主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2024, Vol. 24 ›› Issue (4): 546-550.doi: 10.3969/j.issn.1672-1756.2024.04.013

• 循证护理 • 上一篇    下一篇

产后腹直肌分离康复管理的证据总结

耿小婷 李淑英 盖莹 李唱 姜海龙 郭艳巍   

  1. 承德医学院附属医院护理部,067000 河北省承德市(耿小婷,李淑英);产科(郭艳巍);承德医学院(盖莹,李唱,姜海龙)
  • 出版日期:2024-04-15 发布日期:2024-04-15
  • 通讯作者: 李淑英,硕士,主任护师,护理部主任,E-mail:920560045@qq.com
  • 作者简介:耿小婷,硕士,护师
  • 基金资助:
    2024年度河北省医学科学研究课题计划(20241282)

Rehabilitation management of diastasis recti abdominis after delivery: an evidence summary

GENG Xiaoting, LI Shuying, GAI Ying, LI Chang, JIANG Hailong, GUO Yanwei   

  1. Department of Nursing, Affiliated Hospital of Chengde Medical University, Chengde, Hebei province, 067000, China
  • Online:2024-04-15 Published:2024-04-15
  • Contact: E-mail:920560045@qq.com

摘要: 目的:总结产后腹直肌分离康复管理的证据,以期为临床提供借鉴与指导。方法:计算机检索国内外专业网站、数据库中有关产后腹直肌分离康复管理的相关证据,检索时限为建库至2023年5月。由系统学习过循证方法的研究人员进行文献质量评价,并对证据进行提取。结果:最终纳入9篇文献,2篇指南、1篇系统评价、1篇专家共识、5篇随机对照试验。通过对纳入文献的分析,最终总结了21条关于产后腹直肌分离康复管理的证据,包括识别影响因素、判断标准、康复方法、健康教育4个类别。结论:本研究通过循证的方法总结的证据将为产后腹直肌分离康复提供科学、详细的管理建议,减少因忽视对腹直肌分离的管理为产妇带来的不良影响,进而提高产妇的生活质量。同时建议临床工作人员提高对产后腹直肌分离康复管理的重视,结合本科室的临床情境与产妇个人意愿进行实践。

关键词: 产妇;腹直肌分离;康复;证据总结

Abstract: Objective: To summarize the evidence of postpartum diastasis recti abdominalis rehabilitation management, in order to provide reference and guidance for clinical practice. Methods: Literature of postpartum diastasis recti abdominalis rehabilitation management, were searched from domestic and foreign websites and databases. The search time limit was from database inception to May, 2023. Four researchers independently evaluated and summarized the quality of the literature. Results: A total of 9 articles were included, including two guidelines, one systematic reviews, one expert consensus and five randomized controlled trials. A total of 21 pieces of evidence were summarized, including the influencing factors, diagnosis, manage and health education. Conclusion: Through evidence-based methods, the evidence summarized in this study will provide scientific and detailed management suggestions for postpartum rehabilitation of recti abdominalis dissociation, reduce the adverse effects caused by neglect of management of recti abdominalis disscoiation for partuients, and further improve the quality of life of parturients. At the same time, it is suggested that clinical staff should pay more attention to the separation and rehabilitation management of the postpartum rectus abdominis muscle. In the process of learning from this study, it is necessary to combine the clinical situation of the department and the personal will of the pregnant women to practice.

Key words: puerpera; diastasis recti abdominis; rehabilitation; evidence summary

中图分类号:  R47;R197