Obstetrics Department, The First Affiliated Hospital of Soochow University, No. 188, Shizi Street, Suzhou, 215000, Jiangsu, China.
Int Urogynecol J. 2024 Jun;35(6):1227-1234. doi: 10.1007/s00192-024-05804-5. Epub 2024 May 11.
This study was carried out to investigate the effect of low-frequency pulsed electrotherapy combined with acupoint massage on postpartum urinary retention (PUR).
The patients were divided into control group, intervention group 1, and intervention group 2 according to the nursing method. The control group received conventional postpartum care, intervention group 1 received conventional postpartum care and low frequency pulsed electrotherapy, and intervention group 2 received conventional postpartum care, low-frequency pulsed electrotherapy, and Shuidao point massage. The bladder function, comfort score, and quality of life score before and after intervention were compared among the three groups.
The bladder function, comfort level, and quality of life of intervention group 1 and intervention group 2 after nursing were significantly better than those of the control group. In addition, intervention group 2 had better bladder function than intervention group 1, with lower residual urine volume and higher bladder compliance. In the Kolcaba score, the mental dimension of intervention group 2 was significantly higher than that of intervention group 1. In terms of QOL scores, the social function, physical function, and state of material life scores of intervention group 2 were significantly higher than those of intervention group 1.
Low-frequency pulsed electrotherapy combined with acupoint massage can significantly improve the bladder function, comfort, and quality of life of patients with PUR.
本研究旨在探讨低频脉冲电疗联合穴位按摩对产后尿潴留（PUR）的影响。
根据护理方法将患者分为对照组、干预组 1 和干预组 2。对照组接受常规产后护理，干预组 1 接受常规产后护理和低频脉冲电疗，干预组 2 接受常规产后护理、低频脉冲电疗和水道点按摩。比较三组干预前后膀胱功能、舒适度评分和生活质量评分。
护理后，干预组 1 和干预组 2 的膀胱功能、舒适度和生活质量均明显优于对照组。此外，干预组 2 的膀胱功能优于干预组 1，残余尿量更少，膀胱顺应性更高。在 Kolcaba 评分中，干预组 2 的心理维度明显高于干预组 1。在生活质量评分方面，干预组 2 的社会功能、身体功能和物质生活状况评分明显高于干预组 1。
低频脉冲电疗联合穴位按摩可显著改善 PUR 患者的膀胱功能、舒适度和生活质量。
