Effect of ESPCS intervention mode combined with early pelvic floor function train-ing on recovery after total hysterectomy in patients with endometriosis
Objective To explore the effect of Explain-Simulate-Practice-Communication-Support(ESPCS)intervention mode combined with early pelvic floor function training on the recovery of patients with endometriosis after total hysterectomy.Methods A total of 120 patients with endometriosis after total hysterectomy were admitted to the hospital from May 2020 to May 2022.The enrolled patients were divided into control group and experimental group with 60 cases in each group by random number table method.The control group received routine health care intervention af-ter surgery,and the experimental group received ESPCS intervention mode combined with early pelvic floor function training intervention on the basis of routine care of the control group.The training compliance,pelvic floor muscle strength recovery,urination function recovery and quality of life were compared between the two groups.Results Pa-tients with poor training compliance in experimental group were significantly lower than those in control group,and the difference was statistically significant(P<0.05).Four weeks after surgery,two groups of Vaginal Resting Pressure(VRP),Vaginal Squeezing Pressure(VSP)and Persistent Time(PT)increased after 1 week.VRP,VSP and PT in the experimental group were higher than those in the control group at 4 weeks after surgery,and the differences were sta-tistically significant(P<0.05).The maximum detrusor pressure and maximum urethral pressure 4 weeks after surgery were increased in both groups compared with 1 week after surgery,and the above indexes in experimental group were higher than those in control group,and the differences were statistically significant(P<0.05).At 4 weeks after surgery,the score of Incontinence Quality of Life Questionnaire(IQOL)was increased in two groups compared with 1 week after surgery,and Pelvic Floor Impact Questionnaire-7(PFIQ-7)score was decreased compared with 1 week after surgery,and the differences were statistically significant(P<0.05).The IQOL score of the experimental group was higher than that of control group,and the PFIQ-7 score was lower than that of control group at 4 weeks after surgery,and the differ-ences were statistically significant(P<0.05).Conclusions ESPCS intervention mode combined with early pelvic floor function training can increase patients'compliance,accelerate the recovery of pelvic floor muscle strength and urination function,promote the recovery of pelvic floor function,and improve the quality of life after surgery.
Explain-simulate-practice-communication-support modelEarly pelvic floor function trainingEn-dometriosisTotal hysterectomyRecovery after surgery
NETL
NSTL
万方数据
维普
