摘要
目的探索生物电反馈刺激与心理护理联合治疗对产后女性性功能障碍(FSD)的改善效果。方法采用随机数字表法将118例产后FSD患者分为对照组(n=59)和观察组(n=59),对照组给予生物电反馈刺激,观察组给予生物电反馈刺激及改良式心理护理联合治疗,疗程12周。于治疗前、后第12周评定患者盆底肌力、膀胱生物学功能并评估患者的抑郁(9条目患者健康问卷)、焦虑(7条目焦虑问卷)和性功能(女性性功能量表,FSFI)水平。结果观察组治疗后盆底肌力改善率优于对照组(P<0.05)。观察组与对照组膀胱初感充盈量与最大充盈量在治疗后均高于治疗前(P<0.05),且治疗后观察组的膀胱初感充盈量与最大充盈量高于对照组(P<0.05)。治疗结束后,观察组焦虑与抑郁评分低于对照组(P<0.05),而且观察组FSFI各项得分、总分均比对照组高(P<0.05)。结论生物电反馈刺激联合心理护理治疗能够有效提高初产妇FSD患者盆底功能、改善膀胱生物学功能,而且缓解了患者抑郁焦虑情绪、促进了性生活质量。
Objective To explore the improvement effect of biofeedback electrical stimulation in combination with psychological nursing in the treatment of postpartum female sexual dysfunction(FSD).Methods A total of 118 postpartum FSD patients were divided into control group(n=59)and observation group(n=59)by random number table method.The control group was only given biofeedback electrical stimulation,and the observation group was given biofeedback electrical stimulation combined with improved psychological nursing,with a treatment course of 12 weeks.Pelvic floor muscle strength,bladder biological function,and depression(Patient Health Questionnaire-9),anxiety(Generalized Anxiety Disorder-7)and sexual function(Female Sexual Function Index,FSFI)were evaluated before and 12 weeks after treatment.Results The improvement rate of pelvic floor muscle strength in the observation group was higher than that in the control group after treatment(P<0.05).After treatment,the initial and maximum bladder filling volumes in the observation group and the control group were higher than those before treatment(P<0.05).The initial and maximum bladder filling volumes in the observation group were higher than those in the control group after treatment(P<0.05).After treatment,the anxiety and depression scores in the observation group were lower than those in the control group(P<0.05),and the scores of each item and the total scores from FSFI in the observation group were higher than those in the control group(P<0.05).Conclusion Biofeedback electrical stimulation combined with psychological nursing can effectively improve the pelvic floor function and bladder biological function of postpartum FSD patients,and alleviate their depression and anxiety and promote their quality of sexual life.
作者
张馨
安慧
蔡敏
张红菊
ZHANG Xin;AN Hui;CAI Min;ZHANG Hongju(Department of Obstetrics and Gynecology,Xijing Hospital,Air Force Medical University,Xi'an 710032,China;Department of Psychosomatic Medicine,Xijing Hospital,Air Force Medical University,Xi'an 710032,China)
出处
《空军军医大学学报》
CAS
2024年第5期563-566,共4页
Journal of Air Force Medical University
基金
国家自然科学基金青年科学基金(81701145)。
关键词
心理护理治疗
生物电反馈刺激
产后女性性功能障碍
性生活质量
盆底肌力
psychological nursing treatment
biofeedback electrical stimulation
postpartum female sexual dysfunction
quality of sexual life
pelvic floor muscle strength
