Study On The Actuality And Factors Of Knowledge Attitude Practice Of Rehabilitation For Postpartum Diastasis Recti Abdominis Of Puerperae

Objectives1.To develop a knowledge attitude and practice questionnaire of rehabilitation for postpartum diastasis recti abdominis of puerperae.2.To investigate puerperae’s level of knowledge,attitude and behavior of rehabilitation for postpartum diastasis recti abdominis.3.To explore the influencing factors of knowledge,attitude and behavior of rehabilitation for postpartum diastasis recti abdominis among puerperae.Methods1.The questionnaire items of puerperae’s knowledge attitude and practice of rehabilitation for postpartum diastasis recti abdominis were constructed through the literature review,research group members discussion and expert consultation.2.17 experts in related fields were selected to conduct 2 rounds of Delphi letter inquiry.The questionnaire was determined through the pre-experiment and the reliability and validity test.3.Convenience sampling method was used to select 569 puerperae from 4 tertiary hospitals in Guangdong province,Jiangsu province and Zhejiang province as research objects,to conduct a cross-sectional study.To analyze the level of puerperae of knowledge,attitude and behavior of rehabilitation for postpartum diastasis recti abdominis,and Binary logistic regression was used to analyze its influencing factors.Results1.Puerperae’s knowledge attitude and practice questionnaire of rehabilitation for postpartum diastasis recti abdominis developed was made up with 3 dimensions with 32 items.Exploratory factor analysis extracted 5 common factors,and the cumulative variance contribution rate was 73.7%.The results of confirmatory factor analysis showed that the questionnaire structure was well fitted.The average content validity of the questionnaire was 0.980,the Cronbach’s alpha coefficient was 0.965,the split-half reliability was 0.876,and the test-retest reliability was 0.884.2.The median scores of the knowledge,attitude and behavior dimensions of rehabilitation for postpartum diastasis recti abdominis were 47.00(37.00,56.00),27.00(24.00,32.00)and 16.00(10.00,19.00)points respectively,and the passing rates were 59.9%,93.3%and 54.3%respectively.3.The scores of puerperae of knowledge,attitude and behavior dimensions of rehabilitation for postpartum diastasis recti abdominis are positively correlated,and the correlation coefficients were all above 0.5(P<0.05).4.The main factors of knowledge among the puerperae were maternal confinement location and education background(P<0.05);the main factors of attitue among the puerperae was education background(P<0.05);the main factors influencing of practice among the puerperae were knowledge,attitude,number of deliveries and family personal monthly income(P<0.05).Conclusions1.Puerperae’s knowledge attitude and practice questionnaire of rehabilitation for postpartum diastasis recti abdominis questionnaire had good reliability and validity,can be used as a scientific tool to evaluate the knowledge,attitude and practice level of rehabilitation for postpartum diastasis recti abdomini among puerperae.2.Puerperae had a positive attitude towards rehabilitation of postpartum diastasis recti abdominis,but their level of knowledge and practice of rehabilitation for postpartum diastasis recti abdominis were not optimistic.3.The level of knowledge,attitude and behavior of rehabilitation for postpartum diastasis recti abdominis of puerperae were affected by multiple factors.Therefore,medical staff need to strengthen the knowledge popularization and management of rehabilitation for postpartum diastasis recti abdominis,personalized health education for puerperae with different characteristics,in order to help puerperae have a comprehensive understanding on rehabilitation for postpartum diastasis recti abdominis,to establish correct attitude towards rehabilitation for postpartum diastasis recti abdominis,and to carry out rehabilitation and treatment of postpartum diastasis rectti abdominis in a time.