摘要
[目的]探讨宫颈癌根治术病人接受路径式护理对其膀胱功能恢复的影响。[方法]以120例宫颈癌根治术病人为研究对象,根据随机数字表法分为试验组和对照组各60例,对照组实施常规护理干预,试验组实施路径式护理干预,比较两组病人并发症发生情况、术后盆底肌肌力、膀胱功能恢复时间、住院时间以及其术前、出院前心理状态。[结果]试验组宫颈癌根治术病人的并发症发生率低于对照组,差异有统计学意义(P<0.05);试验组术后盆底肌力高于对照组,其膀胱功能恢复时间、术后留置尿管时间、住院时间短于对照组(P<0.05);两组病人出院前焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均较术前降低,其中试验组病人出院前SAS评分、SDS评分低于对照组(P<0.05);试验组护理质量优于对照组(P<0.05)。[结论]宫颈癌根治术病人接受路径式护理干预,不仅能够促进病人膀胱功能、术后盆底肌力的改善,控制其并发症的发生,缩短其膀胱功能恢复时间、住院时间,且可改善宫颈癌根治术病人的不良心理状态,提高护理的质量。
Objective:To investigate the effect of path nursing on the recovery of bladder function in patients undergoing radical resection of cervical cancer.Methods:A total of 120 patients with radical resection of cervical cancer were enrolled in the study,and divided into experimental group (60 cases) and control group (60 cases) according to the random number table method.The patients in control group received the routine nursing intervention,and the patients in experimental group received the path-based nursing intervention.Symptoms,postoperative pelvic floor muscle strength,bladder function recovery time,length of hospital stay,and differences in preoperative and pre-discharge mental status were compared between the two groups.Results:The complication rate of patients with cervical cancer radical surgery in experimental group was lower than that in control group,and the difference was statistically significant (P <0.05).The postoperative pelvic floor muscle strength of patients in experimental group was higher than that in control group,and the recovery time of bladder function,time of indwelling catheter,and the length of hospital stay were shorter than those in control group (P <0.05).The pre-discharge scores of Anxiety Self-Rating Scale (SAS) and Depression Self-Rating Scale (SDS) in the two groups were lower than those before surgery.The pre-discharge scores of SAS and SDS of patients in the experimental group were lower than those in control group (P <0.05).The quality of nursing in experimental group was better than that in the control group (P <0.05).Conclusion:Patients with cervical cancer radical surgery receiving path-based nursing intervention could not only improve bladder function and postoperative pelvic floor muscle strength,but also control the incidence of complications,shortening the recovery time of bladder function and length of hospital stay.It could improve the poor mental state of patients undergoing radical resection of cervical cancer,improve the quality of nursing,and the application effect was remarkable.
作者
卢淑兰
郑建敏
余丽
LU Shulan;ZHENG Jianmin;YU Li(the First Affiliated Hospital of Guangxi Medical University,Guangxi Zhuang Autonomous Region 530021 China)
出处
《全科护理》
2019年第28期3469-3472,共4页
Chinese General Practice Nursing
基金
广西壮族自治区卫生和计划生育委员会科研课题,编号:Z20170604
关键词
宫颈癌根治术
膀胱功能
路径式护理
radical resection of cervical cancer
bladder function
path nursing
作者简介
卢淑兰,主管护师,专科,单位:530021,广西医科大学第一附属医院.
