Journal of International Reproductive Health/Family Planning ›› 2019, Vol. 38 ›› Issue (2): 108-112.

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Clinical Observation of Psychological Intervention Combined with Pelvic Floor Muscle Training for Pelvic Floor Dysfunction

YANG Ying-lan,XU Ning,LIU Mei,HAN Qian-qian,LU Qin-xue   

  1. Shandong University of Traditional Chinese Medicine,Ji'nan 250355,China(YANG Ying-lan,XU Ning,HAN Qian-qian,LU Qin-xue);Department of Obstetrics,Shandong Hospital of Traditional Chinese Medicine,Ji'nan 250011,China(LIU Mei)
  • Received:2018-10-25 Revised:2019-01-26 Published:2019-03-15 Online:2019-03-15
  • Contact: XU Ning,E-mail:xuning7172@126.com E-mail:15960922559@163.com

Abstract: Objective:To explore the clinical effect of psychological intervention combined with pelvic floor muscle training (PFMT) on pelvic floor dysfunction (PFD). Methods:A total of 60 patients with PFD who were treated in the obstetrics department of Shandong Hospital of Traditional Chinese Medicine from June 2017 to August 2018 were selected and divided into the control group and the experimental group, with 30 cases in each group. The control group was given PFMT, and the experimental group was given the targeted psychological intervention plus PFMT. The pelvic floor surface electromyography (sEMG), psychological function and life quality were assessed before and after treatment. Results:①There was no significant difference in the value of sEMG before treatment between the two groups (P>0.05). After treatment, the EMG values of the two groups were higher than those before treatment except for the pos-baseline step(P<0.05), and this value of the experimental group was higher than that of the control group (P<0.05). ②The differences in the scores of SAS and SDS before treatment between the two groups were no significant (P>0.05). In both groups, the scores of SAS and SDS after treatment were significantly lower than those before treatment (P<0.05), and the scores of SAS and SDS after treatment in the experimental group were lower than that in the control group (P<0.05). ③The differences of the scores of PFDI-20 and PFIQ-7 before treatment between the two groups were no significant (P>0.05). After treatment, the scores of PFDI-20 and PFIQ-7 in both groups were significant lower than those before treatment (P<0.05), and two scores in the experimental group were lower than those in the control group (P<0.05). ④The total effective rate (93.3%) of the experimental group was significantly higher than that of the control group (70.0%) ( χ2=5.455, P=0.020). Conclusions:The psychological intervention combined with PFMT can improve the mental state of patients, alleviate the anxiety and depression and enhance the pelvic floor muscle contraction amplitude, which is beneficial to improve treatment enthusiasm, therapy compliance and life quality.

Key words: Urinary incontinence, Anxiety, Depression, Quality of life, The pelvic floor surface electromyography