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

摘要：

目的 评价达标理论在产后尿失禁患者盆底康复训练中的应用效果。方法 便利选取123例产后尿失禁患者,随机分为实验组（62例）和对照组（61例）,实验组在常规措施的基础上进行达标理论的盆底康复应训练,对照组接受常规盆底康复护理,两组干预前及干预6周后,采用训练目标均达标率、1 h尿垫试验、患者整体印象改善度量表、尿失禁影响问卷,对患者居家康复训练目标达标率、盆底康复治疗有效率、盆底康复治疗满意率和生活质量进行评价。结果 两组盆底康复训练后,实验组居家康复训练目标的达标率、盆底康复治疗有效率、患者满意度均高于对照组（P<0.05）;实验组尿失禁对患者生活质量的影响得分低于对照组（P<0.05）。结论 应用达标理论进行盆底康复训练,能够提高产后尿失禁患者盆底康复训练的主动性、盆底康复疗效、患者满意度及生活质量,促进康复目标的实现。

关键词: 达标理论, 产后, 尿失禁, 盆底疾病, 康复护理, 产科护理