Application of intervention program based on temporal self-regulation theory in pelvic floor muscle exercise for women during pregnancy
Objective To explore the application effect of the intervention program based on temporal self-regula-tion theory(TST)in pelvic floor muscle training(PFMT)for women in pregnancy.Methods A total of 100 cases of pregnant women who underwent regular maternity checkups in a tertiary-level A maternity and child specialty outpa-tient clinic in Taiyuan city,Shanxi province,from February to May 2023 were selected using convenience sampling method,and were divided into a control group and an intervention group of 50 cases each group by using the random number table method.However,2 cases in the control group were lost to follow-up and 1 case was withdrawn,and 1 case was withdrawn from the intervention group in the middle of the period.Finally,there were 47 cases of the control group and 49 cases of the intervention group,and a total of 96 cases were included.The control group used conventional PFMT preaching,and the intervention group used the TST-based intervention program based on the control group,and both groups were observed until 6-8 weeks postpartum.PFMT compliance,PFMT self-efficacy,urinary incontinence(UI)severity,and pelvic floor mus strength at 6-8 weeks postpartum were compared between the 2 groups of pregnant women before intervention,at 6 weeks after intervention,and at 6-8 weeks postpartum.Results(1)Before the intervention,there was no statistically significant difference in PFMT compliance,PFMT self-efficacy,and UI severity between the 2 groups(P>0.05).(2)At 6 weeks of intervention and 6-8 weeks post-partum,the PFMT compliance and PFMT self-efficacy of the intervention group were better than those of the con-trol group,and the differences were statistically significant(P<0.05),but the differences in the severity of UI were not statistically significant when comparing the 2 groups(P>0.05).(3)At 6-8 weeks postpartum,the pelvic floor muscle strength of the intervention group was better than that of the control group,and the difference was statisti-cally significant(P<0.05).Conclusion The TST-based intervention program can improve the compliance and self-efficacy of PFMT in women during pregnancy,and improve the pelvic floor muscle strength after delivery.