认知图式健康宣教联合缩肛运动对子宫内膜癌手术患者膀胱功能的影响  

Effects of cognitive schema health education combined with rectum exercise on bladder function of patients undergoing endometrial carcinoma surgery

作　　者：顾华英 顾佳丽 包爱妹 赵威 林卫 杨庆欢 GU Hua-ying;GU Jia-li;BAO Ai-mei;ZHAO Wei;LIN Wei;YANG Qing-huan(Department of Obstetrics and Gynecology,Tinglin Hospital of Jinshan District of Shanghai,Shanghai 201505,CHINA)

机构地区：[1]上海市金山区亭林医院妇产科,上海201505

出　　处：《海南医学》2021年第8期1085-1088,共4页Hainan Medical Journal

基　　金：上海市第六周期金山区医学重点专科建设项目(编号:JSZK2019B02)。

摘　　要：目的探究认知图式健康宣教联合缩肛运动对子宫内膜癌(EC)手术患者膀胱功能的影响。方法选取2017年1月至2018年6月于上海市金山区亭林医院妇产科行EC术后采用常规护理的48例患者作为对照组,2018年7月至2019年12月行EC术后采取认知图式健康宣教联合缩肛运动护理的48例患者作为观察组,记录两组患者围术期指标,出院前评估两组患者疾病健康知识掌握情况,术后15 d评估两组患者膀胱功能,术后3个月比较两组患者遵医行为和并发症发生率。结果术后,观察组患者的自主排尿时间为(7.66±1.52)d,明显快于对照组的(8.34±1.37)d,差异有统计学意义(P<0.05);术后,观察组患者对EC病因、治疗、术后并发症及术后注意事项的健康知识了解程度得分分别为(84.31±5.33)分、(90.69±5.43)分、(92.71±4.13)分、(91.88±3.68)分,高于对照组的(81.67±5.02)分、(87.29±5.25)分、(90.08±4.37)分、(89.33±4.11)分,差异均有统计学意义(P<0.05);术后,观察组患者的服药、饮食控制、定期复查、适当运动遵医率分别为95.83%、89.58%、100.00%、100.00%,高于对照组的83.33%、72.92%、89.58%、83.33%,差异均有统计学意义(P<0.05);术后14 d,观察组患者的膀胱功能正常率为89.58%,显著高于对照组72.92%,差异有统计学意义(P<0.05);术后3个月,观察组患者出现肠梗阻、性生活障碍等术后并发症率为4.17%,明显低于对照组的16.67%,差异有统计学意义(P<0.05)。结论认知图式健康宣教联合缩肛运动有助于促进EC患者术后恢复,提高术后保健知识的掌握程度,显著改善膀胱功能,减少并发症的发生。Objective To investigate the effect of cognitive schema health education combined with anal contraction on bladder function in patients with undergoing endometrial carcinoma(EC)surgery.Methods A total of 48 patients who received routine nursing after EC operation in Tinglin Hospital of Jinshan District of Shanghai from January2017 to June 2018 were selected as the control group,and 48 patients who took cognitive schema health education and anal movement nursing from July 2018 to December 2019 were selected as the observation group.The perioperative indicators of patients in the two groups were recorded,disease and health knowledge of patients in the two groups were assessed before discharge,bladder function of patients in the two groups was assessed 15 days after operation,and compliance behavior and complication rate of patients in the two groups were compared 3 months after operation.Results After the operation,the time of spontaneous urination in the observation group was(7.66±1.52)days,which was significantly shorter than(8.34±1.37)days in the control group(P<0.05).After the operation,the observation group’s EC etiology,treatment,postoperative complications,and postoperative precautions of health knowledge understanding scores were(84.31±5.33)points,(90.69±5.43)points,(92.71±4.13)points,and(91.88±3.68)points,respectively,which were significantly higher than corresponding(81.67±5.02)points,(87.29±5.25)points,(90.08±4.37)points,(89.33±4.11)points of the control group(all P<0.05).After the operation,the observation group patients’medication,diet control,regular review,and appropriate exercise compliance rates were 95.83%,89.58%,100.00%,and 100.00%,respectively,which were significantly higher than corresponding 83.33%,72.92%,89.58%,and 83.33%of the control group(all P<0.05).After 14 days,the normal rate of bladder function in the observation group was 89.58%versus 72.92%in the control group(P<0.05).Three months after the operation,the rate of postoperative complications such as intestinal obstructio

关 键 词：子宫内膜癌 缩肛运动 认知图 健康教育 膀胱功能 并发症 

分 类 号：R473.71[医药卫生—护理学]