摘要
目的探讨交互式群组管理模式在产后腹直肌分离产妇中的应用效果,为优化腹直肌分离产妇的健康管理提供参考依据。方法采用随机对照试验方法,便利抽样选取2022年1—6月在镇江市妇幼保健院就诊的114例产后腹直肌分离的产妇作为研究对象,按照随机数字表法将产妇分为干预组和对照组各57例。对照组实施常规健康指导,干预组在对照组基础上实施交互式群组管理。比较2组产妇干预前后腹直肌分离间距、康复知信行水平、自我效能感、八级腹桥一级测试时间的变化及产妇康复锻炼完成率。结果最终干预组纳入55例,对照组纳入56例。干预12周后干预组产妇腹直肌分离间距为(2.27±0.47)cm,对照组为(2.48±0.39)cm,2组比较差异有统计学意义(t=2.53,P<0.05)。干预组腹直肌分离康复知信行总分及知识、信念、行为得分分别为(106.84±5.78)、(61.53±4.29)、(25.42±2.26)、(19.89±1.89)分,对照组分别为(73.77±8.33)、(38.48±7.56)、(20.73±3.07)、(13.55±1.99)分,2组比较差异均有统计学意义(t值为9.16~24.28,均P<0.01)。干预组一般自我效能感评分为(27.47±3.16)分,对照组为(26.05±3.43)分,2组比较差异有统计学意义(t=2.26,P<0.05)。干预组八级腹桥一级测试时间为(80.29±11.50)s,高于对照组的(29.39±6.09)s,差异有统计学意义(t=29.20,P<0.01)。干预组康复锻炼完成率为(90.20±1.83)%,高于对照组的(69.52±8.04)%,差异有统计学意义(t=13.73,P<0.01)。结论交互式群组管理能明显改善腹直肌分离产妇的腹直肌分离间距,提高产妇的腹直肌分离康复知信行水平和康复锻炼依从性,提升产妇自我效能感,延长产妇八级腹桥一级测试时间,提高产妇腹部核心肌力。
Objective To explore the application effect of interactive group management mode in puerpera with postpartum diastasis recti abdominis,and to provide reference for optimizing the health management of puerpera with rectus abdominis separation.Methods This study was a randomized controlled trial.Convenience sampling method was used to select 114 puerpera with postpartum diastasis recti abdominis who were treated in Maternal and Child Health Hospital of Zhenjiang City from January to June 2022 as the research objects.According to the random number table method,the postpartum women were divided into an intervention group and a control group with 57 cases each.The intervention group received interactive group management for 12 weeks,while the control group received routine health guidance.Before and after the intervention,the two groups were evaluated by diastasis recti abdominis,rehabilitation knowledge-attitude-practice,general self-efficacy,and the duration of the first-level test results of the eight-level abdominal bridge.Results The 55 cases were included in the final intervention group,while 56 cases were included in the control group.After intervention,the separation distance of rectus abdominis of the intervention group was(2.27±0.47)cm,and that of the control group was(2.48±0.39)cm.The difference between the two groups was statistically significant(t=2.53,P<0.05).The knowledge-attitude-practice total score and each item score of diastasis recti abdominis rehabilitation in the intervention group were(106.84±5.78),(61.53±4.29),(25.42±2.26),(19.89±1.89)points respectively while in the control group were(73.77±8.33),(38.48±7.56),(20.73±3.07),(13.55±1.99)points.The differences between the two groups were statistically significant(t values were 9.16-24.28,all P<0.01).The general self-efficacy score of the intervention group was(27.47±3.16)points,and that of the control group was(26.05±3.43)points.The difference between the two groups was statistically significant(t=2.26,P<0.05).The first-level test tim
作者
孙逸云
冯薇
冯军亚
樊萌
Sun Yiyun;Feng Wei;Feng Junya;Fan Meng(Medical College of Jiangsu University,Zhenjiang 212013,China;Department of Obstetrics,Maternal and Child Health Hospital of Zhenjiang City,Zhenjiang 212008,China;Department of Traditional Chinese Medicine,Zhenjiang Third Hospital Affiliated to Jiangsu University,Zhenjiang 212009,China)
出处
《中国实用护理杂志》
2023年第32期2494-2501,共8页
Chinese Journal of Practical Nursing
基金
江苏大学临床医学科技发展基金项目(JLY2021015)。
关键词
产妇
交互式群组管理
腹直肌分离
知信行
Puerpera
Interactive group management
Diastasis recti abdominis
Knowledge-attitude-practice
