湖州市产妇产后腹直肌分离康复知信行现状分析

Actuality Analysis of Knowledge, Attitude, and Practice of Rehabilitation for Diastasis Recti Abdominis (DRA) of Postpartum Women in Huzhou

摘要: 目的：调查湖州产妇产后腹直肌分离康复知信行现状及影响因素，为提高产后康复质量，保障湖州女性产后身心健康和生活质量提供参考。方法：采用产妇产后腹直肌分离(DRA)康复知信行问卷，对湖州市247例产妇进行调查。结果：产妇对腹直肌分离康复知信行总分(89.24 ± 17.79)，得分率为69.72%，其中知识维度得分(48.72 ± 9.71)分，态度维度得分(23.74 ± 5.04)分，行为维度得分(16.79 ± 4.50)分，共有196人(79.4%)处于中等水平及以上。产后时间、坐月子地点、文化程度、职业状态、家庭人均月收入是影响DRA康复知信行的影响因子(均P < 0.05)。结论：湖州市产妇对产后腹直肌分离康复的知信行属于中等水平。医护人员应加强产妇及其家属的健康宣教，有助于提高他(她)们对产后腹直肌分离康复的全面认知并及时接受康复治疗。

Abstract: Objective: Investigating the actuality and factors of knowledge, attitude, and practice (KAP) of rehabilitation for diastasis recti abdominis (DRA) of postpartum women in Huzhou, to improve the quality of postpartum rehabilitation and provide guidance for ensuring the physical and mental health as well as the life quality of postpartum women. Methods: A questionnaire of KAP on DRA rehabilitation was adopted, and 247 postpartum women in Huzhou were investigated. Results: The total KAP score was 89.24 ± 17.79, with a scoring rate of 69.72%. The scores of the knowledge, attitude, and practice dimensions were 48.72 ± 9.71, 23.74 ± 5.04, and 16.79 ± 4.50, respectively. Among these, 196 participants (79.4% of all) were at moderate and good levels. Postpartum duration, location of postpartum confinement, educational level, occupational status, and monthly household income per capita were main factors of KAP of DRA rehabilitation (P < 0.05). Conclusion: The KAP level of rehabilitation for DRA of postpartum women in Huzhou was moderate. Healthcare professionals should focus health education on puerperaes and their families, which will be helpful for improving their comprehensive understanding of DRA rehabilitation and acceptance of rehabilitation treatments.