妇产康复治疗仪联合盆底训练对初产妇剖宫产术后泌乳、自护能力及生活质量的影响
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摘要
目的研究妇产康复治疗仪联合盆底训练对初产妇剖宫产术后泌乳、自护能力及生活质量的影响。方法选取山东省聊城市第三人民医院进行分娩的初产妇102例,采用数字表法随机分为对照组和试验组。对照组给予常规护理,试验组在对照组的基础上再给予妇产康复治疗仪联合盆底训练。比较2组产妇产后泌乳功能、自护能力及生活质量的差异。结果试验组产妇产后泌乳始动时间、产后24h泌乳量、产后48h母乳喂养率及出院当天纯母乳喂养率均显著优于对照组,2组差异有统计学意义(P <0.05);与对照组相比,试验组在自护责任感、自我概念、自护技能和自护健康知识水平均有所改善,差异有统计学意义(P <0.05);出院时,试验组产妇的生理健康、心理健康、社会关系和周围环境方面与对照组产妇相比,差异具有统计学意义(P <0.05)。结论妇产康复治疗仪联合盆底训练能有效促进初产妇剖宫产后康复,可提高泌乳功能和自护能力,促进产后生活质量的提高。
Objective To study the effect of gynecology and obstetrics rehabilitation therapy instrument combined with pelvic floor training(GORTI+PFT)on postpartum lactation,self-care ability and quality of life of primipara.Methods A total of 102 primipara who delivered in the hospital were randomly divided into control group and experimental group by digital table method.The control group was treated with routine nursing,while the experimental group was treated with(GORTI+PFT)on the basis of the routine nursing.The differences in postpartum lactation function,self-care ability and quality of life be-tween two groups were compared.Results The postpartum lactation initiation time,24 hours postpartum lactation volume,48 hours postpartum breast feeding rate and exclusive breast feeding rate on discharge day in the experimental group were significantly better than those in the control group,and the difference between the two groups was statistically significant(P <0.05).There was a significant difference in physical health,mental health,social relations and surrounding environment between the two groups(P <0.05).Conclusion The gynecology and obstetrics rehabilitation therapy instrument combined with pelvic floor training can effectively promote the primipara′s postpartum rehabilitation,improve the lactation function and self-care ability,and promote the improvement of postpartum quality of life.
Objective To study the effect of gynecology and obstetrics rehabilitation therapy instrument combined with pelvic floor training(GORTI+PFT)on postpartum lactation,self-care ability and quality of life of primipara.Methods A total of 102 primipara who delivered in the hospital were randomly divided into control group and experimental group by digital table method.The control group was treated with routine nursing,while the experimental group was treated with(GORTI+PFT)on the basis of the routine nursing.The differences in postpartum lactation function,self-care ability and quality of life be-tween two groups were compared.Results The postpartum lactation initiation time,24 hours postpartum lactation volume,48 hours postpartum breast feeding rate and exclusive breast feeding rate on discharge day in the experimental group were significantly better than those in the control group,and the difference between the two groups was statistically significant(P <0.05).There was a significant difference in physical health,mental health,social relations and surrounding environment between the two groups(P <0.05).Conclusion The gynecology and obstetrics rehabilitation therapy instrument combined with pelvic floor training can effectively promote the primipara′s postpartum rehabilitation,improve the lactation function and self-care ability,and promote the improvement of postpartum quality of life.
引文
[1]侯晓艳.妇产康复治疗仪对初产妇产后康复的临床观察与研究[J].中国卫生标准管理,2015,6(13):39-40.
[2]郭路,张菁,叶朝.孕期实施联想分娩与Kegel运动对孕妇分娩结局的影响[J].护士进修杂志,2018,33(6):540-543.
[3]汪魏魏.剖宫产术后康复治疗仪的应用及其对母乳喂养心理因素的影响[J].中国全科医学,2017,20(7):207-209.
[4]裘轶超,张珂,邱丽倩.再生育妇女产后盆底肌康复状况观察与分析[J].实用妇产科杂志,2017,33(2):101-104.
[5]罗旭雯,程莉.Orem自护模式在产妇自然阴道分娩产后自护能力中的应用效果[J].中国当代医药,2016,23(26):195-196.
[6]王倩倩,王建华.夜班护士WHOQOL-BREF量表测试及信、效度评价[J].中国公共卫生,2013,29(1):111-114.
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[8]辛菊云.妇产康复治疗仪对产妇产后子宫修复、泌乳及新生儿预后的影响[J].双足与保健,2018,19(8):38-39.
[9]由利.妇产康复治疗仪促进泌乳和子宫收缩的临床效果评价[J].中国医疗器械信息,2018,44(7):97-98.
[10]孙智晶,朱兰,郎景和,等.盆底肌肉训练在盆底功能障碍性疾病防治中的作用[J].中华妇产科杂志,2017,52(2):138-140.
[11] GRUMMER-STRAWN L M,SHEAL Y K R,PERRINE C G,et al.Maternity care practices that support breastfeeding:CDC efforts to encourage quality improvement[J].J Womens Health,2013,22(2):107-112.
[12]邱嵘,花芸,涂红星,等.社会支持和分娩自我效能增强干预对初产妇分娩应对能力的影响[J].重庆医学,2017,46(10):1319-1322.
[13]杜亚飞,王旭,代丽丽,等.雌激素联合盆底康复治疗仪在妇女盆底功能障碍的中的应用效果[J].重庆医学,2017,46(23):3261-3263.
[2]郭路,张菁,叶朝.孕期实施联想分娩与Kegel运动对孕妇分娩结局的影响[J].护士进修杂志,2018,33(6):540-543.
[3]汪魏魏.剖宫产术后康复治疗仪的应用及其对母乳喂养心理因素的影响[J].中国全科医学,2017,20(7):207-209.
[4]裘轶超,张珂,邱丽倩.再生育妇女产后盆底肌康复状况观察与分析[J].实用妇产科杂志,2017,33(2):101-104.
[5]罗旭雯,程莉.Orem自护模式在产妇自然阴道分娩产后自护能力中的应用效果[J].中国当代医药,2016,23(26):195-196.
[6]王倩倩,王建华.夜班护士WHOQOL-BREF量表测试及信、效度评价[J].中国公共卫生,2013,29(1):111-114.
[7]朱洁华.缩宫催乳汤联合产后康复治疗仪促进产后康复的效果观察[J].现代中西医结合杂志,2013,22(8):853-855.
[8]辛菊云.妇产康复治疗仪对产妇产后子宫修复、泌乳及新生儿预后的影响[J].双足与保健,2018,19(8):38-39.
[9]由利.妇产康复治疗仪促进泌乳和子宫收缩的临床效果评价[J].中国医疗器械信息,2018,44(7):97-98.
[10]孙智晶,朱兰,郎景和,等.盆底肌肉训练在盆底功能障碍性疾病防治中的作用[J].中华妇产科杂志,2017,52(2):138-140.
[11] GRUMMER-STRAWN L M,SHEAL Y K R,PERRINE C G,et al.Maternity care practices that support breastfeeding:CDC efforts to encourage quality improvement[J].J Womens Health,2013,22(2):107-112.
[12]邱嵘,花芸,涂红星,等.社会支持和分娩自我效能增强干预对初产妇分娩应对能力的影响[J].重庆医学,2017,46(10):1319-1322.
[13]杜亚飞,王旭,代丽丽,等.雌激素联合盆底康复治疗仪在妇女盆底功能障碍的中的应用效果[J].重庆医学,2017,46(23):3261-3263.