达标理论在产后尿失禁患者盆底康复训练中的应用研究
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摘要
目的评价达标理论在产后尿失禁患者盆底康复训练中的应用效果。方法便利选取123例产后尿失禁患者,随机分为实验组(62例)和对照组(61例),实验组在常规措施的基础上进行达标理论的盆底康复应训练,对照组接受常规盆底康复护理,两组干预前及干预6周后,采用训练目标均达标率、1 h尿垫试验、患者整体印象改善度量表、尿失禁影响问卷,对患者居家康复训练目标达标率、盆底康复治疗有效率、盆底康复治疗满意率和生活质量进行评价。结果两组盆底康复训练后,实验组居家康复训练目标的达标率、盆底康复治疗有效率、患者满意度均高于对照组(P<0.05);实验组尿失禁对患者生活质量的影响得分低于对照组(P<0.05)。结论应用达标理论进行盆底康复训练,能够提高产后尿失禁患者盆底康复训练的主动性、盆底康复疗效、患者满意度及生活质量,促进康复目标的实现。
Objective To explore the effect of theory of goal attainment in pelvic floor rehabilitation for patients with postpartum urinary incontinence(PPUI). Methods A total of 123 patients with PPUI were conveniently selected and randomly divided into the experimental group(n=62) and the control group(n=61). The experimental group received pelvic floor rehabilitation nursing based on theory of goal attainment as well as routine pelvic floor rehabilitation nursing care,while the control group only received routine pelvic floor rehabilitation nursing care. Before and after 6 weeks' intervention,the achievement of home-based rehabilitation training targets,pelvic floor rehabilitation efficacy,satisfaction degree and quality of life were evaluated by the compliance rate,1 hour pad test,Patient Global Impression of Improvement(PGI-I) and Incontinence Impact Questionnaire-7(IIQ-7). Results After pelvic floor rehabilitation,the compliance rate of home-based rehabilitation training,the effective rate of pelvic floor rehabilitation treatment,the satisfaction rate of patients in the experimental group were all higher than in the control group,the effect of urinary incontinence on the quality of life in the experimental group was lower than in the control group(all P<0.05). Conclusion Pelvic floor rehabilitation based on theory of goal attainment can improve the initiative of pelvic floor rehabilitation training,pelvic floor rehabilitation efficacy,satisfaction and quality of life of patients with postpartum urinary incontinence,and can promote the realization of the common goal of nurses and patients.
Objective To explore the effect of theory of goal attainment in pelvic floor rehabilitation for patients with postpartum urinary incontinence(PPUI). Methods A total of 123 patients with PPUI were conveniently selected and randomly divided into the experimental group(n=62) and the control group(n=61). The experimental group received pelvic floor rehabilitation nursing based on theory of goal attainment as well as routine pelvic floor rehabilitation nursing care,while the control group only received routine pelvic floor rehabilitation nursing care. Before and after 6 weeks' intervention,the achievement of home-based rehabilitation training targets,pelvic floor rehabilitation efficacy,satisfaction degree and quality of life were evaluated by the compliance rate,1 hour pad test,Patient Global Impression of Improvement(PGI-I) and Incontinence Impact Questionnaire-7(IIQ-7). Results After pelvic floor rehabilitation,the compliance rate of home-based rehabilitation training,the effective rate of pelvic floor rehabilitation treatment,the satisfaction rate of patients in the experimental group were all higher than in the control group,the effect of urinary incontinence on the quality of life in the experimental group was lower than in the control group(all P<0.05). Conclusion Pelvic floor rehabilitation based on theory of goal attainment can improve the initiative of pelvic floor rehabilitation training,pelvic floor rehabilitation efficacy,satisfaction and quality of life of patients with postpartum urinary incontinence,and can promote the realization of the common goal of nurses and patients.
引文
[1]朱玉平,程芳.生物反馈联合电刺激盆底肌训练与常规盆底肌训练对产后尿失禁患者盆底康复临床效果比较研究[J].山西医药杂志,2017,46(9):1053-1055.
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[6]孙智晶,朱兰,郎景和.产后盆底康复锻炼对女性盆底功能障碍性疾病的预防作用[J].中华妇产科杂志,2015,50(6):420-427.
