[1]李嫦娥,龚明亮.预防性护理干预联合Kegel运动对无痛分娩产妇产后尿潴留及产程的影响[J].医学信息,2024,37(20):179-182.[doi:10.3969/j.issn.1006-1959.2024.20.039]
　LI Change,GONG Mingliang.Effect of Preventive Nursing Intervention Combined with Kegel Exercise on Postpartum Urinary Retention and Labor Time in Painless Labor Parturients[J].Journal of Medical Information,2024,37(20):179-182.[doi:10.3969/j.issn.1006-1959.2024.20.039]
点击复制

预防性护理干预联合Kegel运动对无痛分娩产妇产后尿潴留及产程的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年20期
页码:
179-182
栏目:
护理研究
出版日期:
2024-10-15

文章信息/Info

Title:
Effect of Preventive Nursing Intervention Combined with Kegel Exercise on Postpartum Urinary Retention and Labor Time in Painless Labor Parturients
文章编号:
1006-1959（2024）20-0179-04
作者:
李嫦娥1; 龚明亮2
1.上高县人民医院质控科，江西 上高 336400；2.上高县中医院院感防保科，江西 上高 336400
Author(s):
LI Chang’e1; GONG Mingliang2
1.Department of Quality Control,Shanggao County People’s Hospital,Shanggao 336400,Jiangxi,China;2.Department of Hospital-acquired Infection Control, Prevention and Care,Shanggao County Hospital of Traditional Chinese Medicine,Shanggao 336400,Jiangxi,China
关键词:
无痛分娩; 预防性护理干预; Kegel运动; 产后尿潴留; 产程时间
Keywords:
Painless labor; Preventive nursing interventions; Kegel exercise; Postpartum urinary retention; Labor time
分类号:
R473.71
DOI:
10.3969/j.issn.1006-1959.2024.20.039
摘要:
目的 探究预防性护理干预联合Kegel运动对无痛分娩产妇产后尿潴留及产程的影响。方法 以2019年1月-2023年5月上高县人民医院拟行无痛分娩的50例待产妇为研究对象，经随机数字表法分为对照组与观察组，各25例。对照组给予Kegel运动干预，观察组在其基础上开展预防性护理干预，比较两组产程时间（第一产程、第二产程、第三产程）、分娩控制感[分娩控制量表（LAS）]、盆底肌评分（产前、产后42 d）、产后排尿情况（留置尿管率、尿潴留率、Sandvik 指数）、产后恢复情况（下床活动时间、恶露消失时间、子宫复旧时间）。结果 观察组第一产程、第二产程、第三产程短于对照组，LAS评分及产后42 d盆底肌评分高于对照组（P＜0.05）。观察组留置尿管率、尿潴留率、Sandvik指数均小于对照组（P＜0.05）。观察组下床活动时间、恶露消失时间、子宫复旧时间短于对照组（P＜0.05）。结论 预防性护理干预联合Kegel运动可提高无痛分娩产妇的分娩控制感，缩短产程，促进产后盆底肌恢复，减少尿潴留等产后排尿障碍的发生，有利于产后恢复进程的加快。
Abstract:
Objective To explore the effect of preventive nursing intervention combined with Kegel exercise on postpartum urinary retention and labor time in painless labor parturients.Methods From January 2019 to May 2023, 50 parturients who planned to undergo painless labor in Shanggao County People’s Hospital were selected as the research objects. They were divided into control group and observation group by random number table method, with 25 parturients in each group. The control group was given Kegel exercise intervention, and the observation group was given preventive nursing intervention on the basis of Kegel exercise intervention. The labor time (first stage of labor, second stage of labor, third stage of labor), sense of labor control [Lable Agentry Scale (LAS)], pelvic floor muscle score ( prenatal and postpartum 42 d), postpartum urination (indwelling catheter rate, urinary retention rate, Sandvik index), postpartum recovery (ambulation time, lochia disappearance time, uterine involution time) were compared between the two groups.Results The first stage of labor, the second stage of labor and the third stage of labor in the observation group were shorter than those in the control group, and the LAS score and pelvic floor muscle score at 42 days after delivery were higher than those in the control group (P<0.05). The indwelling catheter rate, urinary retention rate and Sandvik index in the observation group were lower than those in the control group (P<0.05). The time of getting out of bed, the time of lochia disappearance and the time of uterine involution in the observation group were shorter than those in the control group (P<0.05).Conclusion Preventive nursing intervention combined with Kegel exercise can improve the sense of labor control of painless labor parturients, shorten the time of labor, promote the recovery of postpartum pelvic floor muscles, reduce the occurrence of postpartum urinary dysfunction such as urinary retention, and accelerate the process of postpartum recovery.

