妊娠糖尿病产妇产褥期盆底肌训练依从性现状及其影响因素
Current status of puerperal pelvic floor muscle training compliance in women with gestational diabetes mellitus and its influencing factors
何小程 1赵惠芬2
作者信息
- 1. 福建医科大学附属第二医院产科,福建泉州 362000
- 2. 福建医科大学附属第二医院护理部,福建泉州 362000
- 折叠
摘要
目的 调查妊娠糖尿病(gestational diabetes mellitus,GDM)产妇产褥期盆底肌训练依从性现状,并分析其影响因素.方法 选取2021年6-11月在泉州市三级甲等医院建档并分娩的180例GDM产妇,采用一般资料调查表、盆底肌训练依从性问卷、中文版产后社会支持量表及盆底肌训练自我效能量表对其进行调查.结果 GDM产妇产褥期盆底肌训练依从性评分为(8.24±1.52)分.多元线性回归分析结果显示,文化程度、产后社会支持水平、自我效能是GDM产妇产褥期盆底肌训练依从性的独立影响因素(R2=0.705,调整后R2=0.703;F=67.327,P<0.001).结论 GDM产妇产后盆底肌训练依从性处于较低水平,医护人员应重点关注文化程度低、产后社会支持水平及自我效能低的产妇,采取针对性的干预措施,以提高GDM产妇产褥期盆底肌训练依从性,促进其产后康复.
Abstract
Objective To investigate the status quo of pelvic floor muscle training compliance in puerperal women with gestational diabetes mellitus(GDM),and analyze the influencing factors.Methods A total of 180 GDM women registering and giving birth between June and November 2021 in grade-A tertiary hospitals in Quanzhou city were selected and surveyed using a general condition questionnaire,the pelvic floor muscle training compliance questionnaire,Chinese version of postpartum social support scale and pelvic floor muscle training self-efficacy scale.Results The score of pelvic floor muscle training compliance was(8.24±1.52)points.The results of multiple linear regression analysis showed that education level,postpartum social support level and self-efficacy were independent influencing factors for the training compliance(R2=0.705,adjusted R2=0.703;F=67.327,P<0.001).Conclusion Postpartum pelvic floor muscle training compliance of GDM parturients is at a low level.Special attention should be given to parturients with lower education level,postpartum social support and self-efficacy,and targeted measures should be taken to improve their compliance,thus promoting postpartum rehabilitation.
关键词
妊娠糖尿病/产褥期/盆底肌训练/依从性/影响因素Key words
Gestational diabetes mellitus/Puerperal period/Pelvic floor muscle training/Compliance/Influencing factor引用本文复制引用
出版年
2024