情景演练式健康指导对宫颈癌患者术后功能锻炼效果的影响  

Effect of scenario-exercises health guidance on postoperative functional exercise of patients with cervical can cer

作　　者：黄盈碧[1] 吴菁[1] 徐洁[1] 

机构地区：[1]温州医科大学附属第一医院妇科,325000

出　　处：《中华现代护理杂志》2014年第34期4306-4309,共4页Chinese Journal of Modern Nursing

基　　金：基金项目：浙江省医药卫生科学研究基金项目（2007B143,2008A118）;浙江省自然科学基金项目（Y206482）

摘　　要：目的：探讨情景演练式健康指导对宫颈癌患者术后功能锻炼效果的影响。方法选取2012年1月—2014年1月行宫颈癌根治切除术患者100例，按照随机数字表法分为观察组和对照组，每组各50例。对照组给予常规护理及健康指导，观察组在对照组的基础上引入情景演练式健康指导，对比两组患者术后残余尿量、尿潴留发生率及生活质量评分。结果观察组患者术后残余尿量（108．5±41．2）ml，对照组为（58．3±36．7）ml，差异有统计学意义（t＝6．433，P＜0．01）。观察组患者发生尿潴留2例，对照组10例，差异有统计学意义（χ2＝6．0606，P＜0．05）。拔管后，两组患者生活质量比较差异无统计学意义（P＞0．05）；出院半年后，两组患者生活质量均提升，且观察组提升更加显著，与对照组比较差异有统计学意义（ P＜0．05）。结论情景演练式健康指导能明显提高宫颈癌患者术后功能锻炼的效果，值得推广。Objective To discuss the effect of scenario-exercises health guidance on postoperative functional exercise of patients with cervical cancer.Methods Select 100 cervical cancer patients who admitted to our department for radical resection during January 2012 to January 2014.In accordance with the principles of randomized control, we divided them into the experimental group and the control group, and each group got 50＆amp;nbsp;patients.The control group received routine care and health guidance, while on the basis of routine care, the experimental group underwent scenario-exercises health guidance.The effect of postoperative functional exercise of the two groups was observed and compared.Results After removing the tube, the residual urine volume of the experimental group was （108.5 ±41.2）ml, which were significantly higher than （58.3 ±36.7）ml of the control group （t=6.433,P〈0.01）.Two patients in the experimental group had urinary retention, with the incidence of 4%, and ten patients in the control group had urinary retention, with the incidence of 20%.There was a significant difference between groups （χ2 =6.060 6,P〈0.05）.When the tube was just removed, the two groups had no significant difference in the quality of life （P〈0.05）, while six months after the exercise, there was a significant difference in the quality of life between two groups （ P〈0.05 ） .Conclusions Scenario-exercises health guidance can significantly improve the effect of postoperative functional exercise in patients with cervical cancer, and it is worthy of promoting.

关 键 词：宫颈肿瘤 健康指导 情景演练 功能锻炼 

分 类 号：R473.73[医药卫生—护理学]