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[10]陈娟,朱兰,郎景和. Prosima网片全盆底重建术治疗重度盆腔器官脱垂的前瞻性研究[J].中华妇产科杂志,2012,47(9):664-668.
[11]朱兰,於四军,郎景和.尿失禁影响问卷简表的引进和人群验证[J].中华妇产科杂志,2011,46(7):505-509.
[12]张珂,胡青,谢臻蔚.女性盆底康复的方法及技术[J].实用妇产科杂志,2017,33(7):482-485.
[13]薄海欣,陈洁,范国荣,等.延续性护理模式在压力性尿失禁患者盆底肌康复居家治疗中的应用效果[J].中华现代护理杂志,2017,23(14):1896-1900.
[14]王景香.循证护理对产妇盆底肌功能锻炼依从性的影响体会[J].中国实用医药,2017,12(4):151-153.
[15]刘娟,曾洁,王海兰,等.生物反馈盆底肌训练治疗压力性尿失禁的疗效分析[J].中华妇产科杂志,2014,49(10):754-757.
[16]刘文丽.盆底康复训练对产后压力性尿失禁治疗的效果观察[J].饮食保健,2016,3(7):32.
[17]王红燕,冯素文,谢臻蔚,等.孕产妇盆底功能康复信息化管理平台的构建及应用[J].中华护理杂志,2018,53(7):801-805.
[18]曹芳.产后盆底功能锻炼对经阴道分娩产妇盆底功能恢复及生活质量的影响[J].中国计划生育学杂志,2017,25(2):116-119.
[2]孙丽洲,朱兰.妇产康复[M].北京:人民卫生出版社,2018:173-238.
[3]丁莉,丁艳,毕海婷,等.普里西特干预模式对女性尿失禁患者性功能的影响研究[J].中华护理杂志,2016,51(8):1004-1008.
[4]马乐,朱兰.妇科泌尿学[M].北京:科学出版社,2009:512-545.
[5]冯艳霞,张洁,张月,等.产后盆底康复治疗研究进展[J].中国计划生育和妇产科,2016,8(8):3-6.
[6]孙智晶,朱兰,郎景和.产后盆底康复锻炼对女性盆底功能障碍性疾病的预防作用[J].中华妇产科杂志,2015,50(6):420-427.
[7]姜安丽.护理理论[M].北京:人民卫生出版社,2009:143-156.
[8] Li B,Zhu L,Xu T,et a1. The optimal threshold values for the severity of urinary incontinence based on the 1-hour pad test[J].Int J Gynaecol Obstet,2012,118(2):l17-119.
[9]范国荣,薄海欣,庞红霞,等.群组管理模式对产后尿失禁患者盆底肌功能锻炼依从性的影响[J].中国实用护理杂志,2017,33(3):187-190.
[10]陈娟,朱兰,郎景和. Prosima网片全盆底重建术治疗重度盆腔器官脱垂的前瞻性研究[J].中华妇产科杂志,2012,47(9):664-668.
[11]朱兰,於四军,郎景和.尿失禁影响问卷简表的引进和人群验证[J].中华妇产科杂志,2011,46(7):505-509.
[12]张珂,胡青,谢臻蔚.女性盆底康复的方法及技术[J].实用妇产科杂志,2017,33(7):482-485.
[13]薄海欣,陈洁,范国荣,等.延续性护理模式在压力性尿失禁患者盆底肌康复居家治疗中的应用效果[J].中华现代护理杂志,2017,23(14):1896-1900.
[14]王景香.循证护理对产妇盆底肌功能锻炼依从性的影响体会[J].中国实用医药,2017,12(4):151-153.
[15]刘娟,曾洁,王海兰,等.生物反馈盆底肌训练治疗压力性尿失禁的疗效分析[J].中华妇产科杂志,2014,49(10):754-757.
[16]刘文丽.盆底康复训练对产后压力性尿失禁治疗的效果观察[J].饮食保健,2016,3(7):32.
[17]王红燕,冯素文,谢臻蔚,等.孕产妇盆底功能康复信息化管理平台的构建及应用[J].中华护理杂志,2018,53(7):801-805.
[18]曹芳.产后盆底功能锻炼对经阴道分娩产妇盆底功能恢复及生活质量的影响[J].中国计划生育学杂志,2017,25(2):116-119.