关键词: 达标理论, 产后, 尿失禁, 盆底疾病, 康复护理, 产科护理

Abstract:

Objective To explore the effect of theory of goal attainment in pelvic floor rehabilitation for patients with postpartum urinary incontinence（PPUI）. Methods A total of 123 patients with PPUI were conveniently selected and randomly divided into the experimental group（n=62） and the control group（n=61）. The experimental group received pelvic floor rehabilitation nursing based on theory of goal attainment as well as routine pelvic floor rehabilitation nursing care,while the control group only received routine pelvic floor rehabilitation nursing care. Before and after 6 weeks' intervention,the achievement of home-based rehabilitation training targets,pelvic floor rehabilitation efficacy,satisfaction degree and quality of life were evaluated by the compliance rate,1 hour pad test,Patient Global Impression of Improvement（PGI-I） and Incontinence Impact Questionnaire-7（IIQ-7）.Results After pelvic floor rehabilitation,the compliance rate of home-based rehabilitation training,the effective rate of pelvic floor rehabilitation treatment,the satisfaction rate of patients in the experimental group were all higher than in the control group,the effect of urinary incontinence on the quality of life in the experimental group was lower than in the control group（all P<0.05）.Conclusion Pelvic floor rehabilitation based on theory of goal attainment can improve the initiative of pelvic floor rehabilitation training,pelvic floor rehabilitation efficacy,satisfaction and quality of life of patients with postpartum urinary incontinence,and can promote the realization of the common goal of nurses and patients.

Key words: Theory of Goal Attainment, Postpartum Period, Urinary Incontinence, Pelvic Floor Disorders, Rehabilitation Nursing, Obstetrical Nursing