首页|配偶支持及运动体操对产后子宫脱垂患者心理弹性、恢复程度的影响研究

配偶支持及运动体操对产后子宫脱垂患者心理弹性、恢复程度的影响研究

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目的 探讨配偶支持及运动体操对产后子宫脱垂患者心理弹性、恢复程度的影响.方法 随机选取2021年2月—2024年2月聊城市第三人民医院收治的80例产后子宫脱垂患者作为研究对象,依据不同护理方法分为对照组和观察组,各40例,对照组采取常规康复护理干预,观察组在对照组基础上实施配偶支持干预及运动体操指导,比较两组患者子宫脱垂程度、性生活质量、盆底肌力、心理弹性、心理状态.结果 护理后,观察组国际尿控协会盆腔器官脱垂定量分期法评分(0.70±0.25)分低于对照组的(1.01±0.30)分,女性性功能指数量表评分(32.54±3.45)分高于对照组的(28.92±3.26)分,差异有统计学意义(t=5.020、4.823,P均<0.05).护理后,观察组会阴肌力测试法评分(4.21±0.52)分高于对照组的(3.56±0.47)分,Ⅰ类、Ⅱ类肌纤维疲劳度数值(4.25±0.65)%、(4.02±1.44)%低于对照组的(7.52±1.28)%、(6.58±1.94)%,差异有统计学意义(t=5.865、14.406、6.701,P均<0.05).护理后,观察组焦虑自评量表、抑郁自评量表评分分别为(40.08±4.76)分、(40.88±4.75)分低于对照组的(45.52±5.64)分、(46.23±5.47)分,心理弹性量表评分(72.02±7.09)分高于对照组的(65.57±6.45)分,差异有统计学意义(t=4.661、4.670、4.255,P均<0.05).结论 产后子宫脱垂患者在常规治疗及护理基础上实施配偶支持干预及运动体操指导可促进子宫脱垂程度减轻,改善性生活质量,增强盆底肌力,提高患者心理弹性,改善心理状态.
Study on the Influence of Spousal Support and Exercise Gymnastics on the Psychological Resilience and Recovery of Postpartum Uterine Prolapse Pa-tients
Objective To explore the effect of spouse support and exercise gymnastics on psychological resilience and recovery degree of patients with postpartum uterine prolapse.Methods A total of 80 patients with postpartum uterine prolapse admitted to Liaocheng Third People's Hospital from February 2021 to February 2024 were randomly selected as the research objects,and they were divided into control group and observation group by different nursing methods,with 40 cases in each group.The control group was given routine rehabilitation nursing intervention,and the observa-tion group was given spouse support intervention and sports gymnastics guidance on the basis of the control group.The degree of uterine prolapse,quality of sexual life,pelvic floor muscle strength,psychological resilience and psychologi-cal state were compared between the two groups.Results After nursing,the Pelvic Organ Prolapse Quantitation score in the observation group was(0.70±0.25)points,lower than that in the control group(1.01±0.30)points,the Female Sexual Function Index score of(32.54±3.45)points was higher than that of the control group(28.92±3.26)points,and the differences were statistically significant(t=5.020,4.823,both P<0.05).After nursing,the International General Perineal Muscle Strength Test score of the observation group was(4.21±0.52)points higher than that of the control group(3.56±0.47)points,the muscle fiber fatigue of type Ⅰ and type Ⅱ(4.25±0.65)%and(4.02±1.44)%were lower than those of control group(7.52±1.28)%and(6.58±1.94)%,and the differences were statistically significant(t=5.865,14.406,6.701,all P<0.05).After nursing,observation group Self-rating Anxiety Scale,Self-rating Depression Scale scores were(40.08±4.76)points and(40.88±4.75)points lower than those of the control group(45.52±5.64)points and(46.23±5.47)points,respectively;the score of Connor-Davidson Resilience Scale was(72.02±7.09)points higher than that of the control group(65.57±6.45)points,and the differences were statistically significant(t=4.661,4.670,4.255,all P<0.05).Conclusion Spousal support intervention and exercise gymnastics guidance on the basis of routine treat-ment and nursing can reduce the degree of uterine prolapse,improve the quality of sexual life,enhance the pelvic floor muscle strength,improve the psychological resilience of patients,and improve the psychological state.

Uterine prolapseSpouse supportExercise gymnasticsPsychological resiliencePelvic floor muscle strengthQuality of sexual life

马婷、许楣霞、张玉欣、张乐、尹玉英

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聊城市第三人民医院妇产科,山东 聊城 252000

子宫脱垂 配偶支持 运动体操 心理弹性 盆底肌力 性生活质量

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(23)