首页|基于助产士团队主导模式的康复护理对初产妇产后盆底肌力恢复及尿流动力学的影响

基于助产士团队主导模式的康复护理对初产妇产后盆底肌力恢复及尿流动力学的影响

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目的:探讨基于助产士团队主导模式的康复护理在初产妇中的应用效果。方法:选择2020年3月至2021年8月平原县第一人民医院收治的初产妇96例,按随机数字表法分为两组。对照组(48例)实施常规护理,观察组(48例)在对照组基础上实施基于助产士团队主导模式的康复护理,两组均持续护理3个月。对两组患者的盆底肌力指标、尿流动力学指标、生活质量及护理满意度进行对比。结果:观察组盆底肌力评分明显比对照组高(P<0。05);观察组最大尿道闭合压力、腹压漏尿点压、最大尿流率、最大逼尿肌压力水平均比对照组高(P<0。05);观察组与对照组的生活质量综合评定问卷(GQOLI-74)中的心理评分、躯体情况、社会功能反馈及物质生活维度等相比较,观察组评分明显偏高(P<0。05);与对照组护理后相比,观察组护理满意度较高(P<0。05)。结论:针对初产妇实施基于助产士团队主导模式的康复护理,能够促进盆底肌力的恢复,改善尿流动力学与生活质量,护理满意度较高。
Influence of rehabilitation nursing based on midwife team-led model on postpartum pelvic floor muscle strength and urodynamics in primipara
Objective:To explore the effect of rehabilitation care based on midwifery team-led model in primiparous women.Methods:Ninety-six cases of primiparous women admitted to the First People's Hospital of Plain County from March 2020 to August 2021 were selected and divided into two groups according to the random number table method.The control group(48 cases)implemented conventional care,and the observation(48 cases)group implemented rehabilitation care based on midwife team-led model on the basis of the control group,and both groups continued care for 3 months.The pelvic floor muscle strength index,urodynamic index,quality of life and nursing satisfaction of the two groups were compared.The results showed that the pelvic floor muscle strength score was significantly higher in the observation group than in the control group,and the difference was statistically significant(P<0.05);the levels of maximum urethral closure pressure,abdominal pres-sure leakage point pressure,maximum urinary flow rate,and maximum forced urinary muscle pressure were higher in the ob-servation group than in the control group,and the difference was statistically significant(P<0.05);the psychological The difference was statistically significant(P<0.05);compared with the control group,the observation group had higher scores on the psychological,somatic condition,social function feedback and physical life dimensions of the GQOLI-74;compared with the control group,the observation group had higher satisfaction with nursing care,and the difference was statistically signifi-cant(P<0.05).Conclusion:Rehabilitation nursing based on midwife team-led model has better application effect in primi-gravida,which is conducive to promoting the recovery of pelvic floor muscle strength,improving urodynamics and quality of life,and higher nursing satisfaction.

PrimiparaMidwife team-led modelRehabilitation nursingPelvic floor muscle strengthUrodynamicsQuality of life

姚敏、陈庆花

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平原县第一人民医院产科,山东 德州 253100

初产妇 助产士团队主导模式 康复护理 盆底肌力 尿流动力学 生活质量

2024

中外女性健康研究
武汉大学

中外女性健康研究

ISSN:2096-0417
年,卷(期):2024.(1)
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