陈嘉莹

【摘要】 目的：觀察个体化康复护理干预对盆底功能障碍功能恢复和负面情绪的影响。方法：选择2017年1月-2018年12月在笔者所在医院就诊确诊为盆底功能障碍的患者112例，根据随机数字法将患者分为观察组和对照组，每组56例。对照组予以常规护理干预，观察组在对照组的基础上予以个体化康复护理干预。观察两组护理干预后盆底肌Ⅲ级以上百分比，两组干预前后PFDI-20、PFIQ-7、SAA、SDS、尿液残留和SF-36评分的比较。结果：观察组盆底肌Ⅲ级以上为96.43%，明显高于对照组的82.14%，观察组的盆底肌改善更为明显（字2=4.573，P<0.05）。两组干预前PFDI-20、PFIQ-7、SAS、SDS、尿液残留和SF-36评分差异无统计学意义（P>0.05），干预后两组PFDI-20、PFIQ-7、SAS、SDS和尿液残留均较干预前明显降低（P<0.01），而SF-36较干预前明显升高（P<0.01），而观察组降低或者升高幅度较对照组更为明显（P<0.01）。结论：个体化康复护理干预对盆底功能障碍具有较好的效果，改善患者症状，纠正患者的负面情绪，提高患者的生活质量。

【关键词】 康复护理; 护理干预; 盆底功能障碍; 负面情绪; 生活质量

doi：10.14033/j.cnki.cfmr.2019.27.045 文献标识码 B 文章编号 1674-6805（2019）27-0-03

Impact of Individualized Rehabilitation Nursing Intervention on Functional Recovery and Negative Emotion in Patients with Pelvic Floor Dysfunction/CHEN Jiaying.//Chinese and Foreign Medical Research，2019，17（27）：-106

【Abstract】 Objective：To observe the impact of individualized rehabilitation nursing intervention on functional recovery and negative emotion in pelvic floor dysfunction.Method：A total of 112 patients with pelvic floor dysfunction diagnosed in our hospital from January 2017 to December 2018 were divided into observation group and control group according to random number method，with 56 cases in each group.The control group received routine nursing intervention，and the observation group was given individualized rehabilitation nursing intervention on the basis of the control group.The percentage of pelvic floor muscles above grade Ⅲ was observed after treatment intervention.The PFDI-20，PFIQ-7，SAA，SDS，urine residue and SF-36 score were also observed in the two groups before and after intervention.Result：The percentage of pelvic floor muscles above grade Ⅲ in observation group was 96.43%， higher than 82.14% in control group（字2=4.573，P<0.05）.There were no significant differences in PFDI-20，PFIQ-7，SAS，SDS，urine residual and SF-36 scores between the two groups before intervention（P>0.05）.After intervention，PFDI-20，PFIQ-7，SAS，SDS and urine residues were significantly lower than those before intervention（P<0.01），while SF-36 was significantly higher than before intervention（P<0.01），while the decrease or increase in observation group was significantly higher than those in control group（P<0.01）.Conclusion：Individualized rehabilitation nursing intervention has a good effect on pelvic floor dysfunction，improving patient symptoms，correcting patients negative emotions and improving patients quality of life.

【Key words】 Rehabilitation nursing; Nursing intervention; Pelvic floor dysfunction; Negative emotion; Quality of life

First-authors address：Obstetrics and Gynecology Hospital Affiliated to Fudan University，Shanghai 200090，China

盆底功能障碍的患者常见于中老年女性，是一种慢性疾病，临床上表现为盆腔脏器出现脱垂，盆腔的慢性疼痛和尿失禁等，严重影响患者的生活质量和身心健康[1]。近年来，产后出现盆底功能障碍患者越来越多，我国已经超过40%患者出现不同程度盆底功能障碍[2]。目前临床上常常采用多种盆底训练方法来改善盆底功能，越来越多的女性患者愿意尝试康复治疗[3-4]。本组研究采用个体化康复护理干预对盆底功能障碍功能和负面情绪的影响，现报告如下。

1 资料与方法

1.1 一般资料

选择2017年1月-2018年12月在笔者所在医院就诊确诊为盆底功能障碍的患者112例，根据随机数字法将患者分为观察组和对照组，每组56例。纳入标准：所有患者均符合盆底功能障碍的诊断。……