摘要
目的:探讨Kegel运动训练联合Watson关怀理论对单胎顺产初产妇产后恢复的影响。方法:选择80例初产妇随机分为观察组和对照组各40例;对照组给予常规产后康复护理及心理疏导,观察组在对照组基础上应用Kegel运动训练联合Watson关怀理论护理。干预6周后,比较两组产妇幸福指数[参考纽芬兰纪念大学幸福度量表(MUNSH)]、社会关怀感[参考领悟社会支持量表(PSSS)];干预前及干预6、12周后,比较两组产妇抑郁情况[参考爱丁堡产后抑郁量表(EPDS)]及腰腿痛功能障碍[参考Oswestry功能障碍指数评分表(ODI)];干预前及干预12周后,比较两组盆底肌张力(根据医护人员手法测定);干预12周后,比较两组产后尿失禁情况(依据Sandvik指数)。结果:干预6周后,两组MUNSH、PSSS评分均提高(P<0.05),且观察组高于对照组(P<0.05);干预6、12周后,两组EPDS评分均降低(P<0.05),且观察组低于对照组(P<0.05),但干预12周内两组抑郁发生率比较差异无统计学意义(P>0.05);干预6、12周后,两组ODI评分均降低(P<0.05),且观察组低于对照组(P<0.05);干预12周后,两组盆底肌张力均提高(P<0.05),且观察组高于对照组(P<0.05);干预12周后,观察组尿失禁情况优于对照组(P<0.05),且尿失禁发生率低于对照组(P<0.05)。结论:Kegel运动训练联合Watson关怀理论护理能有效促进单胎顺产初产妇产后恢复。
Objective:To explore the effect of Kegel exercise training combined with Watson care theory on postpartum physical and mental recovery in singleton primiparas with natural delivery.Methods:Totally 80 primiparas were randomly divided into observation group and the control group,with 40 cases in each group.The control group was given conventional postpartum rehabilitation nursing and psychological counseling,and the observation group was additionally given Kegel exercise training combined with Watson care theory nursing on this basis.The maternal happiness index referred to Memorial University of MUNSH and PSSS after 6 weeks of intervention,depression referred to EPDS and low back pain dysfunction referred to ODI before intervention and after 6 weeks and 12 weeks of intervention,pelvic floor muscle tension before intervention and after 12 weeks of intervention and postpartum urinary incontinence after 12 weeks of intervention were compared between the two groups.Results:After 6 weeks of intervention,the scores of Memorial University of MUNSH and PSSS in the two groups were significantly improved(P<0.05),and higher in the observation group than those in the control group(P<0.05).After 6 and 12 weeks of intervention,the scores of EPDS in the two groups were significantly reduced(P<0.05),and lower in the observation group than those in the control group(P<0.05),but there was no significant difference in the incidence rate of depression between the two groups within 12 weeks of intervention(P>0.05).After 6 and 12 weeks of intervention,the scores of ODI in the two groups were decreased significantly(P<0.05),and lower in the observation group than those in the control group(P<0.05).After 12 weeks of intervention,the pelvic floor muscle tensions of the two groups were significantly improved(P<0.05),and higher in the observation group than those in the control group(P<0.05).After 12 weeks of intervention,the urinary incontinence in the observation group was better than that in control group(P<0.05),and the incidence of urinary incontinence was lower than that in the control group(P<0.05).Conclusion:Kegel exercise training combined with Watson care theory nursing can effectively promote the postpartum physical and mental recovery in singleton primiparas with natural delivery.
作者
胡广尤
王娜娜
吕连连
汪艳
Hu Guangyou;Wang Nana;Lv Lianlian(The Affiliated Hospital of Xuzhou Medical University,Xuzhou Jiangsu 221000,China)
出处
《齐鲁护理杂志》
2022年第24期14-17,共4页
Journal of Qilu Nursing
作者简介
通信作者:汪艳。
