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

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目的:调查产后压力性尿失禁(SUI)患者盆底肌训练知信行情况。方法:便利选取2018年1月—2019年1月北京某妇产医院产后12周在盆底门诊就诊患者213例,采用产褥期妇女盆底肌功能锻炼知信行及需求问卷进行调查,分析患者盆底肌功能锻炼知信行的影响因素。结果:213例SUI患者盆底肌训练知信行总体标准分为(75.70±10.23)分。单因素分析显示,不同年龄、家庭人均月收入、最高受教育程度、职业状况、分娩方式、孕期体重增长、当前是否有尿失禁患者盆底功能锻炼知信行水平比较,差异均有统计学意义(n P<0.2)。多重回归分析显示,家庭人均月收入、孕期体重增长及当前是否存在尿失禁是盆底功能锻炼知信行水平的影响因素(n P<0.05)。n 结论:产后压力性尿失禁患者盆底肌功能锻炼的态度积极,但认知水平仍有待提高,医护人员应加强相关知识的宣教,增强患者对于盆底功能锻炼重要性的认识。“,”Objective:To explore the knowledge-attitude-practice of pelvic floor muscle training in women with postpartum stress urinary incontinence (SUI) .Methods:From January 2018 to January 2019, we conveniently selected 213 patients in the Pelvic Floor Clinic of a Obstetrics and Gynecology Hospital in Beijing 12 weeks after delivery. We used the Pelvic Floor Muscle Function Training Knowledge-Attitude-Practice and Its Needs in Puerperium Women Questionnaire for investigation, and analyzed the influencing factors of knowledge-attitude-behavior of patients' pelvic floor muscle function training.Results:Among 213 SUI patients, the overall standard score of pelvic floor muscle training knowledge-attitude-practice was (75.70±10.23) . Univariate analysis showed that there were statistical differences in the knowledge-attitude-practice of pelvic floor muscle function training among patients with different age, family monthly income per capita, highest education level, occupational status, delivery method, weight gain during pregnancy, and current urinary incontinence (n P<0.2) .Multiple regression analysis showed that family monthly in comeper capita, weight gain during pregnancy, and current urinary incontinence were the influencing factors of pelvic floor muscle function training knowledge-attitude-practice with a statistical difference (n P<0.05) .n Conclusions:Postpartum SUI patients have a positive attitude towards pelvic floor muscle function training, but their cognitive level needs to be improved. Medical and nursing staff should strengthen the publicity and education of relevant knowledge, and enhance patients' awareness of the importance of pelvic floor muscle function training.
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