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预防医学  2022, Vol. 34 Issue (7): 751-755    DOI: 10.19485/j.cnki.issn2096-5087.2022.07.021
  妇幼保健 本期目录 | 过刊浏览 | 高级检索 |
产后盆底肌训练依从性的影响因素分析
曹慧, 章丽英, 钱军
浙江大学医学院附属杭州市第一人民医院产科,浙江 杭州 310006
Analysis of factors affecting the compliance of postpartum pelvic floor muscle training
CAO Hui, ZHANG Liying, QIAN Jun
Department of Obstetrics, Hangzhou First People's Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou, Zhejiang 310006, China
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摘要 目的 了解产后盆底肌训练依从性的影响因素,为预防产后盆底功能障碍性疾病(PFD)提供参考。方法 2021年8—12月,采用方便抽样法抽取在浙江大学医学院附属杭州市第一人民医院分娩的产妇为调查对象,采用《盆底肌训练依从性问卷》调查产妇盆底肌训练依从性;收集年龄、文化程度、分娩方式、盆底功能障碍自觉症状、自我效能水平和产后抑郁状况等资料,采用多重线性回归模型分析产后盆底肌训练依从性的影响因素。结果 发放问卷250份,回收有效问卷241份,回收有效率为96.40%。产妇年龄为(29.19±3.62)岁。大专及以上学历187人,占75.60%。有抑郁症状31人,占12.86%。初产妇148人,占61.41%。阴道分娩164人,占68.05%。产后盆底肌训练依从性得分为(10.38±4.10)分。多重线性回归分析结果显示,大专及以上学历(β'=0.377)、有盆底功能障碍自觉症状(β'=0.186)、配偶支持(β'=0.209)、接受过盆底康复健康教育(β'=0.221)、自我效能得分较高(β'=0.314)和有抑郁症状(β'=-0.295)影响产后盆底肌训练依从性。结论 产后盆底肌训练依从性与产妇文化程度、盆底功能障碍自觉症状、盆底康复健康教育、自我效能、抑郁心理和配偶支持有关。
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曹慧
章丽英
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关键词 产妇盆底肌训练依从性自我效能抑郁    
AbstractObjective To analyze the factors affecting the compliance of postpartum pelvic floor muscle training, so as to provide insights into prevention of postpartum pelvic floor dysfunction (PFD). Methods The lying-in women with delivery at the Hangzhou First People's Hospital Affiliated to Zhejiang University School of Medicine were sampled using the convenient sampling method from August to December, 2021. Their compliance of pelvic floor muscle training was investigated using the questionnaires for compliance of pelvic floor muscle training, and their age, educational level, types of delivery, subjective symptoms of PFD, self-efficacy level and postpartum depression were collected. The factors affecting the compliance of postpartum pelvic floor muscle training were identified using a multivariable linear regression model. Results A total of 250 questionnaires were allocated, and 241 were recovered, with an effective recovery rate of 96.40%. The lying-in women had a mean age of (29.19±3.62) years, and 75.60% had an educational level of diploma and above. There were 31 women with depression (12.86%), 148 primiparous women (61.41%) and 164 women with vaginal delivery (68.05%). The mean score of compliance of postpartum pelvic floor muscle training was (10.38±4.10) scores. In addition, multivariable linear regression analysis identified an educational level of diploma and above (β'=0.377), subjective symptoms of PFD (β'=0.186), spouse support (β'=0.209), having received health education about pelvic floor rehabilitation (β'=0.221), a high self-efficacy score (β'=0.314) and presence of depressive symptoms (β'=-0.295) as factors affecting the compliance of postpartum pelvic floor muscle training. Conclusions The compliance of postpartum pelvic floor muscle training is associated with maternal educational levels, subjective symptoms of PFD, health education about pelvic floor rehabilitation, self-efficacy, depression and spouse support.
收稿日期: 2022-03-07      修回日期: 2022-04-25      出版日期: 2022-07-10
中图分类号:  R172  
通信作者: 钱军,E-mail:medicinen@163.com   
作者简介: 曹慧,硕士,护师,主要从事妇幼保健工作
引用本文:   
曹慧, 章丽英, 钱军. 产后盆底肌训练依从性的影响因素分析[J]. 预防医学, 2022, 34(7): 751-755.
CAO Hui, ZHANG Liying, QIAN Jun. Analysis of factors affecting the compliance of postpartum pelvic floor muscle training. Preventive Medicine, 2022, 34(7): 751-755.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.07.021      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I7/751
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