结果：盆底Ⅰ类、Ⅱ类肌纤维肌力和Ⅱ类肌纤维疲劳度、产妇自我效能感、阴道后壁膨出度比较，观察组均优于对照组（P<0.05）；2组盆底Ⅰ类肌纤维疲劳度、子宫脱垂和阴道前壁膨出度比较差异无统计学意义。结论：采用基于ITHBC 理论的综合康复措施对增强盆底肌肌力、降低盆底肌疲劳度、提高自我效能感和依从性、改善盆底功能有积极作用。 |
| 英文摘要: |
| Objective: To investigate the rehabilitative effects of comprehensive rehabilitation measures based on the integrated theory of health behavior change (ITHBC) on pelvic floor function in primiparous women during the 6-week postpartum period after natural childbirth, aiming to provide scientific evidence for early pelvic floor rehabilitation in postpartum women. Methods: A total of 72 cases of primiparous women who gave birth vaginally and were treated at our hospital from september 2023 to september 2024 were selected as the research subjects. They were randomly divided into two groups: the observation group receiving comprehensive rehabilitation measures consisting of individualized health education and pelvic floor function training based on ITHBC; the control group receiving conventional health education. The pelvic floor function recovery was compared between the two groups after 6 weeks. Results: The comparison of pelvic floor type I and type II muscle fiber strength, type II muscle fiber fatigue, maternal self-efficacy, and posterior vaginal wall protrusion between the two groups showed that the observation group was performed better than the control group, with statistically significant differences (P<0.05). There was no statistically significant difference between the two groups in the comparison of type I muscle fiber fatigue, uterine prolapse, and anterior vaginal wall protrusion. Conclusion: The application of comprehensive rehabilitation measures based on the ITHBC theory has a positive effect on enhancing pelvic floor muscle strength, reducing pelvic floor muscle fatigue, improving self-efficacy and compliance, and improving pelvic floor function. |
|
查看全文
下载PDF阅读器 HTML全文 |
| 关闭 |
