[1]何莹,朱玮,李红,等.基于自我效能理论的孕晚期运动方案对妊娠期糖尿病患者产后盆底功能恢复的效果评价[J].军事护理,2021,38(01):29-32.[doi:10.3969/j.issn.1008-9993.2021.01.008]
　HE Ying,ZHU Wei,LI Hong,et al.Effect Evaluation of the Late-pregnancy Exercise Program Based on the Self-efficacy Theory on the Recovery of Pelvic Floor Muscle Function after Delivery among Gestational Diabetes Mellitus Patients[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(01):29-32.[doi:10.3969/j.issn.1008-9993.2021.01.008]
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基于自我效能理论的孕晚期运动方案对妊娠期糖尿病患者产后盆底功能恢复的效果评价
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年01期
页码:
29-32
栏目:
论著
出版日期:
2021-01-15

文章信息/Info

Title:
Effect Evaluation of the Late-pregnancy Exercise Program Based on the Self-efficacy Theory on the Recovery of Pelvic Floor Muscle Function after Delivery among Gestational Diabetes Mellitus Patients
文章编号:
1008-9993(2021)01-0029-04
作者:
何莹1; 朱玮1; 李红1; 2; 刘莹1; 王鹂麟1; 夏英倩1; 仇静波1
(1.上海交通大学医学院附属国际和平妇幼保健院,上海200030; 2.中国医院发展研究院护理管理研究所,上海 200030)
Author(s):
HE Ying1; ZHU Wei1; LI Hong1; 2; LIU Ying1; WANG Lilin1; XIA Yingqian1; QIU Jingbo1
(1.The International Peace Maternity and Child Health Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200030,China; 2.Nursing Management Center of the China Hospital Development Institute,Shanghai 200030,China)
关键词:
围产期;  盆底肌锻炼;  自我效能;  妊娠期糖尿病
Keywords:
perinatal period;  pelvic floor muscle exercise;  self-efficacy;  gestational diabetes mellitus
分类号:
R473.71
DOI:
10.3969/j.issn.1008-9993.2021.01.008
文献标志码:
A
摘要:
目的 构建基于自我效能理论的孕晚期妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇运动治疗方案,并探讨其对产妇产后42 d盆底功能恢复的影响。方法 2018年6月至2019年3月便利抽样选取某妇产科专科医院建卡产检并诊断为GDM的初产妇80例为研究对象,按照入组时间分为对照组(41例)和观察组(39例),对照组采取常规护理,观察组在此基础上实施基于自我效能理论的运动治疗方案,对两组人群的一般情况、自我效能、分娩情况和盆底功能障碍等指标进行比较。结果 干预前两组人群一般情况、自我效能和盆底功能情况以及分娩方式均无显著差异(均P>0.05)。干预后,观察组孕妇的自我效能水平明显提高[(26.10±5.80)分vs.(27.08±5.68)分],对照组患者干预前后无显著差异[(27.76±5.77)分vs.(27.22±5.15)分],自评PFD症状得分明显低于对照组[(13.00±5.32)分 vs.(16.27±6.68)分],差异均有统计学意义(均P<0.05)。结论 基于自我效能理论的孕晚期运动方案能有效提高GDM患者的自我效能,有利于产后盆底功能恢复。
Abstract:
Objective To develop the late-pregnancy exercise program based on the self-efficacy theory for gestational diabetes mellitus(GDM)patients,and evaluate its effect on the recovery of their pelvic floor muscle function 42 days after delivery.Methods Convenient sampling was used to select 80 uniparas who received antenatal care and were diagnosed with GDM in an obstetrics and gynecology hospital from June,2018 to March,2019.They were assigned to the control group(n=41)and the observation group(n=39)according to the time of admission.The control group received routine care,and the observation group received the additional exercise program based on the self-efficacy theory.The general clinical data,self-efficacy,delivery modes and pelvic floor dysfunction of the two groups were compared.Results There were no significant differences in the general clinical data,self-efficacy,and pelvic floor function before intervention,as well as delivery modes between the two groups(all P>0.05).Participants in the observation group showed significantly higher scores of self-efficacy after intervention [(26.10±5.80)vs(27.08±5.68)],while there was no significant difference in the self-efficacy scores before and after intervention in the control group [(27.76±5.77)vs(27.22±5.15)].The score of pelvic floor dysfunction symptoms in the observation group was significantly lower than that in the control group [(13.00±5.32)vs(16.27±6.68)](all P<0.05).Conclusions The late-pregnancy exercise program based on the self-efficacy theory can improve those GDM patients' self-efficacy.It is helpful for the recovery of their pelvic floor muscle function after delivery.

