|
|
|
| Current status and influencing factors of pelvic floor muscle training in women with stress urinary incontinence |
| KONG Junmei XIE Junfang WU Hengshuang HOU Ying LI Sumei ZHANG Fengzhi▲ |
| Department of Gynecology,the Third Affiliated Hospital of Zhengzhou University,He′nan Province,Zhengzhou 450052,China |
|
|
|
|
Abstract Objective To analyze the current situation and influencing factors of pelvic floor muscle training for female stress urinary incontinence. Methods A total of 94 patients with stress urinary incontinence who were treated in the Department of Gynecology, the Third Affiliated Hospital of Zhengzhou University from October 2019 to October 2020 were selected as the research objects. The implementation status of pelvic floor muscle training was investigated by questionnaire. According to the results, the patients were divided into the implementation group and the non-implementation group, and the influencing factors were analyzed. Results Among 94 patients with stress urinary incontinence, 41 patients (43.62%) performed pelvic floor muscle training, 53 cases (56.38%) did not perform pelvic floor muscle training. Univariate analysis showed that age, highest level of education, mode of delivery, weight gain, and current presence or absence of urinary incontinence were associated with the status of pelvic floor muscle training (P<0.05). Multivariate logistic regression analysis showed that weight gain (P=0.013, OR=2.855, 95%CI: 1.244-6.554) and urinary incontinence (P=0.001, OR=3.710, 95%CI: 1.718-8.013) were independent influencing factors of pelvic floor muscle training implementation. Conclusion The pelvic floor muscle training of patients with stress urinary incontinence is not well performed, and weight gain and the presence of urinary incontinence are independent influencing factors. Effective nursing interventions should be actively implemented to improve the implementation rate of pelvic floor muscle training in patients with stress urinary incontinence.
|
|
|
|
|
|
| [1] |
谭杏英，李雪芬.盆底肌康复训练联合心理护理在产后压力性尿失禁护理中的作用[J].中国医药指南，2020，8（13）：230-231.
|
| [2] |
徐雪芬，冯素文，胡引，等.音频指导居家盆底肌锻炼对压力性尿失禁孕妇产后盆底康复的效果评价[J].中华护理教育，2021，18（6）：500-505.
|
| [3] |
朱兰，孙智晶.女性压力性尿失禁诊断和治疗指南（2017）[J].中华妇产科杂志，2017，52（5）：289-293.
|
| [4] |
薄海欣，陈洁，范国荣，等.延续性护理模式在压力性尿失禁患者盆底肌康复居家治疗中的应用效果[J].中华现代护理杂志，2017，23（14）：1896-1900.
|
| [5] |
万丽,孙金燕,顾银燕.盆底肌训练对产后压力性尿失禁的疗效观察及影响因素分析[J].东南国防医药，2021，23（2）：194-197.
|
| [6] |
张明娜，肖倩，吴瑛.产褥期妇女盆底肌功能锻炼知信行及需求现状调查[J].中华现代护理杂志，2017，23（30）：3862-3869.
|
| [7] |
夏杰，段霞，于婵，等.盆底肌训练改善产后压力性尿失禁的meta 分析[J].重庆医学，2020，49（22）：3817-3822.
|
| [8] |
Soave I，Scarani S，Mallozzi M，et al.Pelvic floor muscle training for prevention and treatment of urinary incontinence during pregnancy and after childbirth and its effect on urinary system and supportive structures assessed by objective measurement techniques[J].Arch Gynecol Obstet，2019，299（3）：609-623.
|
| [9] |
寇娟.盆底康复训练对预防产后压力性尿失禁的疗效观察[J].航空航天医学杂志，2020，31（12）：1466-1467.
|
| [10] |
郑涌琪，梁咏，左小红.产后进行盆底肌肉训练对盆底肌肉张力的影响以及对盆底功能的作用分析[J].中国医药科学，2020，10（5）：101-103.
|
| [11] |
欧阳欢，黄婷.集束化护理联合盆底肌功能锻炼对阴道分娩后压力性尿失禁患者的影响[J].基层医学论坛，2021，25（24）：3549-3550.
|
| [12] |
Temtanakitpaisan T，Bunyavejchevin S，Buppasiri P，et al.Knowledge, Attitude, and Practices （KAP） Survey towards Pelvic Floor Muscle Training （PFMT） among pregnant women[J].Int J Womens Health，2020，17（12）：295-299.
|
| [13] |
曾金华，郑翠仙.不同分娩方式对产妇产后压力性尿失禁及盆腔器官脱垂的影响[J].中国妇幼保健，2021，36（6）：1246-1248.
|
| [14] |
程欢，谷瑞芮，吴丽萍.产后压力性尿失禁妇女盆底肌训练知信行现状及影响因素分析[J].中华现代护理杂志，2021，27（9）：1185-1189.
|
| [15] |
黄慧芬，郭昕欣，管建英.综合护理方案在防治产后女性压力性尿失禁中的价值[J].基层医学论坛，2020，24（30）：4303-4304.
|
| [16] |
牛文芳.对女性压力性尿失禁实施盆底肌康复治疗和护理效果进行研究[J].智慧健康，2021，7（26）：133-135.
|
| [17] |
陈洁，范国荣，薄海欣.产后压力性尿失禁患者盆底肌训练现状及应对策略的研究进展[J].中国护理管理，2021，21（4）：608-612.
|
| [18] |
Asklund I，Nystrom E，Sjo stro m M，et al.Mobile app for treatment of stress urinary incontinence：a randomized controlled trial[J].Neurourol Urodyn，2017，36（5）：1369-1376.
|
| [19] |
贾静，徐晶晶，仇晓溪.医院-社区-家庭失禁护理平台在压力性尿失禁患者管理中的应用研究[J].中华护理杂志，2018，53（5）：533-536.
|
|
|
|
