疾病预防与控制杂志

摘要：目的 探讨盆底肌康复训练联合计划行为理论护理在子宫脱垂患者中的效果。方法 选取 2023 年 6 月 至 2024 年 6 月期间本院收治子宫脱垂患者 280 例，分为对照组、观察组，各 140 例，对照组采用常规护理联合 盆底肌康复训练，观察组在对照组基础上增加计划行为理论护理。比较两组患者的临床疗效、盆底肌功能指标及生活质量评分。结果 干预后，观察组治疗总有效率高于对照组（P＜0.05）；两组患者盆底肌肌力分级、肌电活 动值均改善，且观察组优于对照组（P＜0.05）；两组患者盆底功能障碍影响问卷简表（PFIQ-7）和尿失禁影响问卷简表（IIQ-7）评分降低，且观察组优于对照组（P＜0.05）。结论 盆底肌康复训练联合计划行为理论护理可有效提高子宫脱垂患者的临床疗效，改善盆底肌功能，提升生活质量，值得临床推广应用。

Abstract: Objective To explore the effect of pelvic floor muscle rehabilitation training combined with planned behavioral theory nursing in patients with uterine prolapse. Methods A total of 280 patients with uterine prolapse admitted to our hospital from June 2023 to June 2024 were selected and divided into a control group and an observation group, with 140 cases in each group. The control group received routine nursing combined with pelvic floor muscle rehabilitation training, while the observation group received theory of planned behavior nursing on the basis of the control group. Compared the clinical efficacy, pelvic floor muscle function indicators, and quality of life scores between the two groups of patients. Results After intervention, the total effective rate of the observation group was higher than that of the control group (P＜0.05). The pelvic floor muscle strength grading and electromyographic activity values improved in both groups, and the observation group was superior to the control group (P＜0.05). The scores of the Pelvic Floor Dysfunction Impact Questionnaire (PFIQ-7) and the Incontinence Impact Questionnaire (IIQ-7) in both groups of patients decreased, and the observation group was better than the control group (P＜0.05). Conclusion Pelvic floor muscle rehabilitation training combined with nursing based on the theory of planned behavior can effectively improve the clinical efficacy, pelvic floor muscle function, and quality of life of patients with uterine prolapse, and is worthy of clinical promotion and application.