个性化护理对妇女产后非意愿妊娠及性生活质量的影响

发布时间：2018-03-13 06:49

本文选题：非意愿妊娠　切入点：个性化护理　出处：《广州医科大学学报》2016年04期 　论文类型：期刊论文

【摘要】：目的:分析个性化护理对妇女产后非意愿妊娠及性生活质量的影响。方法:选取我院2012年12月至2013年12月产后妇女104例,完全随机分为干预组和对照组,每组52例,对干预组产妇给予个性化护理,对照组产妇接受常规护理。两组均于产后进行为期1年的随访,以问卷调查形式评价干预效果,比较两组产妇避孕知识掌握率、产后42 d内恢复性生活人数及产后意外妊娠的发生率,比较两组盆底肌功能状态和性生活质量评分。结果:干预组对安全期避孕、阴道环、绝育手术的掌握率(51.92%、36.54%、28.85%)较对照组(32.69%、17.31%、9.62%)显著增高(P0.05);干预组产后42 d内恢复性生活概率和非意愿妊娠发生率(3.85%、1.92%)较对照组(25%、11.54%)显著较低(P0.05);干预组盆底肌功能状态Ⅱ度、Ⅲ度概率(78.85%、17.31%)较对照组(21.15%、5.77%)显著增高(P0.05);干预组阴道阻力(8.34±0.85)分、性欲(7.51±0.94)分、性厌恶(7.62±0.73)分和性生活满意程度(6.97±0.42)分较对照组(3.65±0.84)分、(3.48±0.78)分、(7.26±0.81)分、(5.39±0.40)分显著增高(P0.05)。结论:接受个性化护理能提高产妇避孕知识掌握率,产妇产后非意愿妊娠发生率显著降低,盆底肌功能状态得到恢复,性生活满意程度较高,有临床应用推广价值。
[Abstract]:Objective: to analyze the effect of individualized nursing care on the quality of postpartum unwanted pregnancy and sexual life of women. Methods: 104 postpartum women in our hospital from December 2012 to December 2013 were randomly divided into intervention group and control group with 52 cases in each group. The intervention group was given individualized nursing, the control group received routine nursing. The two groups were followed up for one year after delivery. The intervention effect was evaluated by questionnaire, and the rate of mastering contraceptive knowledge was compared between the two groups. After 42 days of postpartum sexual life recovery and the incidence of postpartum pregnancy, the pelvic floor muscle function and sexual quality were compared between the two groups. The mastering rate of sterilizing operation (51.92 / 36.54 / 28.85) was significantly higher than that of the control group (32.69 / 17.31 / 9.62); the probability of recovery of sexual life and the incidence of unwanted pregnancy within 42 days after delivery in the intervention group were significantly lower than those in the control group (255.11.54); the second degree of pelvic fundus function in the intervention group was lower than that in the control group, and the incidence of unwanted pregnancy was 3.85 卤1.92% in the intervention group, and the second degree of pelvic fundus function in the intervention group was significantly lower than that in the control group. The third degree probability (78.85) was significantly higher than that in the control group (5.77), and the vaginal resistance was 8.34 卤0.85 in the intervention group, and the sexual desire was 7.51 卤0.94 in the intervention group. The scores of sexual disgust (7.62 卤0.73) and sexual satisfaction (6.97 卤0.42) were significantly higher than those of control group (3.65 卤0.84) and 7.26 卤0.81) (5.39 卤0.40). Conclusion: individualized nursing can improve the rate of contraceptive knowledge of parturient, and the incidence of unwanted pregnancy after delivery is significantly lower. The functional state of pelvic floor muscle was recovered, the satisfaction of sexual life was high, and the clinical application was worth popularizing.
【作者单位】：广东省化州市人民医院产科;
【分类号】：R473.71

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