参考文献/References:

[1] SANGSAWANG B,SANGSAWANG N.Is a 6-week supervised pelvic floor muscle exercise program effective in preventing stress urinary incontinence in late pregnancy in primigravid women?:a randomized controlled trial[J].Eur J Obstet Gynecol Reprod Biol,2016,197:103-110.
[2] USSING A,DAHN I,DUE U,et al.Efficacy of supervised pelvic floor muscle training and biofeedback vs attention-control treatment in adults with fecal incontinence[J].Clin Gastroenterol Hepatol,2019,17:2253-2261.
[3] 胡雪芬,胡引,程晶晶,等.孕产妇盆底肌锻炼知信行研究进展[J].护理与康复,2019, 18(5):38-41.
[4] KIM C,MCEWEN L N,SARMA A V.Stress urinary incontinence in women with a history of gestational diabetes mellitus[J].J Women's Health,2008,17(5):783-792.
[5] SANGSAWANG B.Risk factors for the development of stress urinary incontinence during pregnancy in primigravidae:a review of the literature[J].Eur J Obstet Gynecol Reprod Biol,2014,178:27-34.
[6] CHUANG C M,LIN I F,HORNG H C,et al.The impact of gestational diabetes mellitus on postpartum urinary incontinence:a longitudinal cohort study on singleton pregnancies[J].Br J Obstet Gynecol,2012,119:1334-1343.
[7] 郭兵妹,赵琳,高元鹏,等.自我效能理论在疾病自我管理中应用的研究进展[J].中国实用护理杂志,2016,32(22):1749-1752.
[8] DUMOULIN C,ALEWIJNSE D,BO K,et al.Pelvic-floor-muscle training adherence:tools,measurements and strategies-2011 ICS state-of-the-science seminar research paper II of IV[J].Neurourol Urodyn,2015,34(7):615:21.
[9] MCCLURG D,FRAWLEY H,HAY-SMITH J,et al.Scoping review of adherence promotion theories in pelvic floor muscle training-2011 ICS state-of-the-science seminar research paper I of IV[J].Neurourol Urodyn,2015,34(7):606-614.
[10]王桂英,张莉,黄沛清.延续性围产期运动对分娩方式及产后盆底康复的影响[J].护理管理杂志,2016,16(2):121-122.
[11]朱远,张爱霞,樊雪梅,等.降低产时会阴损伤干预方法的现状及展望[J].中国护理管理,2018,18(8):1116-1119.
[12]仇静波,朱玮,刘莹.妊娠晚期女性盆底功能障碍性疾病发生率及知识水平调查[J].中国妇幼保健,2019,34(7):1636-1638.
[13]郭婷,何虹,胡丰阳,等.PICC置管患者一般自我效能对其导管维护依从性的影响[J].中国实用护理杂志,2018,34(23):1796-1801.
[14]何樱,陈冠燃.基于自我效能理论的干预方案在提高膀胱癌造口患者生活质量中的应用[J].中华现代护理杂志,2018,24(4):460-463.
[15]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.
[16]唐婷婷,赖培茜,蔡舒,等.孕期盆底功能障碍性疾病知信行影响因素分析及干预措施[J].实用医学杂志,2017,33(15):2584-2587.
[17]HILL A M,MCPHAIL S M,WILSON J M,et al.Factors influencing postpartum women's willingness to participate in a preventive pelvic floor muscle training program:a web-based survey[J].Eur J Obstet Gynecol Reprod Biol,2015,195:182-187.
[18]GHADERI F,OSKOUEI A E.Physiotherapy for women with stress urinary incontinence:a review article[J].J Phys Ther Sci, 2014, 26(9):1493-1499.
[19]王晓阳, 杨丽霞.孕期联合产后盆底锻炼对预防盆底功能障碍性疾病的研究[J].护士进修杂志, 2016,31(6):495-498.
(本文编辑:陈晓英)

备注/Memo

备注/Memo:
【 收稿日期 】 2020-05-02 【 修回日期 】 2020-12-03
【 基金项目 】 上海市护理质控中心护理工作改进项目(zk2019018); 上海交通大学医学院科技基金项目(Jyh1618); 上海交通大学科研型护士基金(Hlgy1818kyx)
【 作者简介 】 何莹,本科,主管护师,从事产科护理工作
【 通讯作者 】 仇静波,电话:15901727301
更新日期/Last Update: 2021-01-15