Volume 21 Issue 11
Nov.  2023
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(11): 1946-1950
HU Lingbo, PAN Chengyao, YANG Sujuan, MA Binbin, WANG Rongyue. Application of rehabilitation training based on information-motivation-behavioral skills model in postpartum pelvic floor muscle repair[J]. Chinese Journal of General Practice, 2023, 21(11): 1946-1950. doi: 10.16766/j.cnki.issn.1674-4152.003264
Citation: HU Lingbo, PAN Chengyao, YANG Sujuan, MA Binbin, WANG Rongyue. Application of rehabilitation training based on information-motivation-behavioral skills model in postpartum pelvic floor muscle repair[J]. Chinese Journal of General Practice, 2023, 21(11): 1946-1950. doi: 10.16766/j.cnki.issn.1674-4152.003264
shu

Application of rehabilitation training based on information-motivation-behavioral skills model in postpartum pelvic floor muscle repair

doi: 10.16766/j.cnki.issn.1674-4152.003264

  • Department of Obstetrics, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2020KY641

 Y20210530

  • Received Date: 2023-05-21
    Available Online: 2024-01-13
    Abstract
  •   Objective  To explore the effect of rehabilitation training intervention based on the information-motivation-behavioral skills model on the repair of pelvic floor function in parturients.  Methods  One hundred and thirty-five women who underwent pelvic floor muscle screening at 42 d postpartum and diagnosed with pelvic floor dysfunction in the Postpartum Rehabilitation Clinic of the Second Affiliated Hospital of Wenzhou Medical University from October 2021 to October 2022 were selected as the study subjects, and were divided into an observation group (68 cases) and a control group (67 cases) according to a random number method. The control group was treated with PHENIX USB 4 pelvic floor rehabilitation instrument. The experimental group was additionally given rehabilitation training based on the information-motivation-behavioral skills model, including knowledge and information education of postpartum pelvic floor muscle repair, motivation intervention of active participation in rehabilitation training, and behavioral skills intervention of rehabilitation training. Pelvic floor muscle strength, urinary incontinence scores, pelvic organ prolapse, and pelvic floor muscle exercise self-efficacy scores were compared between the 2 groups at 42 d postpartum and 3 months postpartum.  Results  In the experimental group, the scores of type Ⅰ and Ⅱ pelvic floor muscle strength, urinary incontinence and self-efficacy of pelvic floor muscle exercise were (4.35±0.46) grades, (4.68±0.54) grades, (2.81±0.97) points, and (182.81±10.16) points, respectively. The incidence of pelvic organ prolapse was 32.4% (22/68). The results were better than those in the control group [(3.15±0.33) grades, (3.24±0.17) grades, (4.01±1.02) points, (164.74±11.09) points, 50.7% (34/67), all P < 0.05].  Conclusion  Rehabilitation training based on the information-motivation-behavioral skills model can enhance the pelvic floor muscle strength, improve the symptoms of urinary incontinence and pelvic organ prolapse, and improve the pelvic floor muscle exercise self-efficacy.

     

    • FullText(HTML)
  • loading
    • References(22)
  • [1]
    陆荣仙, 王澜静. 产后妇女盆底肌损伤发生情况调查研究[J]. 中国预防医学杂志, 2020, 21(6): 654-657.

    LU R X, WANG L J. The occurrence of pelvic floor muscle injury in postpartum women in Hangzhou[J]. Chinese Preventive Medicine, 2020, 21(6): 654-657.
    [2]
    王琦, 程贤鹦. 初产妇产后早期盆底功能障碍性疾病与分娩相关因素分析[J]. 中华全科医学, 2022, 20(1): 76-79. doi: 10.16766/j.cnki.issn.1674-4152.002281

    WANG Q, CHENG X Y. Analysis between postpartum pelvic floor dysfunction and delivery related factors in primipara[J]. Chinese Journal of General Practice, 2022, 20(1): 76-79. doi: 10.16766/j.cnki.issn.1674-4152.002281
    [3]
    DULAK N A, TRZCINSKI R. The burden of pelvic floor dysfunction[J]. J Sci Med Sport, 2022, 25(4): 293. doi: 10.1016/j.jsams.2021.11.042
    [4]
    LADI-SEYEDIAN S S, SHARIFI-RAD L, NABAVIZADEH B, et al. Traditional biofeedback vs. pelvic floor physical therapy-is one clearly superior?[J]. Curr Urol Rep, 2019, 20(7): 38. doi: 10.1007/s11934-019-0901-9
    [5]
    WU X, YI X, ZHENG X, et al. Knowledge, attitudes, and practice of pelvic floor dysfunction and pelvic floor ultrasound among women of childbearing age in Sichuan, China[J]. Front Public Health, 2023, 11: 1160733. DOI: 10.3389/fpubh.2023.1160733.
    [6]
    史莉, 罗丽燕, 宋东红. 基于信息-动机-行为技巧模型的生活方式干预在多囊卵巢综合征患者中的应用[J]. 中国护理管理, 2022, 22(2): 299-305.

