摘要
目的分析产后压力性尿失禁患者盆底康复训练依从性的影响因素。方法选取2021年3月至2022年8月在苍南县人民医院确诊为产后压力性尿失禁的130例患者进行盆底康复训练。单因素、多因素logistic回归分析产后压力性尿失禁患者盆底康复训练依从性的影响因素。结果130例患者中72例(55.4%)依从性好,58例(44.6%)依从性差。尿失禁程度评分(OR=1.413,P=0.015)、盆底表面肌电评估总分(OR=1.311,P<0.001)、快速收缩肌电值(OR=1.303,P=0.002)、持续收缩肌电值(OR=1.408,P=0.023)是产后压力性尿失禁患者盆底康复训练依从性的保护因素;尿失禁程度评分、盆底表面肌电评估总分、快速收缩肌电值、持续收缩肌电值每提高1分,患者训练依从性提升1.3~1.4倍。结论临床需积极进行盆底康复训练,给予更多积极正面的反馈,并着重关注尿失禁程度较轻的患者,有利于提高盆底康复训练的依从性。
Objective To analyze the influencing factors of compliance of pelvic floor rehabilitation training in patients with postpartum stress urinary incontinence.Methods A total of 130 patients diagnosed with postpartum stress urinary incontinence in Cangnan County People’s Hospital from March 2021 to August 2022 were selected for pelvic floor rehabilitation training.Univariate and multivariate logistic regression analysis were used to analyze the influencing factors of compliance of pelvic floor rehabilitation training in patients with postpartum stress urinary incontinence.Results Among 130 patients,72 cases(55.4%)had good compliance and 58 cases(44.6%)had poor compliance.Urinary incontinence score(OR=1.413,P=0.015),total score of pelvic floor surface electromyography assessment(OR=1.311,P<0.001),rapid contraction electromyography(OR=1.303,P=0.002),continuous contraction electromyography(OR=1.408,P=0.023)were the protective factors for the compliance of pelvic floor rehabilitation training in patients with postpartum stress urinary incontinence.The incontinence score,the total score of pelvic floor surface electromyography assessment,the rapid contraction electromyography value and continuous contraction electromyography value increased by 1 point,and the training compliance of patients increased by about 1.3-1.4 times.Conclusion It is necessary to actively carry out pelvic floor rehabilitation training in clinical practice,give more positive feedback,and focus on patients with mild urinary incontinence,which is conducive to improving the compliance of pelvic floor rehabilitation training.
作者
陈海棠
应佳微
CHEN Haitang;YING Jiawei(Department of Gynecology,Cangnan County People’s Hospital,Zhejiang Province,Cangnan 325800,China)
出处
《妇儿健康导刊》
2023年第8期86-89,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
基金
苍南县科技项目(2021S05)。
关键词
产后压力性尿失禁
盆底康复训练
依从性
影响因素
Postpartum stress urinary incontinence
Pelvic floor rehabilitation training
Compliance
Influencing factor
