孕产妇盆底肌锻炼知信行研究进展
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摘要
<正>尿失禁(urinary incontinence,UI)是影响不同种族、不同文化背景的所有年龄段女性健康及生活质量的世界性医疗问题和突出的社会问题。据报道,23%～45%的成年女性都经历过漏尿现象,其中约50%为压力性尿失禁(stress urinary incontinence,SUI)[1]。SUI在孕产妇中并不少见,据报道初产妇孕期SUI的发生率为37.2%[2],产后42 d内、6个月、1年的发病率分别为56.0%、47.0%、
引文
[1] GE J,YANG P,ZHANG Y,et al.Prevalence and risk factors of urinary incontinence in chinese woman:a population-based study[J].Asia Pac J Public Health,2015,27(2):1118-1131.
[2] DALY D,CLARKE M,BEGLEY C.Urinary incontinence in nulliparous women before and during pregnancy:prevalence,incidence,type,and risk factors[J].Int Urogynecol J,2018,29(3):353-362.
[3] SANGSAWANG B,SANGSAWANG N.Stress urinary incontinence in pregnant women:a review of prevalence,pathophysiology,and treatment[J].International Urogynecology Journal,2013,24(6):901-912.
[4] 李从霞.分娩方式对孕产妇发生尿失禁的影响分析[J].陕西医学杂志,2013,42(12):1636-1637.
[5] GARTLAND D,DONATH S,MACARTHUR C,et al.The onset,recurrence and associated obstetric risk factors for urinary incontinence in the first 18 months after a first birth:an Australian nulliparous cohort study[J].BJOG,2012,119(11):1361-1369.
[6] MACARTHUR C,WILSON D,HERBISON P,et al.Urinary incontinence persisting after childbirth:extent,delivery history,and effects in a 12-year longitudinal cohort study[J].BJOG,2015,123(6):1022-1029.
[7] STADNICKA G,LEPECKA-KLUSEK C,PILEWSKA-KOZAK A,et al.Psychosocial problems of women with stress urinary incontinence[J].Ann Agric Environ Med,2015,22(3):499-503.
[8] SEYYEDI F,RAFIEAN-KOPAEI M,MIRAJ S.Comparison of the effects of vaginal royal jelly and vaginal estrogen on quality of life,sexual and urinary function in postmenopausal women[J].J Clin Diagn Res,2016,10(5):C1-C5.
[9] QASEEM A,DALLAS P,FORCIEA M A,et al.Nonsurgical management of urinary incontinence in women:a clinical practice guidance from the American College of Physicians[J].Ann Intern Med,2014,16(6):429-440.
[10] VERMANDEL A,DE WACHTER S,BEYLTJENS T,et al.Pelvic floor awareness and the positive effect of verbal instructions in 958 women early postdelivery[J].Int Urogynecol J,2015,26(2):223-228.
[11] CELIKER T O,KAYA M E,ERGENOGLU A M,et al.Does pelvic floor muscle training abolish symptoms of urinary incontinence?A randomized controlled trial[J].Clin Rehabil,2015,29(6):525-537.
[12] BO K,ELLSTROM E M,HILDE G.Regular Exercisers Have Stronger Pelvic Floor Muscles than Non-Regular Exercisers at Midpregnancy[J].Am J Obstet Gynecol,2018,218(4):421-427.
[13] NEELS H,DE WACHTER S,WYNDAELE J J,et al.Does pelvic floor muscle contraction early after delivery cause perineal pain in postpartum women?[J].Eur J Obstet Gynecol Reprod Biol,2017(208):1-5.
[14] LAEZ M,GONZALEZ CERRON S,MONTEJO R,et al.Pelvic floor muscle training included in a pregnancy exercise program is effective in primary prevention of urinary in-continence:a randomized controlled trial[J].Neurourol Urodyn,2014,33(1):67-71.
[15] GARCIA-SANCHEZ E,RUBIO-ARIAS J A,AVILA-GANDIA V,et al.Effectiveness of pelvic floor muscle training in treating urinary incontinence in women:A current review[J].Actas Urol Esp,2016,40(5):271-278.