    SHI L, LUO L Y, SONG D H. The effects of individualized lifestyle management based on IMB model in patients with polycystic ovary syndrome[J]. Chinese Nursing Management, 2022, 22(2): 299-305.
    [7]
    寇金玲, 党丽君, 冯秀清. 产后康复治疗对改善盆底功能的临床研究[J]. 中国医学创新, 2013, 10(25): 55-57.

    KOU J L, DANG L J, FENG X Q, Clinical study on the treatment of postpartum rehabilitation to improve the pelvic floor function[J]. Medical Innovation of China, 2013, 10(25): 55-57.
    [8]
    白雪, 苏芳静, 李红玉. 中文版盆底肌肉锻炼自我效能量表的信效度评价[J]. 中国全科医学, 2015, 18(15): 1857-1860.

    BAI X, SU F J, LI H Y. Chinese version of the broome pelvic muscle self-efficacy scale: reliability and validity[J]. Chinese General Practice, 2015, 18(15): 1857-1860.
    [9]
    CHEN H, YANG N, YANG H, et al. Efficacy of Kegel exercises combined with electrical stimulation on the restoration of postpartum pelvic floor muscle function[J]. Am J Transl Res, 2023, 15(1): 622-629.
    [10]
    CHEN Z F, WANG X J, JIN Y, et al. Knowledge, attitude and practice of pelvic floor dysfunction among obstetrical healthcare workers in China: a cross-sectional study[J]. J Gynecol Obstet Hum Reprod, 2021, 50(8): 102068. DOI: 10.1016/j.jogoh.2021.102068.
    [11]
    CAPOBIANCO G, MADONIA M, MORELLI S, et al. Management of female stress urinary incontinence: a care pathway and update[J]. Maturitas, 2018, 109: 32-38. doi: 10.1016/j.maturitas.2017.12.008
    [12]
    WOODLEY S J, LAWRENSON P, BOYLE R, et al. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women[J]. Cochrane Database Syst Rev, 2020, 5(5): CD007471. DOI: 10.1002/14651858.CD007471.pub4.
    [13]
    ALAGIRISAMY P, SIDIK S M, RAMPAL L, et al. Effectiveness of a pelvic floor muscle exercise intervention in improving knowledge, attitude, practice, and self-efficacy among pregnant women: a randomized controlled trial[J]. Korean J Fam Med, 2022, 43(1): 42-55. doi: 10.4082/kjfm.21.0011
    [14]
    丁子钰, 刘会范, 丁清清, 等. 女性压力性尿失禁患者适应性挑战的质性研究[J]. 护士进修杂志, 2021, 36(4): 323-328.

    DING Z Y, LIU H F, DING Q Q, et al. A qualitative study on the adaptive challenges of female patients with stress urinary incontinence[J]. Journal of Nurses Training, 2021, 36(4): 323-328.
    [15]
    COLLONS S, LEWICKY-GAUPP C. Pelvic organ prolapse[J]. Gastroenterol Clin North Am, 2022, 51(1): 177-193. doi: 10.1016/j.gtc.2021.10.011
    [16]
    PANG H, ZHANG L, HAN S, et al. A nationwide population-based survey on the prevalence and risk factors of symptomatic pelvic organ prolapse in adult women in China: a pelvic organ prolapse quantification system-based study[J]. BJOG, 2021, 128(8): 1313-1323. doi: 10.1111/1471-0528.16675
    [17]
    ROMEIKIENE K E, BARTKEVICIENE D. Pelvic-floor dysfunction prevention in prepartum and postpartum periods[J]. Medicina(Kaunas), 2021, 57(4): 387.
    [18]
    ARTYMUK N V, KHAPACHEVA S Y. Device-assisted pelvic floor muscle postpartum exercise programme for the management of pelvic floor dysfunction after delivery[J]. J Matern Fetal Neonatal Med, 2022, 35(3): 481-485.
    [19]
    BE K, ANGLES-ACEDO S, BATRA A, et al. Are hypopressive and other exercise programs effective for the treatment of pelvic organ prolapse?[J]. Int Urogynecol J, 2023, 34(1): 43-52.
    [20]
    LI W, HU Q, ZHANG Z, et al. Effect of different electrical stimulation protocols for pelvic floor rehabilitation of postpartum women with extremely weak muscle strength: randomized control trial[J]. Medicine(Baltimore), 2020, 99(17): e19863. DOI: 10.1097/MD.0000000000019863.
    [21]
    连亚强, 张芳平, 刘林梅, 等. 信息-动机-行为技巧模型护理干预对肝癌晚期病人心理、自我效能感和生活质量的影响[J]. 护理研究, 2022, 36(19): 3566-3569.

    LIAN Y Q, ZHANG F P, LIU L M, et al. Effects of information-motivation-behavioral skills model nursing intervention on psychology, self-efficacy and quality of life in patients with advanced liver cancer[J]. Chinese Nursing Research, 2022, 36(19): 3566-3569.
    [22]
    WANG X J, XU X F, LUO J M, et al. Effect of app-based audio guidance pelvic floor muscle training on treatment of stress urinary incontinence in primiparas: a randomized controlled trial[J]. Int J Nurs Stud, 2020, 104: 103527. DOI: 10.1016/j.ijnurstu.2020.103527.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (211) PDF downloads(12) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return