盆底肌锻炼结合生物反馈刺激改善产后盆底疼痛患者盆底功能及疼痛程度的效果分析

目的:探讨盆底肌锻炼结合生物反馈刺激改善产后盆底疼痛患者盆底功能及疼痛程度的效果.方法:将我科2018年9月至2019年9月期间93例产后盆底疼痛患者按照简单随机化法分为对照组(n=46,给予生物反馈电刺激,频率8～80 Hz;脉宽:20～740μs)和观察组(n=47,在对照组基础上增加盆底肌锻炼),1 m后采用阴道...     

基于保护动机理论的健康教育在乳腺癌术后功能锻炼中的应用

目的:探讨基于保护动机理论(protection motivation theory,PMT)的健康教育对乳腺癌患者术后患肢功能锻炼依从性、患肢肩关节功能及自我效能的影响.方法:采用方便抽样,选择入我科治疗的96例乳腺癌根治术患者作为研究对象,按照随机数字表法分为对照组和实验组,各48例.对照组在患者术后给予常规健康教育,实验组在对照组的基础上实施基于PMT的健康教育.在患者出院3个月后,观察两组功能锻炼依从性、患肢肩关节功能恢复程度以及患者自我效能.结果:实验组功能锻炼依从率为97.87％,高于对照组(84.78％);实验组肩关节完全恢复率为95.74％,高于对照组(82.61％);实验组自我管理效能总分以及正性态度、自我决策、自我减压3个维度得分均高于对照组,上述指标比较差异均有统计学意义(P＜0.05).结论:基于PMT的健康教育可提高乳腺癌患者功能锻炼依从性,促进患者肩关节功能恢复,提高患者自我效能,可在临床中进行推广应用.     

探讨健康教育在孕产妇保健工作中的作用

针对孕产妇的健康需求,对孕产妇采用有效的教育模式进行健康教育,让孕妇掌握孕产期保健知识和技能,提高孕期自我监护能力,建立健康信念和健康行为,对提高孕产期质量有着重要的作用.     

失语孕产妇的健康教育

为提高失语孕产妇这类特殊人群的健康知识和自我的保健能力,运用语言交流技巧、语言教育、文字教育、实践教育方法等,对失语孕产女进行健康宣教,使其树立信心,积极配合护理和诊疗,取得满意结果.     

PDCA在病房患者健康教育中的运用

目的：观察PDCA循环在病房健康教育的应用效果。方法将200例患者随机分为观察者和对照组各100例,对照组采用口头随机讲解的常规入院教育护理,实验组在此基础上实施PDCA循环形式的对患者健康教育干预。结果实验组在健康教育覆盖率,患者对健康教育内容的知晓率,护士掌握健康教育处方掌握情况,与对照组相比具有显著的差异性。结论应用PDCA循环在病房患者健康教育效果好,能保证护理质量可持续提高。     

护理程序在产后健康教育中的应用

根据产妇不同的情况、提供不同的健康指导,使产妇在治疗和护理的过程中,了解更多的相关知识,提高自我保健意识,增进自我照顾能力和护理新生儿的能力。本院应用护理程序对孕产妇实行健康教育,取得了显著效果,报道如下。     

妊娠糖尿病的护理及健康教育

妊娠糖尿病患者心理、生理都发生明显的变化,做好妊娠糖尿病的护理及指导尤为重要,关系到母子健康及生命安全.     

孕产妇艾滋病健康教育与行为干预研究

目的探讨对医院建卡孕妇开展艾滋病健康教育的可行性及其效果。方法选取2006年1—6月在某市大型综合性医院产科建卡的258名孕妇，按预定的干预策略进行相关健康教育．并对干预前后的研究对象针对艾滋病的知识、态度及行为的改变进行评价。结果干预前孕妇艾滋病知识知晓率一般，如艾滋病病原学的问题、干预对象对艾滋病的接受程度较低，均低于50．0％；经过有效干预后，研究对象针对艾滋病知识、态度及行为发生了显著改变，差异有统计学意义（P〈0．01）。结论在综合性医院开展孕妇艾滋病相关知识的健康教育方法可行，效果明显，值得推广。     

健康意识理论教育对产妇产后盆底功能锻炼知信行水平及心理状态的影响

目的:探讨基于健康意识理论的健康教育对产妇产后盆底功能锻炼知信行水平及心理状态的影响.方法:选取2019年1月至2020年1月在某院足月阴道分娩的产妇195例,采用随机数字表法将其分为观察组(98例)和对照组(97例).对照组实施常规健康教育,观察组实施基于健康意识理论的健康教育,干预时间从出院前1周至出院后持续2个月...     