[16] 中华医学会妇产科学分会妇科盆底学组.女性压力性尿失禁诊断和治疗指南(2017)[J].中华妇产科杂志,2017,52(5):289-293.
[17] MENDES EDE P,OLIVEIRA S M,CAROCI ADE S,et al.Pelvic floor muscle strength in primiparous women according to the delivery type:cross-sectional study[J].Rev Lat Am Enfermagem,2016,15(24):e2758.
[18] NEELS H,WYNDAELE J J,TJALMA W A,et al.Knowledge of the pelvic floor in nulliparous women[J].J Phys Ther Sci,2016,28(5):1524-1533.
[19] HILL A M,MCPHAIL S M,WILSON J M,et al.Pregnant women's awareness,knowledge and beliefs about pelvic floor muscles:a cross-sectional survey[J].Int Urogynecol J,2017,28(10):1557-1565.
[20] 张明娜,肖倩,吴瑛,等.产褥期妇女盆底肌功能锻炼知信行及需求现状调查[J].中华现代护理杂志,2017,23(30):3862-3869.
[21] 李丽娜,赵梨媛,肖红,等.产后6周女性盆底功能障碍患者对疾病的认知和健康教育需求状况[J].中国妇幼保健,2017,32(8):1762-1764.
[22] 刘海静,刘迎军,高淑凤,等.产后盆底康复治疗依从性的影响因素调查[J].中国妇幼保健,2013,28(30):5019-5021.
[23] MICHIE S,VAN STRALEN M M,WEST R.The behaviour change wheel:a new method for characterising and designing behaviour change interventions[J].Implement Sci,2011(6):42.
[24] 王雪格.自我管理干预在女性压力性尿失禁患者盆底肌锻炼中的应用[D].郑州:郑州大学,2017.
[25] SOLBERG M,ALRAEK T,MDALA I,et al.Pilot study on the use of acupuncture or pelvic floor muscle training for mixed urinary incontinence[J].Acupunct Med,2016,34(1):7-13.
[26] MOOSSDORFF-STEINHAUSER H F,ALBERS-HEITNER P,WEEMHOFF M,et al.Factors influencing postpartum women's willingness to participate in a preventive pelvic floor muscle training program:a web-based survey[J].Eur J Obstet Gynecol Reprod Biol,2015(195):182-187.
[27] 唐婷婷,赖培茜,蔡舒,等.孕期盆底功能障碍性疾病知信行影响因素分析及干预措施[J].实用医学杂志,2017,33(15):2584-2588.
[28] VENEGAS M,CARRASCO B,CASAS-CORDERO R.Factors influencing long-term adherence to pelvic floor exercises in women with urinary incontinence[J].Neurourol Urodyn,2018,37(3):1120-1127.
[29] DUMOULIN C,HAY-SMITH J,FRAWLEY H,et al.2014 consensus statement on improving pelvic floor muscle training adherence:International Continence Society 2011 State-of-the-Science Seminar[J].Neurourol Urodyn,2015,34(7):600-605.
[30] STAFNE S N,SALVESEN K A,ROMUNDSTAD P R,et al.Does regular exercise including pelvic floor muscle training prevent urinary and analincontinence during pregnancy?A randomised controlled trial[J].BJOG,2012,119(10):1270-1280.
[31] SJ?STR?M M,LINDHOLM L,SAMUELSSON E.Mobile app for treatment of stress urinary incontinence:A cost-effectiveness analysis[J].J Med Internet Res,2017,19(5):e154.
[32] SJ?STR?M M,UEMFJORD G,STENLUND H,et al.Internet-based treatment of stress urinary incontinence:a randomized controlled study with focus on pelvic floor muscle training[J].BJU Int,2013,112(3):362-372.
[33] SACOMORI C,BERGHMANS B,MESTERS I,et al.Strategies to enhance self-efficacy and adherence to home-based pelvic floor muscle exercises did not improve adherence in women with urinary incontinence:a randomized trial[J].J Physiother,2015,61(4):190-198.
[34] KINOUCHI K,OHASHI K.Smartphone-based reminder system to promote pelvic floor muscle training for the management of postnatal urinary incontinence:historical control study with propensity score-matched analysis[J].Peer J,2018(6):e4372.
