Summary of the best evidence for pelvic floor muscle training in the prevention and treatment of postpartum urinary incontinence
10.3760/cma.j.cn115682-20230620-02453
- VernacularTitle:盆底肌训练防治产后尿失禁的最佳证据总结
- Author:
Jiayu ZHANG
1
;
Xin YAN
;
Haoran DUAN
;
Yao FENG
;
Zekun YAO
;
Zemin ZHANG
;
Xue BAI
Author Information
1. 山西医科大学护理学院，太原 030000
- Keywords:
Pelvic floor muscle training;
Postpartum urinary incontinence;
Evidence summary;
Evidence-based practice;
Nursing
- From:
Chinese Journal of Modern Nursing
2024;30(12):1604-1611
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the evidence of pelvic floor muscle training for the prevention and treatment of postpartum urinary incontinence, providing guidance and reference for clinical practice.Methods:According to the "6S" pyramid model, clinical decision-making, guidelines, and systematic reviews on pelvic floor muscle training for the prevention and treatment of postpartum urinary incontinence were searched in UpToDate, British Medical Journal (BMJ) Best Practice, National Institute for Health and Care Excellence, Scottish Intercollegiate Guideline Network, New Zealand Guideline Group, Guidelines International Network, Medlive, Joanna Briggs Institute (JBI) Evidence-Based Health Care Center Database, Cochrane Library, professional association website, Embase, PubMed, Web of Science, China National Knowledge Infrastructure, China Biology Medicine disc, WanFang Data, and VIP. The search period was from March 2013 to March 2023. Two trained researchers evaluated the quality of literature and integrated and extracted evidence.Results:A total of 22 articles were included, including 8 clinical decision-making, 6 guidelines, 7 systematic reviews, and 1 expert consensus. Twenty-one best pieces of evidence were summarized from 5 aspects, consisting of risk factors, prevention, evaluation, treatment and health guidance for postpartum urinary incontinence.Conclusions:The best evidence for the prevention and treatment of postpartum urinary incontinence through pelvic floor muscle training summarized is convenient for medical and nursing staff to conduct scientific urinary incontinence assessment, pelvic floor muscle training education and guidance for pregnant and postpartum women.