健康教育对雾化吸入患者依从性的影响

目的探讨健康教育对雾化患者依从性的影响。方法将100例患者随机分为观察组与对照组。对照组给予常规药物治疗、健康教育;观察组在常规药物治疗的基础上给予系统的健康教育,分别与观察治疗14d后比较两组患者的雾化依从性及临床疗效。结果观察组的雾化依从性明显高于对照组。结论健康教育能提高雾化吸入患者的依从性。     

盆底超声及盆底肌力评估分析分娩对女性肛门括约肌复合体的影响*

目的：探讨盆底超声及盆底肌力评估分析分娩对女性肛门括约肌复合体（ASC）的影响。方法：选取2018 年1 月～ 2019 年1 月于本院妇科门诊进行产后复查的患者,包括阴道分娩产妇（ 阴道分娩组）和剖宫产产妇（ 剖 宫产组）,2 组均进行妇科检查、盆底超声及盆底肌力评估,比较2 组肛门内括约肌（ IAS）近端平面、中部平面、 远端平面及肛门外括约肌（ EAS）远端平面3、6、9、12 点钟方向的厚度,耻骨直肠肌（ PRM）中部平面4、8 点钟方向的厚度,盆底肌力评估指标。结果：与剖宫产组IAS 近端6 点、12 点,IAS 中部12 点厚度测量值比较, 阴道分娩组显著降低;与剖宫产组EAS远端12 点厚度测量值比较,阴道分娩组显著降低;与剖宫产组Ⅱ类肌最 大收缩力和Ⅰ类肌持续收缩力比较,阴道分娩组显著降低,差异具有统计学意义。结论：盆底超声能够对顺产及 剖宫产产妇的ASC进行有效评估,与剖宫产产妇比较,顺产产妇产后IAS、EAS均发生较大改变,且顺产产妇产 后盆底Ⅱ类肌最大收缩力及Ⅰ类肌持续收缩力均降低。     

妊娠及分娩对盆底肌力的影响

目的比较妊娠及分娩后妇女和正常妇女的盆底肌力,了解妊娠及分娩对盆底肌力的短期影响。方法将183例在本院就诊的孕产妇分为顺产组和剖宫产组,使用盆底肌电生理仪分别检测其产前及产后盆底肌肌力,并与166例正常妇女进行评估及比较。结果妊娠组盆底肌力与正常组比较明显降低,差异有统计学意义（P〈0.05）;妊娠组和正常组中的Ⅰ类与Ⅱ类肌纤维肌力均降低,但差异无统计学意义（P〉0.05）;产后6～8周顺产组盆底肌力较剖宫产组肌力明显降低,差异有统计学意义（P〈0.05）;产后12～14周顺产组盆底肌力与剖宫产组盆底肌力均降低,差异无统计学意义（P〉0.05）。结论顺产及选择性剖宫产对盆底肌肌力的影响在产后3个月无明显差异。     

Influence of concurrent exercise or nutrition countermeasures on thigh and calf muscle size and function during 60 days of bed rest in women

