Motivations, challenges, and practices of pelvic floor rehabilitation in postpartum women with urinary incontinence under China’s proactive health framework: a qualitative research

IF 2.5 3区 医学 Q1 NURSING
Shuxian Li , Jiarong Xu , Zhentong Zhong , Jie Li , Wenjun Tang , Wenzhi Cai
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引用次数: 0

Abstract

Background

Urinary incontinence is a common form of pelvic floor dysfunction among postpartum women worldwide, imposing significant physical, psychological, and socioeconomic burdens. Current research primarily focuses on clinical interventions while giving insufficient attention to integrated care models combining medical treatment with self-management strategies. The emerging literature underscores the importance of proactive health behaviours. Within China's Proactive Health framework, the mechanisms through which postpartum women engage in comprehensive rehabilitation remain underexplored.

Introduction and hypothesis

This qualitative study explores the motivations, challenges, and practices of postpartum women with urinary incontinence as they engage in proactive pelvic floor rehabilitation.

Methods

A descriptive, qualitative design was employed in this study. Face-to-face semi-structured interviews were conducted with postpartum women with urinary incontinence in a treatment room between September and October 2024. Participant interviews were transcribed verbatim and analysed thematically using NVivo software, which is widely used for qualitative data analysis.

Results

Postpartum women with urinary incontinence (n = 22) were interviewed by trained interviewers to investigate the motivations, challenges, and practices of proactive pelvic floor rehabilitation under China’s Proactive Health framework. The motivations included three subthemes: seeking pelvic recovery, reducing life impact, and social-family effects; The challenges included four subthemes: health competency demands, limited postpartum care, parenting load, and financial burdens; The practices encompassed four main domains: health literacy, healthy lifestyle, initiative healthcare engagement, social support acquisition.

Conclusions

This study identifies key motivations and challenges of postpartum women’s engagement in proactive pelvic floor rehabilitation and documents the diverse practices they adopt in daily life. These findings offer theoretical and practical insights for healthcare providers and multi-sectoral collaborations targeting postpartum rehabilitation improvement and pelvic floor health promotion within China’s Proactive Health framework.
中国积极健康框架下产后尿失禁妇女盆底康复的动机、挑战和实践:一项定性研究
背景:尿失禁是世界范围内产后妇女盆底功能障碍的一种常见形式,对身体、心理和社会经济造成了重大负担。目前的研究主要集中在临床干预方面,对医学治疗与自我管理相结合的综合护理模式关注不足。新出现的文献强调了主动健康行为的重要性。在中国的“主动健康”框架下,产后妇女参与全面康复的机制尚未得到充分探索。引言和假设:本定性研究探讨了产后尿失禁妇女进行主动盆底康复的动机、挑战和实践。方法:本研究采用描述性、定性设计。研究人员于2024年9月至10月在一间治疗室内对产后尿失禁妇女进行了面对面半结构化访谈。参与者的访谈被逐字记录下来,并使用广泛用于定性数据分析的NVivo软件进行主题分析。结果:通过训练有素的访谈者对22名产后尿失禁妇女进行访谈,以调查中国主动健康框架下主动盆底康复的动机、挑战和实践。动机包括三个次要主题:寻求骨盆恢复,减少生活影响和社会-家庭影响;这些挑战包括四个子主题:健康能力要求、有限的产后护理、育儿负担和经济负担;这些做法包括四个主要领域:卫生知识普及、健康生活方式、主动保健参与、获得社会支持。结论:本研究确定了产后妇女参与主动盆底康复的主要动机和挑战,并记录了她们在日常生活中采用的各种做法。这些发现为中国积极健康框架下的医疗服务提供者和多部门合作提供了理论和实践见解,旨在改善产后康复和促进盆底健康。
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来源期刊
Midwifery
Midwifery 医学-护理
CiteScore
4.50
自引率
7.40%
发文量
221
审稿时长
13.4 weeks
期刊介绍: Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.
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