Application effect and discussion of information platform based on health perception cloud servicein pelvic floor rehabilitation of pregnant women
基于健康感知云服务的信息平台在孕产妇盆底康复中的应用效果及探讨

摘要

目的 探讨基于"健康感知云服务"的盆底功能康复信息化管理平台在临床中的应用效果。方法 通过组建包含盆底康复专家、专科护士及信息工程师的孕产妇盆底康复专科小组，利用互联网、数据挖掘与联机分析、人工神经网络等先进技术，在循证医学的基础上构建基于"健康感知云服务"的盆底功能康复信息化管理平台，随机选取2022年2月~2023年2月本院建档产检符合纳排标准的200例病例，按照电脑随机数字法分为对照组和观察组各100例。对照组行常规产检及产后随访，观察组在孕28周采用基于"健康感知云服务"的孕产妇盆底功能康复信息化管理平台进行孕期盆底肌锻炼指导及产后盆底康复管理。对比两组病例产后42天的盆底功能康复锻炼的依从性、病人满意度、盆底功能检测数据及压力性尿失禁发生率。结果 对照组和观察组一般资料无统计学差异（P>0.05），产后42天观察组的康复锻炼依从性97%显著优于对照组62%（P<0.05），患者满意度95%显著高于对照组（69%）（P<0.05），压力性尿失禁发频率观察组明显低于对照组（P=-0.024<0.05），产后42天观察组盆底肌Ⅰ、Ⅱ类肌纤维肌力得分明显高于对照组（t=-5.117、t=-4.775，P<0.05）。结论 基于"健康感知云服务"的孕产妇盆底功能康复信息化管理平台提高了康复锻炼的依从性和满意度，保证了盆底康复的实施效果，促进了产后盆底肌力恢复，能有效预防产后PFD的发生。

Abstract

Objective To explore the application effect of the pelvic floor functional rehabilitation information management platform based on the "Health Perception Cloud Service" in clinical practice.
Methods By establishing a specialized group of pregnant and postpartum pelvic floor rehabilitation experts, specialized nurses, and information engineers, and utilizing advanced technologies such as the Internet, data mining and online analysis, and artificial neural networks, a pelvic floor functional rehabilitation information management platform based on "health perception cloud service" was constructed on the basis of evidence-based medicine. 200 cases that met the inclusion and exclusion standards in the hospital's registered prenatal examinations from February 2022 to February 2023 were randomly selected, According to the computer random number method, they were divided into a control group and an observation group with 100 cases each. The control group underwent routine prenatal examination and postpartum follow-up, while the observation group used the "Health Perception Cloud Service" based information management platform for maternal pelvic floor function rehabilitation at 28 weeks of pregnancy for guidance on pelvic floor muscle exercise during pregnancy and postpartum pelvic floor rehabilitation management. Compare the compliance, patient satisfaction, pelvic floor function test data, and incidence of stress urinary incontinence between two groups of cases after 42 days of postpartum pelvic floor function rehabilitation exercise.
Results There was no statistically significant difference in general data between the control group and the observation group (P>0.05). On the 42nd day postpartum, the rehabilitation exercise compliance of the observation group was 97% significantly better than that of the control group (62%, P<0.05), and patient satisfaction was 95% significantly higher than that of the control group (69%, P<0.05). The frequency of stress urinary incontinence in the observation group was significantly lower than that of the control group (P=-0.024<0.05). On the 42nd day postpartum, the pelvic floor muscle fiber strength scores of the observation group were significantly higher than those of the control group (t=-5.117, t=-4.775, P<0.05).
Conclusion   The information management platform for pelvic floor function rehabilitation of pregnant and postpartum women based on the "Health Perception Cloud Service" has improved the compliance and satisfaction of rehabilitation exercise, ensured the implementation effect of pelvic floor rehabilitation, promoted postpartum pelvic floor muscle strength recovery, and effectively prevented the occurrence of postpartum PFD.