Shuxian Li , Jiarong Xu , Zhentong Zhong , Jie Li , Wenjun Tang , Wenzhi Cai
{"title":"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","authors":"Shuxian Li , Jiarong Xu , Zhentong Zhong , Jie Li , Wenjun Tang , Wenzhi Cai","doi":"10.1016/j.midw.2025.104605","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Introduction and hypothesis</h3><div>This qualitative study explores the motivations, challenges, and practices of postpartum women with urinary incontinence as they engage in proactive pelvic floor rehabilitation.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>Postpartum women with urinary incontinence (<em>n</em> = 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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"150 ","pages":"Article 104605"},"PeriodicalIF":2.5000,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Motivations, challenges, and practices of pelvic floor rehabilitation in postpartum women with urinary incontinence under China’s proactive health framework: a qualitative research\",\"authors\":\"Shuxian Li , Jiarong Xu , Zhentong Zhong , Jie Li , Wenjun Tang , Wenzhi Cai\",\"doi\":\"10.1016/j.midw.2025.104605\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>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.</div></div><div><h3>Introduction and hypothesis</h3><div>This qualitative study explores the motivations, challenges, and practices of postpartum women with urinary incontinence as they engage in proactive pelvic floor rehabilitation.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>Postpartum women with urinary incontinence (<em>n</em> = 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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>\",\"PeriodicalId\":18495,\"journal\":{\"name\":\"Midwifery\",\"volume\":\"150 \",\"pages\":\"Article 104605\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-09-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Midwifery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0266613825003225\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Midwifery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0266613825003225","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Motivations, challenges, and practices of pelvic floor rehabilitation in postpartum women with urinary incontinence under China’s proactive health framework: a qualitative research
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.