| 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 |
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| DOI：10.3870/zgkf.2024.12.009 |
| EN KeyWords: integrated theory of health behavior change comprehensive rehabilitation natural childbirth primiparous women pelvic floor function |
| Fund Project:宜宾市卫生健康医学科研项目（2023YW003） |
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| EN Abstract: |
| 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. |
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