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Journal of Nursing ›› 2023, Vol. 30 ›› Issue (3): 1-5.doi: 10.16460/j.issn1008-9969.2023.03.001

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Developmental trajectory of pelvic floor muscle training self-efficacy in antenatal and postnatal women and its impact on postpartum urinary incontinence

LIU Sha1,2, CHEN Ling1, LI Tian-tian1, ZHANG Dan-li1,2, CAI Wen-zhi1,2   

  1. 1. Dept. of Nursing Administration,Shenzhen Hospital,Southern Medical University, Shenzhen 518101, China;
    2. School of Nursing,Southern Medical University, Guangzhou 510515, China
  • Received:2022-10-28 Online:2023-02-10 Published:2023-03-14

Abstract: Objective To explore the development trajectory of pelvic floor muscle training self-efficacy in antenatal and postnatal women and its impact on postpartum urinary incontinence. Methods Data were collected from a randomized controlled trial in which 126 participants were recruited from June to October 2020 in the obstetric clinic of one tertiary grade-A hospital in Shenzhen. In the control group, conventional care was performed, while in the observation group, self-management of urinary incontinence was carried out using the APP in addition to conventional care. Data were collected before the intervention, 2 months after the intervention and 42d after delivery. Mplus 7.4 was used to analyze the latent category growth model of the pelvic floor training self-efficacy development trajectory. Logistic regression was used to analyze the effect of intervention factors on pelvic floor training self-efficacy development trajectory and to explore the predictive effect of pelvic floor training self-efficacy development trajectory on postpartum incontinence. Results One hundred and three participants eventually completed follow-up at all-time points, with mean age of 28.75±3.33 years. Latent class growth model were fitted to four latent categories: C1 (high functioning group, 56.3%), C2 (developmental group, 9.7%), C3 (blocked group, 22.3%), and C4 (low functioning group, 11.7%). Regression analysis found that the risk of postpartum incontinence was reduced in the high-functioning and developmental group when compared to that in the low-functioning group (P=0.002 and P=0.025); pregnant women in the observation group were more likely to show an upward trajectory of pelvic floor muscle training self-efficacy development (OR: 0.055, 95%CI: 0.016~0.188, P<0.001). Conclusion There is significant heterogeneity in the development trajectory of maternal pelvic floor training self-efficacy. APP-based incontinence management tools contribute to the increasing trend of the development, and those with an increasing trend in pelvic floor training self-efficacy are with lower risk of developing postpartum incontinence.

Key words: urinary incontinence, perinatal, mobile health, randomized controlled trial, latent class growth model

CLC Number: 

  • R473.71
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