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The effects of pelvic floor muscle training based on audio guidance on postpartum pelvic floor rehabilitation in primiparas with stress urinary incontinence
Objective To explore the effects of pelvic floor muscle training based on App-based audio guidance on postpartum pelvic floor rehabilitation in primiparas with stress urinary incontinence. Methods A total of 108 pregnant women with stress urinary incontinence were recruited and divided into the experimental group（n=54）and the control group（n=54） by lottery. Patients in the experimental group received audio guided exercises on the basis of routine care. Patients in both groups exercised to 6 months after childbirth. The pelvic floor muscle surface electromyography（sEMG）,exercise compliance and the severity of stress urinary incontinence at 6~8 weeks,3 months,and 6 months after childbirth were compared between the two groups. Results At 6~8 weeks,3 months,and 6 months after childbirth,the compliance of the experimental group with pelvic floor muscle exercise was better than that of the control group（P<0.05）. There was an interaction effect between groups and time in the average sEMG value of type Ⅰ fibers（F=4.702,P=0.011）,and the simple effect analysis showed that the average sEMG value of type Ⅰ fibers in the experimental group were higher than those in the control group at different stages postpartum（P<0.05）. The maximal sEMG value of type Ⅱ fibers was statistically significant between groups（F=13.881,P<0.001）,and the time effects were statistically significant（F=228.685,P<0.001）. The interaction between the invisible group and time was not statistically significant（F=0.664,P=0.517）. There was an interaction effect between groups and time in the average sEMG values of endurance test（F=4.009,P=0.021）.The simple effect analysis showed that at 6~8 weeks,3 months,and 6 months after childbirth,the average sEMG value of endurance test in the experimental group were higher than that in the control group（P<0.05）.The severity of stress urinary incontinence in the two groups were relieved,however,the differences between the groups were not statistically significant（P>0.05）. Conclusion Audio guidance is helpful to improve the compliance with the pelvic floor muscle training of pregnant women therefore improving postpartum pelvic floor muscle strength.
Xue-fen XU , Su-wen FENG , Yin HU , Xiao-juan WANG , Li-li XU . The effects of pelvic floor muscle training based on audio guidance on postpartum pelvic floor rehabilitation in primiparas with stress urinary incontinence[J]. Chinese Journal of Nursing Education, 2021 , 18(6) : 500 -504 . DOI: 10.3761/j.issn.1672-9234.2021.06.004
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