RESUMO
BACKGROUND: Postpartum depression (PPD) is a common psychological disease among puerperal women, and postpartum pelvic floor dysfunction is a common disease among pregnant women. The occurrence of postpartum pelvic floor dysfunction will increase the incidence of PPD. AIM: To explore the therapeutic effect of integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis on PPD. METHODS: From April 2020 to January 2022, 100 parturients with a rectus abdominis muscle separation distance > 2.0 cm who underwent reexamination 6 wk after delivery at our hospital were selected as the research subjects. According to the random number table method, the patients were divided into either an observation group (n = 50) or a control group (n = 50). There was no significant difference in the general data between the two groups (P > 0.05). Both groups were treated by electrical stimulation. The observation group was additionally treated by integrated traditional Chinese and Western medicine nursing. A self-designed Depression Knowledge Questionnaire was used to evaluate the awareness of knowledge on depression in all patients 3 wk after intervention. The Hamilton Depression Scale (HAMD) was used to evaluate the depression before intervention and 1 wk and 3 wk after intervention, and the Morisky Medication Adherence Scale (MMAS-8) was used to evaluate the medication compliance. SPSS19.0 was used for statistical analyses. RESULTS: The rate of awareness of knowledge on depression in the observation group was significantly higher than that of the control group (P < 0.05). The scores of MMAS-8 were comparable between the two groups before intervention (P > 0.05), but were significantly higher in the observation group than in the control group at 1 wk and 3 wk after intervention (P < 0.05). The HAMD scores were comparable between the two groups before intervention (P > 0.05), but were significantly lower in the observation group than in the control group at 1 wk and 3 wk after intervention (P < 0.05). CONCLUSION: Integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis is effective in the treatment of postpartum depression and worthy of clinical promotion.
RESUMO
Due to the aging of the population or diseases, the number of patients with lower limb disorders has increased, causing social concern. Scholars have designed and developed advanced robotic lower limb orthoses, which can guide patients to perform reasonable rehabilitation training with correct limb postures, enhance their daily life participation and quality of life, and help them recover quickly. In recent years, a large number of new and advanced orthopedic equipment have been developed, which require a systematic summary analysis and comparison. This article reviewed typical newly developed, robotic lower limb orthoses and their use effects, as well as the advanced theories and technologies for their applications, and systematically discussed the problems in the research, design, testing, use, and popularization of robotic lower limb orthoses, and predicted their development direction in the future research and design, to enhance the reliability, convenience, and protection functions of orthotic equipment, make its functions closer to life, and give full play to the initiative of patients in the process of rehabilitation training, and reduce costs. Robotic lower limb orthoses is poised for even greater success and development in the future.
