Application Of Interaction Model Of Client Health Behavior In Pelvic Floor Rehabilitation Of Patients With Pelvic Floor Dysfunction After Early Cervical Cancer Surgery

Objective:To explore the application effect of intervention based on Interaction Model of Client Health Behavior in the pelvic floor rehabilitation of patients with pelvic floor dysfunction after early cervical cancer surgery.Methods:In this study,a total of 128 patients with pelvic floor dysfunction after early cervical cancer surgery who were admitted to the department of gynecology of a tertiary hospital in Wuxi city were selected and divided into the test group and the control group by random digits table method.The test group（64 cases）received the pelvic floor rehabilitation intervention based on Interaction Model of Client Health Behavior,and the control group（64cases）received regular pelvic floor nursing intervention.The intervention period of this study was 3 months.Before intervention,1 month after intervention,and 3 months after intervention,the Oxford Pelvic Floor Strength Score System,Pelvic Floor Distress Inventory-Short Form 20,Broome Pelvic Muscle Self-Efficacy Scale,Pelvic Floor Impact Questionnaire-7 and Client Satisfaction Test were applied to evaluate the pelvic floor muscle strength,pelvic floor dysfunction symptoms,self-efficacy of pelvic floor muscle training,pelvic floor-related quality of life,and patients’satisfaction,respectively.SPSS 23.0 software was applied to analyze the data,compared the intervention results of the two groups of patients,and evaluated the application effect of Interaction Model of Client Health Behavior in the pelvic floor rehabilitation of patients with PFD after early cervical cancer surgery.Results:（1）The baseline data of the patients in two groups were consistent,and there was no statistical significance in age,marital status,body mass index,educational level,working status,history of preoperative abdominal or pelvic surgery,preoperative menopause,and postoperative pathological types（all P>0.05）.（2）In terms of pelvic floor muscle strength,the grades of pelvic floor muscle strength in two groups were improved after intervention compared with before intervention,and the grades of pelvic floor muscle strength in the test group were significantly higher than that of the control group,and the differences were statistically significant（both P<0.001）.There were statistically significant differences between the two groups at each time point after intervention(F_time=407.575,F_group=70.407,F_interaction=69.733,all P<0.001).（3）In terms of pelvic floor dysfunction symptoms,the post-intervention scores of Pelvic Floor Distress Inventory-Short Form 20 in two groups were decreased compared with pre-intervention scores,and the post-intervention scores of the test group were significantly lower than that of the control group,and the differences were statistically significant（both P<0.05）.There were statistically significant differences between the two groups at each time point after intervention(F_time=133.780,F_group=2.318,F_interaction=45.898,all P<0.05).（4）In terms of pelvic floor muscle exercise self-efficacy,the post-intervention scores of Broome Pelvic Muscle Self-Efficacy Scale in two groups were improved compared with pre-intervention scores,and the post-intervention scores of the test group were significantly higher than that of the control group,and the differences were statistically significant（both P<0.001）.There were statistically significant differences between the two groups at each time point after intervention(F_time=1405.542,F_group=15.631,F_interaction=113.416,all P<0.001).（5）In terms of pelvic floor-related quality of life,the post-intervention scores of Pelvic Floor Impact Questionnaire-7 in two groups were decreased compared with pre-intervention scores,and the post-intervention scores of the test group were significantly lower than that of the control group,and the differences were statistically significant（both P<0.05）.The score difference between the two groups was not statistically significant(F_group=2.287,P>0.05),but the differences in time effect and interaction effect between two groups were statistically significant(F_time=262.509,F_interaction=43.809,both P<0.001).（6）In terms of patients’satisfaction,the post-intervention scores of Client Satisfaction Test scores in two groups were improved compared with pre-intervention scores.And the patients in the test group showed higher satisfaction than the control group in following six dimensions:service accessibility,emotional support,decision-making control,health information,professional skills and overall satisfaction higher than control group,the differences were statistically significant（all P<0.05）.Conclusions:Pelvic floor rehabilitation intervention based on Interaction Model of Client Health Behavior can effectively improve the pelvic floor muscle strength,pelvic floor muscle exercise self-efficacy and quality of patients with pelvic floor dysfunction after early cervical cancer surgery,and reduce the symptoms related to pelvic floor dysfunction,better the patient’s pelvic floor rehabilitation effect,and at the same time help improve patients’satisfaction.