产后盆底康复治疗依从性调查分析与对策.docVIP

精品论文 参考文献 产后盆底康复治疗依从性调查分析与对策 陈庚容 黄承益 余厚容 [摘 要]目的 调查影响产妇盆底康复治疗的相关因素，提高产妇产后盆底康复治疗的依从性。方法 采用自制问卷调查我院2013年3月200名住院分娩后42天来院体检的产妇。结果 200名产妇中有56人接受产后盆底康复治疗，依从性为28%，年龄越小，依从性越好。经济收入较好及学历较高的家庭产妇盆底康复治疗依从性较高。结论 产妇对产后盆底康复治疗的认识、医护人员的宣传及产后盆底康复治疗的价格是影响产后康复治疗依从性的重要因素。 [关键词]产后 盆底康复治疗 依从性 调查分析 对策 Investigation and Countermeasures on Compliance in Rehabilitation Treatment of Postpartum Pelvic Floor Chen Gengrong, Huang Chengyi, YuHourong Abstract: Objective To investigate the factors affecting the rehabilitation treatment of postpartum pelvic floor and in order to improve the compliance of postpartum pelvic floor rehabilitation. Methods In the physical examination 42 days after their delivery, 200 maternal women in Maternal and Child Care Service Centre of Zigong city from March 2013 were studied. Results Only 56 maternal women of the 200 cases received postpartum pelvic floor rehabilitation therapy, and the treatment compliance is only 28%. The younger the woman was, the better the compliance would be. The compliance is high among the ones with better family income and higher education. Conclusion The maternal womenrsquo;s recognitions about postpartum pelvic floor rehabilitation, propagandas from the medical staff and the price of the rehabilitation treatment are three important factors affecting the compliance of postpartum rehabilitation. Key words: postpartum; pelvic floor rehabilitation treatment; compliance; investigation; countermeasures 随着我国人民生活水平的提高，妇女对生活质量的追求也不断提高。然而,女性盆底功能障碍性疾病（ pelvic floor dysfunction，PFD)严重影响了妇女的生活质量。国外流行病学调查显示：产后妇女大约有1／3有尿失禁：1／1 0以上有粪失禁；1／7以上有盆腔器官脱垂现象[1]。据调查资料报道：我国40岁以上妇女50%存在不同程度的尿失禁（UI)，而妊娠和分娩是导致PFD最主要的高危险发病因素[2]。我院是三级甲等妇幼保健院，接产量逐年增加，2012年接收住院分娩产妇4978例，经统计，产后42天回到妇女保健门诊体检的有3748例；做盆底肌力检测的有3142例；接受盆底康复治疗的1389例，仅28%左右。为了解产后妇女盆底康复治疗的依从性等相关影响因素，本调查组自制调查问卷，调查产后妇女对盆底康复治疗接受或不接受的原因，以寻求切实可行的对策，有效地提高产后盆底肌康复治疗的依从性，早期预防产后妇女盆底功能障碍性疾病的发生，提升广大产后妇女生活质量。现将调查情况报道如下。 1.资料与方法 1.1 调查对象 2013年3月在我院产科住院分娩并于产后42天在我院妇女保健门诊体检的妇女。纳入标准