[35] National Institute for Health and Care Excellence.Urinary incontinence in women:management [EB/OL].(2013-09-11)[2018-03-15].https://www.nice.org.uk/guidance/cg171.
[36] SINGH N,RASHID M,BAYLISS L,et al.Pelvic floor muscle training for female urinary incontinence:Does it work?[J].Arch Gynecol Obstet,2016,293(6):1263-1269.
[2] DALY D,CLARKE M,BEGLEY C.Urinary incontinence in nulliparous women before and during pregnancy:prevalence,incidence,type,and risk factors[J].Int Urogynecol J,2018,29(3):353-362.
[3] SANGSAWANG B,SANGSAWANG N.Stress urinary incontinence in pregnant women:a review of prevalence,pathophysiology,and treatment[J].International Urogynecology Journal,2013,24(6):901-912.
[4] 李从霞.分娩方式对孕产妇发生尿失禁的影响分析[J].陕西医学杂志,2013,42(12):1636-1637.
[5] GARTLAND D,DONATH S,MACARTHUR C,et al.The onset,recurrence and associated obstetric risk factors for urinary incontinence in the first 18 months after a first birth:an Australian nulliparous cohort study[J].BJOG,2012,119(11):1361-1369.
[6] MACARTHUR C,WILSON D,HERBISON P,et al.Urinary incontinence persisting after childbirth:extent,delivery history,and effects in a 12-year longitudinal cohort study[J].BJOG,2015,123(6):1022-1029.
[7] STADNICKA G,LEPECKA-KLUSEK C,PILEWSKA-KOZAK A,et al.Psychosocial problems of women with stress urinary incontinence[J].Ann Agric Environ Med,2015,22(3):499-503.
[8] SEYYEDI F,RAFIEAN-KOPAEI M,MIRAJ S.Comparison of the effects of vaginal royal jelly and vaginal estrogen on quality of life,sexual and urinary function in postmenopausal women[J].J Clin Diagn Res,2016,10(5):C1-C5.
[9] QASEEM A,DALLAS P,FORCIEA M A,et al.Nonsurgical management of urinary incontinence in women:a clinical practice guidance from the American College of Physicians[J].Ann Intern Med,2014,16(6):429-440.
[10] VERMANDEL A,DE WACHTER S,BEYLTJENS T,et al.Pelvic floor awareness and the positive effect of verbal instructions in 958 women early postdelivery[J].Int Urogynecol J,2015,26(2):223-228.
[11] CELIKER T O,KAYA M E,ERGENOGLU A M,et al.Does pelvic floor muscle training abolish symptoms of urinary incontinence?A randomized controlled trial[J].Clin Rehabil,2015,29(6):525-537.
[12] BO K,ELLSTROM E M,HILDE G.Regular Exercisers Have Stronger Pelvic Floor Muscles than Non-Regular Exercisers at Midpregnancy[J].Am J Obstet Gynecol,2018,218(4):421-427.
[13] NEELS H,DE WACHTER S,WYNDAELE J J,et al.Does pelvic floor muscle contraction early after delivery cause perineal pain in postpartum women?[J].Eur J Obstet Gynecol Reprod Biol,2017(208):1-5.
[14] LAEZ M,GONZALEZ CERRON S,MONTEJO R,et al.Pelvic floor muscle training included in a pregnancy exercise program is effective in primary prevention of urinary in-continence:a randomized controlled trial[J].Neurourol Urodyn,2014,33(1):67-71.
[15] GARCIA-SANCHEZ E,RUBIO-ARIAS J A,AVILA-GANDIA V,et al.Effectiveness of pelvic floor muscle training in treating urinary incontinence in women:A current review[J].Actas Urol Esp,2016,40(5):271-278.
[16] 中华医学会妇产科学分会妇科盆底学组.女性压力性尿失禁诊断和治疗指南(2017)[J].中华妇产科杂志,2017,52(5):289-293.
[17] MENDES EDE P,OLIVEIRA S M,CAROCI ADE S,et al.Pelvic floor muscle strength in primiparous women according to the delivery type:cross-sectional study[J].Rev Lat Am Enfermagem,2016,15(24):e2758.
