Volume 21 Issue 10
Oct.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(10): 1762-1766
ZHAO Rong, WANG Huanhuan, LIANG Wanwan, ZHANG Li, WANG Hongyu, YUE Jianxing. Effect of exercise intervention on self-efficacy, abdominal circumference and spacing of rectus abdominis separation in patients with postpartum rectus abdominis separation[J]. Chinese Journal of General Practice, 2023, 21(10): 1762-1766. doi: 10.16766/j.cnki.issn.1674-4152.003219
Citation: ZHAO Rong, WANG Huanhuan, LIANG Wanwan, ZHANG Li, WANG Hongyu, YUE Jianxing. Effect of exercise intervention on self-efficacy, abdominal circumference and spacing of rectus abdominis separation in patients with postpartum rectus abdominis separation[J]. Chinese Journal of General Practice, 2023, 21(10): 1762-1766. doi: 10.16766/j.cnki.issn.1674-4152.003219
shu

Effect of exercise intervention on self-efficacy, abdominal circumference and spacing of rectus abdominis separation in patients with postpartum rectus abdominis separation

doi: 10.16766/j.cnki.issn.1674-4152.003219
  • 1.

    School of Nursing, Bengbu Medical College, Bengbu, Anhui 233030, China

Funds:

 SK2020ZD32

 Byycxz22044

  • Received Date: 2023-05-05
    Available Online: 2023-11-23
    Abstract
  •   Objective  To explore the effect of exercise intervention on improving self-efficacy, abdominal circumference and separation distance of rectus abdominis in postpartum patients with separation of rectus abdominis, and to provide reference for clinical exercise intervention.  Methods  Eighty-six patients with postpartum rectus abdominis separation who attended the rehabilitation department of the Second Affiliated Hospital of Bengbu Medical College from August 2022 to March 2023 were selected and divided into a control group (n=43) and an intervention group (n=43) according to the time of consultation; both groups underwent conventional rehabilitation training, and the intervention group underwent exercise intervention on this basis. Patients ' self-efficacy was assessed using the general self-efficacy scale (GSES) before and after the intervention, and abdominal circumference and the separation distance between the rectus abdominis muscles were measured.  Results  Comparing the two groups of patients before intervention, there was no significant difference in the indicators (all P>0.05). After intervention, the abdominal circumference of patients in both groups was reduced, and the abdominal circumference of the intervention group [(81.67±7.09) cm] was smaller than that of the control group [(84.42±6.72) cm], with statistically significant differences (t=2.071, P=0.045). The separation distance of the three rectus abdominis muscles in both groups decreased (all P < 0.05), and the separation distance of the rectus abdominis muscles 2 cm above the umbilicus [(1.37±0.50) cm], at the flat umbilicus [(1.74±0.50) cm] and below the umbilicus [(1.24±0.53) cm] in the intervention group were smaller than those of the control group [(1.60±0.42), (1.95±0.38) and (1.44±0.37) cm], and the differences were statistically significant (all P < 0.05). The self-efficacy of patients in both groups increased (all P < 0.05), and was better in the intervention group (P < 0.05). Compared the differences in abdominal circumference, rectus abdominis separation distance and self-efficacy score between the two groups before and after intervention, the improvement of the intervention group was better than that of the control group (all P < 0.05).  Conclusion  Exercise intervention can reduce the abdominal circumference and distance between diastasis recti abdominis in patients with postpartum diastasis and improve maternal self-efficacy, which can effectively promote postpartum recovery and has high clinical promotion value.

     

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