盆底功能障碍性疾病患者康复治疗依从性影响因素的Meta分析

doi:10.3761/j.issn.1672-9234.2025.08.020

摘要/Abstract

摘要：

目的系统评价盆底功能障碍性疾病（pelvic floor dysfunction，PFD）患者康复治疗依从性的影响因素。方法计算机检索中国知网、万方数据库、中国生物医学文献数据库、维普、PubMed、Embase、Web of Science、Cochrane Library数据库，获取有关PFD患者康复治疗依从性影响因素的文献，检索时限均为建库至2025年2月17日。由2名研究者独立进行文献筛选、资料提取、方法学质量评价后，采用Stata 18.0软件对数据进行Meta分析。结果共纳入22篇文献，包括5 691例患者。Meta分析结果显示：文化程度低、对康复治疗认知程度低、无家属监督支持、无医护监督指导、产后抑郁、睡眠障碍、产后并发症是PFD患者康复治疗依从性的危险因素；产次≥2次、对锻炼效果满意是PFD患者康复治疗依从性的保护因素（均P<0.05）。结论 PFD患者康复治疗依从性受多种因素影响。医护人员需根据上述影响因素，基于证据制订分层干预策略，进而有效改善PFD患者康复治疗依从性，提升其康复效果，促进其盆底功能恢复。

关键词: 盆底功能障碍性疾病, 康复, 依从性, 影响因素, Meta分析

Abstract:

Objective To systematically review the influencing factors of rehabilitation treatment compliance in patients with pelvic floor dysfunction（PFD）. Methods A computerized search was conducted across databases including CNKI，WanFang，Sinomed，VIP，PubMed，Embase，Web of Science，and the Cochrane Library to retrieve literature on factors influencing rehabilitation treatment adherence in PFD patients from database inception to February 17，2025. After independent literature screening，data extraction，and methodological quality assessment by two researchers，a meta-analysis was performed using Stata 18.0 software. Results A total of 22 studies involving 5 691 patients were included. Meta-analysis results indicated that low educational level，poor cognitive awareness，lack of family supervision/support，absence of healthcare provider guidance，postpartum depression，sleep disorders，and postpartum complications were risk factors for poor rehabilitation adherence in PFD patients. Conversely，parity≥2 and perceived exercise efficacy emerged as protective factors（all P<0.05）. Conclusion Rehabilitation treatment adherence in PFD patients is influenced by multiple factors. Healthcare professionals should develop evidence-based，targeted intervention strategies tailored to these factors to improve adherence，enhance rehabilitation outcomes，and promote functional recovery in PFD patients.

Key words: Pelvic floor dysfunction disease, Rehabilitation, Compliance, Influencing factors, Meta-analysis

张扬扬, 王倩青, 郭祥翠, 路萍, 宋艳品, 张悦, 李晓丹. 盆底功能障碍性疾病患者康复治疗依从性影响因素的Meta分析[J]. 中华护理教育, 2025, 22(8): 1020-1025.

ZHANG Yangyang, WANG Qianqing, GUO Xiangcui, LU Ping, SONG Yanpin, ZHANG Yue, LI Xiaodan. Meta-analysis of influencing factors of rehabilitation treatment compliance in patients with pelvic floor dysfunction[J]. Chinese Journal of Nursing Education, 2025, 22(8): 1020-1025.

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参考文献 35

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