参考文献/References:

[1]Zhang L,Xu C,Li Y.Impact of epidural labor analgesia using sufentanil combined with low-concentration ropivacaine on maternal and neonatal outcomes: a retrospective cohort study[J].BMC Anesthesiol,2021,21(1):229.[2]潘程瑶,杨圆圆,郑晶晶.艾盐包穴位热熨联合盆底肌训练对初产妇无痛分娩产后尿潴留的预防效果[J].中国医药导报,2023,20(2):80-83.[3]Muhammad R,Faryal S,Muhammad NI,et al.Exploring barriers to the effective painless labor: a qualitative study[J].Anaesthesia, Pain & Intensive Care,2022,26(2):237-245.[4]张晓凤.综合护理干预对无痛分娩产妇焦虑情绪及产程的影响研究[J].山西医药杂志,2022,51(8):937-939.[5]郭路,张菁,叶朝.孕期实施联想分娩与Kegel运动对孕妇分娩结局的影响[J].护士进修杂志,2018,33(6):540-543.[6]童玲,黄腾敏,何萌.Kegel运动联合盆底康复治疗初产妇阴道分娩后功能障碍及压力性尿失禁的临床疗效[J].中国预防医学杂志,2020,21(9):1067-1072.[7]朱红芹.基于责任助产模式下的优质护理对无痛分娩产妇的影响[J].中国药物与临床,2021,21(7):1248-1250.[8]严邱英,易瑜,李倩.预见性护理对阴道分娩产妇产后出血的影响分析[J].成都医学院学报,2021,16(5):645-647.[9]陈玲,李甜甜,蔡文智.基于移动医疗的妊娠期盆底肌训练对产后尿失禁发生的影响:一项基于随机对照试验设计的探索性研究[J].中国全科医学,2022,25(12):1424-1428,1434.[10]林绥斌,刘阿英,陈丽香.妊娠26周至产后42天Kegel运动对分娩结局和产妇盆底功能的影响[J].临床和实验医学杂志,2020,19(13):1428-1432.[11]黄伟妍,夏斌,李文君.预见性护理结合康复功能锻炼对无痛分娩产妇产后恢复的影响[J].海南医学,2020,31(10):1357-1360.[12]Zhu T,Cao C.Effectiveness and care of the combination of indocin and painless delivery to shorten the duration of labor[J].Minerva Pediatr (Torino),2022,74(5):622-624.[13]顾萍,沈芸,祝亚平.探讨Kegel训练及盆底电刺激对产妇盆底功能的保护作用[J].江苏预防医学,2019,30(3):344-345.[14]张迎春.临床护理干预对无痛分娩产妇产后尿潴留的影响[J].中国药物与临床,2019,19(2):333-334.[15]张蕾,苏晓丹,张东海,等.产程体位管理干预辅助应用对单胎足月产妇产程时间及母婴结局的影响[J].中国计划生育和妇产科,2018,10(8):69-71.[16]姜建兰.预见性护理干预对预防初产妇产后出血情况观察[J].贵州医药,2018,42(4):496-497.[17]张素萍.临床护理干预对无痛分娩产妇分娩结局及产后尿潴留的影响探究[J].中国全科医学,2019,22(2):216-218.[18]薛莉莉,朱玲玲.基于责任助产模式的优质护理干预对无痛分娩孕妇母婴结局的影响[J].河北医药,2018,40(4):637-640.[19]邱娟娟.综合护理干预应用于无痛分娩产妇尿潴留中的有效性及安全性研究[J].重庆医学,2022,51(1):391-393.[20]刘宇莹,魏向妮,张晓梅.经典案例指出下预警护理干预对产妇心理状况、产后并发症发生率的影响[J].贵州医药,2022,46(12):2000-2001.

相似文献/References:

[1]迟福涛.腰硬联合麻醉在无痛分娩中的效果分析[J].医学信息,2018,31(08):105.[doi:10.3969/j.issn.1006-1959.2018.08.034]
　CHI Fu-tao.Analysis of the Effect of Combined Spinal Epidural Anesthesia in Painless Delivery[J].Journal of Medical Information,2018,31(20):105.[doi:10.3969/j.issn.1006-1959.2018.08.034]
[2]吴南燕.导乐分娩及分娩镇痛仪联合应用对妊娠结局及产妇负面情绪的影响[J].医学信息,2020,33(24):122.[doi:10.3969/j.issn.1006-1959.2020.24.034]
　WU Nan-yan.The Effect of Combined Application of Doula Labor and Labor Analgesia on Pregnancy Outcome and Negative Emotion of Parturient[J].Journal of Medical Information,2020,33(20):122.[doi:10.3969/j.issn.1006-1959.2020.24.034]
[3]郝国娟.会阴无保护联合无痛分娩在促进初产妇自然分娩中的优势分析[J].医学信息,2021,34(16):143.[doi:10.3969/j.issn.1006-1959.2021.16.040]
　HAO Guo-juan.Analysis of Advantages of Perineum Unprotected Combined Painless Delivery in Promoting Natural Delivery of Primipara[J].Journal of Medical Information,2021,34(20):143.[doi:10.3969/j.issn.1006-1959.2021.16.040]
[4]周 琳.盐酸罗哌卡因联合舒芬太尼硬膜外麻醉在足月妊娠产妇无痛分娩中的临床应用效果[J].医学信息,2024,37(16):104.[doi:10.3969/j.issn.1006-1959.2024.16.023]
　ZHOU Lin.Clinical Application Effect of Ropivacaine Hydrochloride Combined with Sufentanil Epidural Anesthesia in Painless Labor of Full-term Pregnant Women[J].Journal of Medical Information,2024,37(20):104.[doi:10.3969/j.issn.1006-1959.2024.16.023]
[5]吴丽珍.无痛分娩对足月产妇分娩产程及妊娠结局的影响[J].医学信息,2025,38(08):114.[doi:10.3969/j.issn.1006-1959.2025.08.023]
　WU Lizhen.Effect of Painless Delivery on Labor Course and Pregnancy Outcome of Full-term Parturients[J].Journal of Medical Information,2025,38(20):114.[doi:10.3969/j.issn.1006-1959.2025.08.023]

更新日期/Last Update: 1900-01-01