[18] NEELS H,WYNDAELE J J,TJALMA W A,et al.Knowledge of the pelvic floor in nulliparous women[J].J Phys Ther Sci,2016,28(5):1524-1533.
[19] HILL A M,MCPHAIL S M,WILSON J M,et al.Pregnant women's awareness,knowledge and beliefs about pelvic floor muscles:a cross-sectional survey[J].Int Urogynecol J,2017,28(10):1557-1565.
[20] 张明娜,肖倩,吴瑛,等.产褥期妇女盆底肌功能锻炼知信行及需求现状调查[J].中华现代护理杂志,2017,23(30):3862-3869.
[21] 李丽娜,赵梨媛,肖红,等.产后6周女性盆底功能障碍患者对疾病的认知和健康教育需求状况[J].中国妇幼保健,2017,32(8):1762-1764.
[22] 刘海静,刘迎军,高淑凤,等.产后盆底康复治疗依从性的影响因素调查[J].中国妇幼保健,2013,28(30):5019-5021.
[23] MICHIE S,VAN STRALEN M M,WEST R.The behaviour change wheel:a new method for characterising and designing behaviour change interventions[J].Implement Sci,2011(6):42.
[24] 王雪格.自我管理干预在女性压力性尿失禁患者盆底肌锻炼中的应用[D].郑州:郑州大学,2017.
[25] SOLBERG M,ALRAEK T,MDALA I,et al.Pilot study on the use of acupuncture or pelvic floor muscle training for mixed urinary incontinence[J].Acupunct Med,2016,34(1):7-13.
[26] MOOSSDORFF-STEINHAUSER H F,ALBERS-HEITNER P,WEEMHOFF M,et al.Factors influencing postpartum women's willingness to participate in a preventive pelvic floor muscle training program:a web-based survey[J].Eur J Obstet Gynecol Reprod Biol,2015(195):182-187.
[27] 唐婷婷,赖培茜,蔡舒,等.孕期盆底功能障碍性疾病知信行影响因素分析及干预措施[J].实用医学杂志,2017,33(15):2584-2588.
[28] VENEGAS M,CARRASCO B,CASAS-CORDERO R.Factors influencing long-term adherence to pelvic floor exercises in women with urinary incontinence[J].Neurourol Urodyn,2018,37(3):1120-1127.
[29] DUMOULIN C,HAY-SMITH J,FRAWLEY H,et al.2014 consensus statement on improving pelvic floor muscle training adherence:International Continence Society 2011 State-of-the-Science Seminar[J].Neurourol Urodyn,2015,34(7):600-605.
[30] STAFNE S N,SALVESEN K A,ROMUNDSTAD P R,et al.Does regular exercise including pelvic floor muscle training prevent urinary and analincontinence during pregnancy?A randomised controlled trial[J].BJOG,2012,119(10):1270-1280.
[31] SJ?STR?M M,LINDHOLM L,SAMUELSSON E.Mobile app for treatment of stress urinary incontinence:A cost-effectiveness analysis[J].J Med Internet Res,2017,19(5):e154.
[32] SJ?STR?M M,UEMFJORD G,STENLUND H,et al.Internet-based treatment of stress urinary incontinence:a randomized controlled study with focus on pelvic floor muscle training[J].BJU Int,2013,112(3):362-372.
[33] SACOMORI C,BERGHMANS B,MESTERS I,et al.Strategies to enhance self-efficacy and adherence to home-based pelvic floor muscle exercises did not improve adherence in women with urinary incontinence:a randomized trial[J].J Physiother,2015,61(4):190-198.
[34] KINOUCHI K,OHASHI K.Smartphone-based reminder system to promote pelvic floor muscle training for the management of postnatal urinary incontinence:historical control study with propensity score-matched analysis[J].Peer J,2018(6):e4372.
[35] National Institute for Health and Care Excellence.Urinary incontinence in women:management [EB/OL].(2013-09-11)[2018-03-15].https://www.nice.org.uk/guidance/cg171.
[36] SINGH N,RASHID M,BAYLISS L,et al.Pelvic floor muscle training for female urinary incontinence:Does it work?[J].Arch Gynecol Obstet,2016,293(6):1263-1269.