护患共同参与对宫颈癌患者术后膀胱功能锻炼效果的影响  

Effect of nurse-patient＇s co-participation on postoperative bladder function exercise of cervical cancer patients

作　　者：黄华[1] 魏振玲[1] 郭瑞霞[1] 李静[1] 

机构地区：[1]郑州大学第一附属医院妇科,郑州450052

出　　处：《中华现代护理杂志》2017年第36期4626-4628,共3页Chinese Journal of Modern Nursing

摘　　要：目的 观察护患共同参与对宫颈癌患者术后膀胱功能锻炼效果,探讨护患共同参与对宫颈癌患者膀胱功能恢复的影响.方法 选取2014年1月—2017年1月在郑州大学第一附属医院行手术治疗宫颈癌患者117例,按随机数字表法随机分成对照组（n=58）和观察组（n=59）,对照组行一般常规护理,观察组在此基础上护患共同参与管理膀胱功能锻炼,比较两组宫颈癌患者术后膀胱功能恢复效果.结果 观察组残余尿量〈100 ml与自主排尿人数多于对照组,重新留置导尿管人数少于对照组,差异有统计学意义（P〈0.05）;观察组患者排气时间与住院天数少于对照组,差异有统计学意义（P〈0.05）;观察组患者尿潴留发生率为8.47%,低于对照组的20.69%;观察组首次拔管成功率为91.52%,高于对照组的63.79%,差异均有统计学意义（P〈0.05）.结论 护患共同参与可改善宫颈癌患者术后膀胱功能锻炼效果,降低并发症的发生率.Objective To observe the effect of nurse-patient＇s co-participation on the bladder function exercise after cervical cancer surgery, and to explore the influence of nurse-patient＇s co-participation on bladder function recovery in cervical cancer patients. Methods A total of 117 patients with cervical cancer who underwent surgical treatment in the First Affiliated Hospital of Zhengzhou University from January 2014 to January 2017 were selected and randomly divided into control group （n=58） and observation group （n=59） by the random number table method. Routine nursing was given to both groups, on the basis of which the observation group adopted nurse-patient＇s co-participation management method to exercise the bladder function, and the recovery status of cervical cancer patients＇ bladder function after surgery was compared between the two groups. Results The residual urine volume of the observation group was less than 100% and the proportion of spontaneous urination was significantly higher than that of the control group. The proportion of reattached catheter was significantly lower than that of the control group （P〈0.05）. The patients in the observation group had less exhaust time and fewer hospitalization days than the control group, and the difference was statistically significant （P〈 0.05）. The incidence of urinary retention in the observation group （8.47%） was significantly lower than that in the control group （20.69%）, and the first extubation success rate of the observation group （91.52%） was significantly higher than that of the control group （63.79%）, with a statistical difference （P〈0.05）. Conclusions The nurse-patient＇s co-participation can improve the effect of postoperative bladder function recovery in patients with cervical cancer, and significantly reduce the incidence of complications.

关 键 词：宫颈肿瘤 共同参与护理 膀胱功能锻炼 

分 类 号：R473.73[医药卫生—护理学]