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产后盆底功能障碍患者应对方式及影响因素调查

Coping style of postpartum patients with pelvic floor dysfunction and its influencing factor

摘要:

目的? 调查产后盆底功能障碍患者应对方式现状,并分析家庭支持对产后盆底功能障碍女性应对方式的影响.方法? 采用方便抽样法,选取2017 年5—10月在温州医科大学附属第一医院妇科门诊就诊的产后盆底功能障碍患者为研究对象,采用简易应对方式问卷(SCSQ)、家庭支持量表(PSS-Fa)进行调查,了解患者家庭支持和应对方式的现状,并探讨两者之间的关系.发放问卷200份,回收有效问卷186份,有效回收率为93.0%.结果? 186例产后盆底功能障碍患者积极应对得分为(1.56±0.73)分,低于常模;消极应对(1.85±0.65)分,高于常模,差异均有统计学意义(P<0.05);家庭支持得分为(3.01±0.68)分,家庭支持与积极应对呈正相关(r=0.45,P<0.01),与消极应对呈负相关(r=-0.25,P<0.05).分层回归分析显示,控制一般资料后,家庭支持是产后盆底功能障碍女性积极应对的影响因素.结论? 产后盆底 功能障碍女性应对方式不积极,家庭支持是影响其积极应对的重要因素,应加大盆底功能障碍疾病的宣传,鼓励患者积极应对,并适当寻求家庭支持.

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abstracts:

Objective? To investigate the coping style of postpartum patients with pelvic floor dysfunction and to analyze the effect of family support on coping style of postpartum women with pelvic floor dysfunction. Methods? From May to October 2017, we selected postpartum patients with pelvic floor dysfunction of department of gynaecology in the First Affiliated Hospital of Wenzhou Medical University as subjects by convenience sampling. All of the patients were investigated with the Simplified Coping Style Questionnaire (SCSQ) and Perceived Social Support form Family(PSS-Fa) to understand the coping style and family support of patients. The correlation between them was explored. A total of 200 questionnaires were sent out and 186 valid of them were collected with 93.0% for the valid rate. Results? Among 186 postpartum patients with pelvic floor dysfunction, the score of positive coping was (1.56±0.73) lower than that of norm; the score of negative coping was (1.85±0.65) higher than that of norm; the differences were statistical (P<0.05); the score of family support was (3.01±0.68) having a positive correlation with positive coping (r=0.45,P< 0.01) and a negative correlation with negative coping (r=-0.25,P< 0.01). Hierarchical regression analysis showed that family support was the influencing factors of positive coping among postpartum women with pelvic floor dysfunction after controlling general information. Conclusions? Postpartum women with pelvic floor dysfunction have negative coping style. Family support is the main influencing factor of positive coping. We should increase the publicity of pelvic floor dysfunction, encourage patients to cope positively and to seek family support properly.

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作者: 梅慧红 [1] 邵晓华 [1]
栏目名称: 临床研究
DOI: 10.3760/cma.j.issn.1674-2907.2019.05.010
发布时间: 2019-07-25
基金项目:
国家自然科学基金项目(81671408) Fund program: National Natural Science Foundation of China
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