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目的个体化护理作为一种新兴的护理模式,在康复过程中发挥重要作用。本次临床研究主要探讨不同时机的个体化产后盆底康复护理效果。方法筛选茂名市中医院2015年11月-2016年4月自然分娩单胎产妇100例,分为试验组75例和对照组25例,试验组采取盆底康复护理,对照组采取常规的盆底康复宣讲及基本的产后护理。最终根据产后开始行个体化盆底康复护理的时间不同,将试验组平均分为3组,每组25例,均采用个体化产后盆底护理,但甲组产后6~8周开始护理,乙组产后8~10周开始护理,丙组产后10~13周开始护理;丁组为对照组,采取常规的盆底康复宣讲及基本的产后护理。分别记录以上产妇在护理前、护理结束时及护理结束后42周产妇盆底静息压力以及盆底收缩压力。结果 1与对照组相比,试验组产妇盆底静息压力及盆底收缩压力数值明显增高,差异具有统计学意义(P<0.05);2甲、乙、丙3组间,在个体化产后盆底护理结束时及结束后42周,盆底静息压力及盆底收缩压力数值两两比较,差异无统计学意义(P>0.05)。结论个体化盆底康复护理可以明显改善产后盆底功能,但是不同时机进行个体化康复护理,对产妇盆底功能康复无明显影响。
The purpose of individualized nursing as a new mode of care, play an important role in the rehabilitation process. The clinical study focused on different opportunities for individual postpartum pelvic floor rehabilitation nursing effect. Methods Screening Maoming City Hospital of traditional Chinese medicine from November 2015 to April 2016 100 cases of single childbirth of spontaneous labor, divided into experimental group of 75 cases and control group of 25 cases, the experimental group to take pelvic floor rehabilitation nursing, the control group to take conventional pelvic floor Rehabilitation preaching and basic postnatal care. Finally, according to the time of individualized pelvic floor rehabilitation nursing postpartum line different time, the experimental group were divided into three groups, 25 cases in each group, the individual postpartum pelvic floor care, but Group A postpartum 6 to 8 weeks of care, B Group 8 to 10 weeks after the start of nursing care, group C postpartum 10 to 13 weeks of care; group D as the control group, to take a conventional pelvic floor rehabilitation preaching and basic postnatal care. The maternal pelvic floor resting pressure and pelvic floor systolic pressure were recorded before nursing, at the end of nursing and after 42 weeks of nursing respectively. Results 1 Compared with the control group, the resting pressure of the pelvic floor and the value of pelvic floor systolic pressure in the experimental group were significantly increased (P <0.05). In the 2 groups of A, B and C, At the end of pelvic floor care and 42 weeks after the end of pelvic floor resting pressure and pelvic systolic pressure numerical comparison, the difference was not statistically significant (P> 0.05). Conclusion Individualized pelvic floor rehabilitation nursing can significantly improve pelvic floor function, but individualized rehabilitation nursing at different time has no significant effect on pelvic floor functional rehabilitation.