| 高成菲,曹洁,解琴,顾婕,王璐娴,任凭.盆底肌训练患者依从性及其影响因素的系统评价与Meta分析[J].上海护理,2026,26(7): |
| 盆底肌训练患者依从性及其影响因素的系统评价与Meta分析 |
| Adherence to Pelvic Floor Muscle Training and Associated Factors: A Systematic Review and Meta-Analysis |
| 投稿时间：2025-07-23 修订日期：2026-07-15 |
| DOI： |
| 中文关键词: 盆底肌训练 依从性 影响因素 Meta分析 |
| 英文关键词:pelvic floor muscle training adherence influencing factors meta-analysis |
| 基金项目:国家自然科学基金(81903182)；海军军医大学深蓝护理科研项目(2022KYD09) |
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| 中文摘要: |
| 目的：系统评价盆底肌训练(pelvic floor muscle training, PFMT)患者的依从性及其相关影响因素。方法：检索中国知网、万方、维普、中国生物医学文献数据库、PubMed、Embase、Web of Science以及Cochrane Library数据库中关于PFMT患者训练依从率及影响因素的横断面、队列和病例对照研究,检索范围从建库至2024年7月20日。两位研究者独立完成文献筛选、质量评价以及资料提取工作。使用 Stata 17.0 软件进行 Meta 分析。结果：最终纳入32篇文献,总样本量为7028例。PFMT依从率为47%[95%CI(0.41,0.53)]。文化程度低、睡眠障碍、抑郁、患者PFMT知识水平不足、自我效能感低下、缺少专业医护人员的指导和监督、家属对PFMT的认知不足以及家属未有效监督患者训练情况均为PFMT依从性的风险因素；而多孕次(≥2次)和严重PFD症状是促进依从性的保护因素(均P＜0.05)。结论：医护人员可根据以上影响因素实施针对性干预,以提升PFMT患者的训练依从性和康复效果。 |
| 英文摘要: |
| Objective: To systematically assess adherence and influencing factors to pelvic floor muscle training (PFMT) in patients. Methods: CNKI, Wanfang, VIP, CBM, PubMed, Embase, Web of Science, and Cochrane Library were searched for cross-sectional studies, cohort studies and case-control studies on the adherence and influencing factors to PFMT in PFD, covering from database inception to June 20, 2024. Two researchers independently performed study selection, quality assessment, and data extraction. Stata 17.0 was used for meta-analysis. Results: A total of 32 studies with 7,028 patients were included. The overall adherence rate to PFMT was 47% [95%CI (0.41, 0.53)]. Low education level, sleep disorders, depression, insufficient PFMT knowledge, low self-efficacy, lack of professional guidance and supervision, inadequate family understanding of PFMT, and inadequate family supervision of patient training were risk factors affecting PFMT compliance, while multiple pregnancies (≥2) and severe PFD symptoms were protective factors (all P<0.05). Conclusion: Nursing staff can take intervention measures based on these influencing factors to enhance PFMT adherence and rehabilitation outcomes for PFMT patients. |
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