PDCA循环管理联合回馈教学法在产妇产后盆底肌功能锻炼中的应用及效果评价

目的探讨PDCA循环联合回馈教学法对产妇产后盆底肌功能锻炼的应用效果。方法选取2015年1月至8月产科自然分娩的106例产妇为对照组,选取2015年9月至2016年4月产科111例自然分娩的产妇为观察组。对照组给予常规方法指导盆底肌功能锻炼,观察组给予PDCA循环联合回馈教学法指导盆底肌功能锻炼。结果产后6周和产后3个月观察组产妇的盆底肌功能锻炼依从性均优于对照组(P0.01);产后3个月观察组产妇的盆底肌力、尿失禁程度、性生活质量均优于对照组(P0.01或P0.05)。结论 PDCA循环管理联合回馈教学法能提高产妇产后盆底肌功能锻炼的依从性,提升功能锻炼的效果。

Application and effect evaluation of PDCA cycle combined with teach-feedback method in the pelvic floor muscle exercise of postnatal-women

Objective To explore the effect of PDCA cycle combined with teach-feedback method on the pelvic floor muscle exercise of postnatal-women.Methods Totally,106 cases of spontaneous parturition puerpera from January 2015 to August 2015 were selected as the control group,and 111 cases from September 2015 to April 2016 were selected as the observation group.Patients in the control group received the traditional pelvic floor muscle exercise guide,while patients in the observation group received combined management of PDCA cycle and teach-feedback method.Results The compliance of pelvic floor muscle exercise in the observation group at six weeks and three months after delivery were better than those of the control group (P ＜ 0.01).Pelvic floor muscle strength,the degree of urinary incontinence and the sex life quality in the observation group at three months after delivery were better than those of the control group (P ＜ 0.01 or P ＜ 0.05).Conclusion Application of PDCA cycle combined with teach-feedback method can improve the compliance of pelvic floor muscle exercise and the effect of functional exercise.