活动干预对宫颈癌患者术前肠道清洁的影响  

The effect of activity intervention on preoperative intestinal cleaning of cervical cancer patients

作　　者：徐丽丽[1] 吕亚[1] 李萍[1] 

机构地区：[1]江苏省无锡市妇幼保健院肿瘤科,214000

出　　处：《中国实用护理杂志》2018年第3期191-194,共4页Chinese Journal of Practical Nursing

基　　金：无锡市卫生和计划生育委员会青年项目（Q201607）

摘　　要：目的探讨活动干预对宫颈癌患者口服复方聚乙二醇电解散时肠道清洁的效果，以提高患者的肠道清洁度，减少药物的不良反应。方法将75例宫颈癌患者按照抽签法随机分成干预组37例和对照组38例，对照组在服药前予饮食指导，讲解药物的服用方法及服用时间，服药后的注意事项，干预组在对照组的基础上增加活动干预。结果干预组患者的肠道清洁度Ⅰ度29例占78.37%，Ⅱ度7例占18.91%，Ⅲ度1例占2.7%；对照组肠道清洁度Ⅰ度21例占55.3%，Ⅱ度9例占23.7%，Ⅲ度8例占21.1%，2组比较差异有统计学意义（χ2=6.962，P=0.031）。干预组恶心呕吐0级22例占59.5%，Ⅰ级9例占24.3%，Ⅱ级6例占16.2%；对照组恶心呕吐0级11例占28.9%，Ⅰ级17例占44.7%，Ⅱ级10例占26.3%，2组比较差异有统计学意义（χ^2=7.116，P=0.028）。干预组腹胀0级23例占62.2%，1级9例占24.3%，2级5例占13.5%，无3级；对照组腹胀0级11例占28.9%，1级18例占47.4%，2级8例占21.1%，3级1例占2.6%，2组比较差异有统计学意义（χ^2=8.916，P=0.030）。干预组首次排便时间和总排便时间分别为（2.18 ± 0.59）、（2.93 ± 0.86）h，对照组分别为（3.13 ± 0.64）、（3.80 ± 1.01）h，2组比较差异有统计学意义（t=-3.035、-2.520，P〈0.01或0.05）。结论活动干预能够提高宫颈癌患者的肠道清洁效果，减轻不良反应的发生。Objective To investigate the effect of activity intervention on intestinal cleansing of patients with cervical cancer undergoing oral administration of compound polyethylene glycol electrolyte powder, so as to improve the intestinal cleanliness of patients and reduce the adverse reactions of drugs.MethodsA total of 75 cases of cervical cancer patients were divided into intervention group containing 37 cases and control group containing 38 cases by lottery, the control group before taking medicine was given the diet guidance, explaining the method of taking medicine and time of taking medicine, as well as points for attention after taking medication; while the intervention group increased activity intervention on the basis of the control group.ResultsThe intervention group of patients with intestinal cleanliness Ⅰ degree accounted for 78.37% （29/37）, Ⅱ degree （18.91%, 7/37） and Ⅲ degree （2.7%, 1/37）; while the control group of patients with intestinal cleanliness Ⅰ degree accounted for 55.3% （1/38）, Ⅱ degree （23.7%, 9/38） and Ⅲ degree （21.1%, 8/38）, and the difference was statistically significant （χ2= 6.962, P= 0.031）.The intervention group with nausea and vomiting level 0 accounted for 59.5% （22/37）, level Ⅰ （24.3%, 9/37） and level Ⅱ （16.2%, 6/37）; while the control group with nausea and vomiting level 0 accounted for 28.9% （11/38）, level Ⅰ （44.7%, 17/38）, level Ⅱ （26.3%, 10/38）, the difference was statistically significant（χ2= 7.116, P= 0.028）. The intervention group with abdominal distension level 0 accounted for 62.2% （23/37）, level 1（24.3%, 9/37）, level 2 （13.5%, 5/37） and level 3 （0）; while the control group with abdominal distension level 0 accounted for 28.9% （11/38）, level 1（47.4%, 18/38）, level 2 （21.1%, 8/38） and level 3 （2.6%,1/38）, the difference was statistically significant （χ2= 8.916, P= 0.030）. The first defecation time of the intervention group was （2.18 ± 0.59） h and the total

关 键 词：宫颈肿瘤 活动干预 宫颈癌 复方聚乙二醇电解散 肠道清洁 

分 类 号：R473.73[医药卫生—护理学]