摘要
目的 探究生物反馈电刺激联合产后康复延伸护理在高龄产妇产后康复中对盆底肌力及并发症的影响。方法 回顾性选取2023年1—7月在明溪县总医院分娩的72例高龄产妇的临床资料,按不同护理方式分为对照组35例、观察组37例。对照组接受常规产后护理,观察组在此基础上给予生物反馈电刺激联合产后康复延伸护理。比较两组护理前后盆底肌力水平,具体为阴道静息压(vaginal resting pressure, VRP)、阴道收缩持续时间以及阴道收缩压(vaginal squeezing pressure, VSP)水平;以两组护理前后生活质量综合评定问卷(Generic Quality of Life Inventory-74, GOLI-74)评分作为生活质量水平的评估标准;并统计两组并发症发生情况。结果 护理前,两组VRP、阴道收缩持续时间、VSP水平对比,差异无统计学意义(P>0.05);护理后,观察组VRP、VSP均高于对照组,阴道收缩持续时间长于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率为2.70%,低于对照组的22.86%,差异有统计学意义(χ^(2)=4.964,P<0.05)。护理前,两组GOLI-74中5个维度评分及总分对比,差异无统计学意义(P>0.05);护理后,观察组GOLI-74中5个维度评分及总分均高于对照组,差异有统计学意义(P<0.05)。结论 在高龄产妇产后康复中实施生物反馈电刺激联合产后康复延伸护理可以有效改善盆底肌力水平,减少并发症发生率,并提高生活质量水平。
Objective To explore the effects of biofeedback electrical stimulation combined with extended postpartum rehabilitation nursing on pelvic floor muscle strength and complications in the postpartum rehabilitation of elderly parturients.Methods The clinical records of 72 elderly parturients who gave birth in Mingxi General Hospital from January to July 2023 were retrospectively selected and were divided into control group(35 cases)and observation group(37 cases)according to different nursing methods.The control group received routine postpartum care,and the observation group was given biofeedback electrical stimulation combined with extended postpartum rehabilitation care on this basis.The levels of pelvic floor muscle strength before and after care were compared between the two groups,including vaginal resting pressure(VRP),duration of vaginal contraction and vaginal squeezing pressure(VSP).The Generic Quality of Life Inventory-74(GOLI-74)scores were used to evaluate the quality of life of the two groups before and after nursing.The incidence of complications in the two groups was analyzed.Results There was no statistically significant difference in VRP,duration of vaginal contraction and VSP level between the two groups before nursing(P>0.05);after nursing,VRP and VSP in the observation group were higher than those in the control group,and the dura-tion of vaginal contraction was longer than that in the control group,and the differences were statistically significant(P<0.05).The total incidence rate of complications in the observation group was 2.70%,lower than 22.86%in the control group,and the difference was statistically significant(χ^(2)=4.964,P<0.05).There was no statistically significant dif-ference in the scores of the 5 dimensions and total scores of GOLI-74 between the two groups before nursing(P>0.05);after nursing,the scores of the 5 dimensions and total scores of GOLI-74 in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conc
作者
黄娟
严雪芳
张秀娣
HUANG Juan;YAN Xuefang;ZHANG Xiudi(Department of Obstetrics and Gynecology,Mingxi County General Hospital,Mingxi,Fujian Province,365200 China)
出处
《中外医疗》
2023年第33期147-151,共5页
China & Foreign Medical Treatment
关键词
生物反馈电刺激
产后康复延伸护理
高龄产妇
产后康复
盆底肌力
Biofeedback electrical stimulation
Postpartum rehabilitation extended nursing
Elderly parturient women
Postpartum rehabilitation
Pelvic floor strength