AIM: The goal of this investigation was to test specific exercise and nutrition countermeasures to lower limb skeletal muscle volume and strength losses during 60 days of simulated weightlessness (6 degrees head-down-tilt bed rest). METHODS: Twenty-four women underwent bed rest only (BR, n = 8), bed rest and a concurrent exercise training countermeasure (thigh and calf resistance training and aerobic treadmill training; BRE, n = 8), or bed rest and a nutrition countermeasure (a leucine-enriched high protein diet; BRN, n = 8). RESULTS: Thigh (quadriceps femoris) muscle volume was decreased (P < 0.05) in BR (-21 +/- 1%) and BRN (-24 +/- 2%), with BRN losing more (P < 0.05) than BR. BRE maintained (P > 0.05) thigh muscle volume. Calf (triceps surae) muscle volume was decreased (P < 0.05) to a similar extent (P > 0.05) in BR (-29 +/- 1%) and BRN (-28 +/- 1%), and this decrease was attenuated (P < 0.05) in BRE (-8 +/- 2%). BR and BRN experienced large (P < 0.05) and similar (P > 0.05) decreases in isometric and dynamic (concentric force, eccentric force, power and work) muscle strength for supine squat (-19 to -33%) and calf press (-26 to -46%). BRE maintained (P > 0.05) or increased (P < 0.05) all measures of muscle strength. CONCLUSION: The nutrition countermeasure was not effective in offsetting lower limb muscle volume or strength loss, and actually promoted thigh muscle volume loss. The concurrent aerobic and resistance exercise protocol was effective at preventing thigh muscle volume loss, and thigh and calf muscle strength loss. While the exercise protocol offset approximately 75% of the calf muscle volume loss, modification of this regimen is needed.     

Effects of health education and progressive muscle relaxation on vasomotor symptoms and insomnia in perimenopausal women: A randomized controlled trial

ObjectivesThis study aims to determine the effects of health education (HE) and progressive muscle relaxation (PMR), individually or combined, on vasomotor symptoms and insomnia in perimenopausal women.MethodsThis study is a single-center, pretest-posttest, randomized controlled trial with a factorial design. The research sample consists of 108 women who were randomly divided into three groups: HE + PMR group (n = 36), PMR group (n = 36) and control group (n = 36). 90 women completed the study. The data were collected in three steps by using instruments of Personal Information Form, Visual Analog Scale and a diary for vasomotor symptoms, Women’s Health Initiative Insomnia Rating Scale.ResultsHot flash and night sweats frequency and severity scores/24 h, the VAS scores for hot flashes and night sweats, and the WHIIRS scores significantly improved more in the intervention groups compared to the control group (p < 0,05). Compared to the group PMR, the group PMR + HE had a greater improvement with larger effect size in all measurements.ConclusionsPMR and HE counseling by nurses benefit perimenopausal women who suffer from insomnia and vasomotor symptoms.Practice implicationsPMR combined with HE or PMR alone is effective in managing vasomotor symptoms and insomnia; therefore, they can easily be integrated into clinical practice.     

Pelvic floor muscle training versus watchful waiting or pessary treatment for pelvic organ prolapse (POPPS): Design and participant baseline characteristics of two parallel pragmatic randomized controlled trials in primary care

Pelvic floor muscle training (PFMT) and pessaries are commonly used in the conservative treatment of pelvic organ prolapse (POP). Because there is a lack of evidence regarding the optimal choice between these two interventions, we designed the “Pelvic Organ prolapse in primary care: effects of Pelvic floor muscle training and Pessary treatment Study” (POPPS). POPPS consists of two parallel open label randomized controlled trials performed in primary care, in women aged ≥55 years, recruited through a postal questionnaire. In POPPS trial 1, women with mild POP receive either PFMT or watchful waiting. In POPPS trial 2, women with advanced POP receive either PFMT or pessary treatment. Patient recruitment started in 2009 and was finished in December 2012. Primary outcome of both POPPS trials is improvement in POP-related symptoms. Secondary outcomes are quality of life, sexual function, POP-Q stage, pelvic floor muscle function, post-void residual volume, patients’ perception of improvement, and costs. All outcomes are measured 3, 12, and 24 months after the start of treatment. Cost-effectiveness will be calculated based on societal costs, using the PFDI-20 and the EQ-5D as outcomes. In this paper the POPPS design, the encountered challenges and our solutions, and participant baseline characteristics are presented. For both trials the target numbers of patients in each treatment group are achieved, giving this study sufficient power to lead to promising results.