Effect Of Continual Nursing Intervention On Compliance Of Pelvic Floor Muscle Training In Maternal Family

Objectives To explore the feasibility of transitional care in postpartum pelvic floor rehabilitation missionary,to evaluate the influence of transitional care for maternal on pelvic floor muscle exercise awareness,self-efficacy,compliance,exercise proportion and pelvic floor dysfunction.So as to provide recommendations for improving the postpartum pelvic floor exercise compliance.Subjects and Methods A quasi-experimental study was used in the study.selected 70 cases of mothers who met the inclusion criteria and exclusion criteria in one of the top three hospitals in Wuhan from November to December 2016.35 cases were divided into intervention group and control group by the number of childbirth number.Two group were given pelvic floor muscle training related knowledge mission and pelvic floor muscle training methods guidance before discharged.On the basis of this,the intervention group provided We Chat-based transitional care about pelvic floor muscle exercise for 6 weeks.The scale of Cognition to Pelvic Floor Muscle Exercise,Broome Pelvic Muscle Self-efficacy Scale,Adherence to Pelvic Floor Muscle Exercise,Pelvic Floor Distress Inventory Short Form,ICI Questionnaire Short Form for Urinary Incontinence were used to measure cognition,self-efficacy,compliance and pelvic floor functional status of the pelvic floor muscles.By comparing the differences before and after the intervention of the two groups.To analyse the effects of transitional care based on We Chat on pelvic floor muscle exercise for puerperal.Finally,SPSS software for windows version 22.0 was applied to analyze the data.Results 62 maternal completed the return after 6 weeks,included 31 people of the intervention group and 31 people of the control group.Each group was lost to 4 people.(1)The score of general data,the pelvic floor muscle exercise cognition score,pelvic floor muscle exercise self-efficacy and each domain in two groups before intervention,the pelvic floor dysfunction and each domain,urinary incontinence questionnaire and each domain,the differences were no statistically significant(P?0.05).(2)After intervention,the cognition score of pelvic floor muscle exercise in both groups were higher than before intervention(P?0.05).the cognition score in observation group was higher than control group(P?0.05).(3)After intervention,in the intervention group,the pelvic floor muscle exercise self-efficacy and each domain were higher than before intervention,In the control group,the pelvic floor muscle exercise self-efficacy and each domain were lower than before intervention.the difference of exercise self-efficacy score and level was statistically significant(P?0.05).(4)After intervention,the scores of pelvic floor muscle exercise compliance in the intervention group were higher than the control group(P?0.05).the difference of compliance level was statistically significant(P?0.05).(5)After intervention,the proportion of exercise in the both group,the difference was statistically significant(P?0.05).(6)Pelvic floor exercise awareness,pelvic floor muscle exercise self-efficacy and pelvic floor muscle exercise compliance was positively correlated(P?0.05).(7)After intervention,the difference of pelvic floor dysfunction score and each domain between both groups was no statistically significant(P?0.05).(8)After intervention,the difference of urinary incontinence questionnaire score between both groups was no statistically significant(P?0.05).Conclusions(1)We Chat-based transitional care can help to improve pelvic floor muscle exercise awareness,pelvic floor muscle exercise self-efficacy,pelvic floor exercise compliance and increase exercise frequencies.(2)Pelvic floor exercise awareness,pelvic floor muscle exercise self-efficacy and pelvic floor muscle exercise compliance was positively correlated,suggesting that by improving the mother's pelvic floor muscle exercise awareness and pelvic floor muscle exercise self-efficacy can improve pelvic floor muscle exercise compliance.