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产后压力性尿失禁患者盆底肌训练执行现状及影响因素分析

Current status and risk factors analysis of pelvic floor muscle training in postpartum stress urinary incontinence patients

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目的:探讨产后压力性尿失禁患者盆底肌训练执行现状,并分析相关危险因素.方法:前瞻性选取医院收治的87例产后压力性尿失禁患者作为研究对象,采用产褥期盆底肌功能锻炼知信行调查问卷评估患者盆底肌训练执行现状,调查并对比患者相关资料差异,纳入具有统计学意义的变量构建Logistic回归模型,分析产后压力性尿失禁患者盆底肌训练执行的相关危险因素.结果:87例产后压力性尿失禁患者中有45例未执行盆底肌训练,占比51.72%;不同文化程度、产妇类型、自我效能感以及分娩方式的产后压力性尿失禁患者比较,差异有统计学意义(P<0.05);Logistic回归显示初中及高中、初产妇、自我效能感低下以及阴道分娩是产后压力性尿失禁患者盆底肌训练执行不力的相关危险因素(P<0.05).结论:产后压力性尿失禁患者盆底肌训练执行情况不佳,文化程度低、初产妇、自我效能感低下以及阴道分娩是导致患者盆底肌训练执行不力的危险因素.
Objective:To explore the current status of pelvic floor muscle training in postpartum stress urinary incontinence patients and analyze related risk factors.Method:A prospective study was conducted,selecting 87 patients with postpartum stress urinary incontinence admitted to the hospital.The knowledge,belief,and behavior questionnaire on pelvic floor muscle exercise during the postpartum period was used to evaluate the current status of pelvic floor muscle training execution in patients.Differences in patient related data were investigated and compared,and statistically significant variables were included to construct a logistic regression model.The relevant risk factors for pelvic floor muscle training execution in patients with postpartum stress urinary incontinence were analyzed.Result:Among 87 postpartum stress urinary incontinence patients,45 cases(51.72%)did not undergo pelvic floor muscle training;There was a statistically significant difference(P<0.05)in the comparison of postpartum stress urinary incontinence patients with different educational levels,maternal types,self-efficacy,and delivery methods;Logistic regression showed that middle and high school,primiparous women,low self-efficacy,and vaginal delivery were related risk factors for poor performance of pelvic floor muscle training in postpartum stress urinary incontinence patients(P<0.05).Conclusion:Patients with postpartum stress urinary incontinence have poor performance in performing pelvic floor muscle training.Low educational level,primiparous women,low self-efficacy,and vaginal delivery are risk factors that affect poor performance in performing pelvic floor muscle training.

postpartum stress urinary incontinencepelvic floor muscle trainingprimiparous womenself efficacyeducational level

邓桃英、李小燕

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赣州市石城县妇幼保健院 江西 赣州 342700

产后压力性尿失禁 盆底肌训练 初产妇 自我效能感 文化程度

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(6)