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目的:分析个性化护理对妇女产后非意愿妊娠及性生活质量的影响。方法:选取我院2012年12月至2013年12月产后妇女104例,完全随机分为干预组和对照组,每组52例,对干预组产妇给予个性化护理,对照组产妇接受常规护理。两组均于产后进行为期1年的随访,以问卷调查形式评价干预效果,比较两组产妇避孕知识掌握率、产后42 d内恢复性生活人数及产后意外妊娠的发生率,比较两组盆底肌功能状态和性生活质量评分。结果:干预组对安全期避孕、阴道环、绝育手术的掌握率(51.92%、36.54%、28.85%)较对照组(32.69%、17.31%、9.62%)显著增高(P<0.05);干预组产后42 d内恢复性生活概率和非意愿妊娠发生率(3.85%、1.92%)较对照组(25%、11.54%)显著较低(P<0.05);干预组盆底肌功能状态Ⅱ度、Ⅲ度概率(78.85%、17.31%)较对照组(21.15%、5.77%)显著增高(P<0.05);干预组阴道阻力(8.34±0.85)分、性欲(7.51±0.94)分、性厌恶(7.62±0.73)分和性生活满意程度(6.97±0.42)分较对照组(3.65±0.84)分、(3.48±0.78)分、(7.26±0.81)分、(5.39±0.40)分显著增高(P<0.05)。结论:接受个性化护理能提高产妇避孕知识掌握率,产妇产后非意愿妊娠发生率显著降低,盆底肌功能状态得到恢复,性生活满意程度较高,有临床应用推广价值。
OBJECTIVE: To analyze the impact of personalized care on women’s postpartum unwilling pregnancy and sexual life quality. Methods: A total of 104 postpartum women from December 2012 to December 2013 in our hospital were randomly divided into intervention group and control group, with 52 patients in each group. Individuals in the intervention group were given personalized care while women in the control group received routine nursing. The two groups were followed up for 1 year after delivery. The effectiveness of the intervention was evaluated by questionnaire survey. The mastery rate of maternal contraception, the number of rehabilitative life within 42 days postpartum and the incidence of postpartum unwanted pregnancy were compared between the two groups Muscle function status and quality of life scores. Results: The masculine rates (51.92%, 36.54%, 28.85%) in the intervention group were significantly higher than those in the control group (32.69%, 17.31%, 9.62%, P <0.05) The probability of sexual life and the rate of unplanned pregnancy (3.85%, 1.92%) in postnatal 42 days were significantly lower than those in control group (25%, 11.54%) (P <0.05) (P <0.05). The third degree probability (78.85%, 17.31%) was significantly higher than that of the control group (21.15%, 5.77% 7.62 ± 0.73) and sexual satisfaction (6.97 ± 0.42) were significantly higher than those in control group (3.65 ± 0.84), (3.48 ± 0.78), (7.26 ± 0.81) and (5.39 ± 0.40), respectively <0.05). Conclusion: Personalized nursing can improve the mastery rate of maternal contraceptive knowledge, reduce the incidence of postpartum unwilling pregnancy significantly, restore functional status of pelvic floor muscles, and have a higher level of sexual life satisfaction. It is of clinical application and popularization value.