延续性康复护理路径对宫颈癌患者腹腔镜术后康复效果及自我护理效能的影响  

Effects of continuous rehabilitation nursing path on the postoperative recovery and self-care efficacy of patients with cervical cancer after laparoscopic surgery

作　　者：黄玉梅[1] 陈秋玉[1] 王桂英[1] 谢向红[1] Huang Yumei;Chen Qiuyu;Wang Guiying;Xie Xianghong(Obstetrics and Gynecology Department,Foshan First People's Hospital,528000,China)

机构地区：[1]佛山市第一人民医院妇产科,528000

出　　处：《国际护理学杂志》2022年第3期569-573,共5页international journal of nursing

基　　金：佛山市卫生和健康局医学科研课题(20200056)。

摘　　要：目的探讨延续性康复护理路径对宫颈癌患者腹腔镜术后自我护理效能及康复效果的影响。方法选取2019年3月至2020年3月该院收治的宫颈癌患者70例, 采用电脑数字法分为延续性康复护理路径组和常规护理组, 每组35例。延续性康复护理路径组采用延续性康复护理路径, 常规护理组使用常规护理模式。比较干预3个月、6个月后两组患者在健康行为、自我护理效能及盆底肌综合肌力间的差异。结果干预3个月延续性康复护理路径组健康行为得分高于常规护理组, 差异有统计学意义(P<0.05);干预6个月延续性康复护理路径组健康行为得分、自我护理效能得分及术后盆底肌综合肌力恢复效果好于常规护理组, 差异均有统计学意义(P<0.05)。结论延续性康复护理路径是一种有效的康复及护理干预措施, 将其应用于宫颈癌患者出院护理中可有效提高宫颈癌患者健康相关行为及自我护理效能, 改善术后盆底肌康复结果。Objective To investigate the effect of continuous rehabilitation nursing pathway on the health behavior and rehabilitation effect of patients with cervical cancer after laparoscopic surgery.Methods A total of 70 cervical cancer patients admitted to the hospital from March 2019 to March 2020 were selected as the study subjects.Two groups were divided by computer numerical method.Continuous rehabilitation nursing path group used continuous rehabilitation nursing path,routine nursing group used routine nursing mode.The differences in health behavior,self-care efficacy and pelvic floor muscle strength were compared between the two groups 3 and 6 months after intervention.Results There were statistically significant differences in health behaviors between the group with continuous rehabilitation nursing path and the group with conventional nursing at 3 months of intervention(P<0.05).There were statistically significant differences among healthy behaviors,self-care efficacy and postoperative comprehensive muscle strength recovery of pelvic floor muscles at 6 months of intervention(P<0.05).Conclusions Continuous rehabilitation nursing path is an effective nursing intervention,which can be applied to the discharge care of cervical cancer patients to effectively improve the health-related behaviors and self-care efficacy of cervical cancer patients,and improve the postoperative pelvic floor muscle rehabilitation results.

关 键 词：护理路径 宫颈癌 自我效能 健康行为 

分 类 号：R473.73[医药卫生—护理学]