Effect of different health education models on pelvic floor muscle rehabilitation of primiparous women after vaginal delivery
Objective To explore the application effects of routine postpartum guidance and health education,health education based on gain framework,and health education based on loss framework in pelvic floor muscle reha-bilitation of primiparous women with vaginal delivery.Methods A total of 120 primiparous women admitted in the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine from March 2022 to March 2023 were selected as the study subjects,and were divided into a control group,a gain-frame group,and a loss-frame group with 40 cases in each group using computer randomization program.However,3 cases dropped off in the control group,2 cases dropped off in the gain frame group,and 2 cases dropped off in the loss frame group.A total of 113 cases were finally enrolled,including 37 cases in the control group,38 cases in the gain-frame group,and 38 cases in the loss-frame group.The control group received routine postpartum guidance and health education,and the gain-frame group received health education based on the gain-frame on the basis of the control group,and the loss-frame group received health education based on the loss-frame on the basis of the control group.After 42 days of interven-tion,the disease cognition level,self-efficacy,and compliance were compared among 3 groups.Results(1)In terms of disease cognition and self-efficacy,there were no statistically significant differences among the control group,the gain-frame group,and the loss-frame group before intervention(P＞0.05),and both the loss-frame group and the gain-frame group were better than the control group,with the loss-frame group being superior to the gain-frame group,and the differences were all statistically significant(P＜0.05).(2)In terms of compliance,there were no statistically significant differences among the control group,the gain-frame group,and the loss-frame group before intervention(P＞0.05),and the loss-frame group was better than the gain-frame group and the control group(P＜0.05),but the difference between the gain-frame group and the control group was not statistically significant(P＞0.05).Conclusion Health education based on the message framework theory can improve the cognitive level of pelvic floor muscle rehabilitation,self-efficacy,and exercise adherence among primiparous patients with transvaginal deliv-ery.In the future,multi-center and large-sample clinical studies are still needed,as well as studies and research on the specific appropriate populations for the gain frame and loss frame,in order to promote the clinical promotion and application of health education based on the message frame theory.
万方数据
维普
