摘要
目的探讨人性化护理对宫颈癌根治术后患者生活质量的影响。方法选取2013年9月至2016年2月间湖北医药学院附属随州医院收治的行宫颈癌根治术的154例宫颈癌患者,按入院先后顺序依次分为观察组和对照组,每组77例,观察组患者予以人性化护理,对照组患者予以常规护理,比较两组患者的手术康复指征、焦虑情况、术后4个月和6个月性交疼痛和阴道干涩情况、生活质量评分以及护理满意度。结果观察组患者术后首次下床活动时间、留置尿管时间、首次排气时间、腹部切口愈合时间和住院时间均短于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者护理后特质焦虑和状态焦虑评分均较护理前降低,且均低于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者术后4个月和6个月性交疼痛和阴道干涩情况均优于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者护理后躯体功能、情绪功能、角色功能、社会功能、认知功能和总健康状况评分均高于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者护理总满意率以及非常满意率高于对照组患者,不满意率低于对照组患者,差异均有统计学意义(均P<0.05)。结论人性化护理可改善宫颈癌根治术后患者的生活质量,患者康复较快,且护理满意度高,适于临床广泛应用。
Objective To discuss the effect of humanized nursing care on the quality of life in patients undergoing radical resection for cervical cancer. Methods One hundred and fifty-four patients undergoing radical resection for cervical cancer at Suizhou Hospital Affiliated to Hubei University of Medicine from September 2013 to February 2016 were selected. According to sequence of hospitalization,patients were divided into an observation group and a control group with 77 patients in each group. Patients in the observation group received humanized nursing care and patients in the control group received usual nursing care. Idicatiors of recovery,anxiety,dyspareunia and vaginal dryness at 4 months and 6 months after the surgery,quality of life and satisfaction with nursing were compared between the two groups. Results The time out of bed,length of time a catheter will remain,time to exhaust,abdominal incision recovery time and length of stay was shorter in the observation group than in the control group（all P〈0. 05）. The scores of trait anxiety and state anxiety in the observation group were significantly lower than in the control group and before nursing（all P〈0. 05）. Dyspareunia and vaginal dryness was less in the observation group than in the control group at 4 and 6 months after operation（all P〈0. 05）. The scores of physical function,emotional function,role function,social function,cognitive function and general health status were higher in the observation group than in the control group（all P〈0. 05）. The overall satisfaction rate and very satisfaction rate were higher in the observation group than in the control group and the unsatisfaction rate was lower in the observation group than in the control group,all the difference was statistically significant（all P〈0. 05）. Conclusion Humanized nursing can improve quality of life and recovery in patients undergoing radical resection for cervical cancer wih high satisfaction,which is worthy of clinical popularization.
出处
《中国肿瘤临床与康复》
2017年第6期738-741,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
人性化护理
宫颈癌根治术
康复
生活质量
Humanized nursing
Radical resection for cervical cancer
Rehabilitation
Quality of life
作者简介
王希路，女，副主任护师，主要从事妇产科护理专业。
通信作者：柏露，Email：wangxilu36@163．com
