信息-动机-行为护理引导干预结合术前阴道准备对宫颈癌根治术后患者恢复效果  

Influence of information-motivation-behavior guided intervention combined with preoperative vaginal preparation on the postoperative restoration of patients with cervical cancer after radical operation

作　　者：古丽加耐提·艾耐托拉 马燕玲[1] 朱红艳[1] GU Li Jia Nai Di.Ai Nai Tuo La;MA Yanling;ZHU Hongyan(The First Affiliated Hospital of Xinjiang Medical University,Wulumuqi,Xinjiang,830054)

机构地区：[1]新疆医科大学第一附属医院,乌鲁木齐830054

出　　处：《中国计划生育学杂志》2022年第2期357-360,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨信息-动机-行为(IMB)引导干预结合术前阴道准备对宫颈癌根治术后并发症及阴道残端细菌感染的影响。方法:以在本院2018年1月-2018年12月行常规术前阴道准备的宫颈癌根治术患者100例为对照组,以2019年1-12月行IMB引导干预结合术前阴道准备的宫颈癌根治术患者100例为观察组,比较两组术后并发症、膀胱功能、阴道残端细菌感染情况以及护理满意度。结果:观察组发生尿路感染(4.0%)、深静脉血栓(2.0%)、阴道残端细菌感染(4.0%)低于对照组(12.0%、9.0%、14.0%),残余尿量(75.89±18.24 ml)低于对照组(126.76±19.19 ml),膀胱功能良好率(71.0%)和护理满意度(96.0%)高于对照组(40.0%、86.0%)(均P<0.05)。结论:宫颈癌根治术后采取IMB引导干预结合术前阴道准备,可调动患者主动配合治疗积极性,降低术后并发症促进恢复。Objective: To investigate the influence of information-motivation-behavior(IMB) guided intervention combined with preoperative vaginal preparation on the postoperative complications and vaginal stump bacterial infection of patients with cervical cancer after radical operation. Methods: 100 patients with cervical cancer who undergone routine preoperative vaginal preparation from January 2018 to December 2018 were selected in control group, and 100 patients cervical cancer who undergone IMB guided intervention combined with preoperative vaginal preparation from January 2019 to December 2019 were selected in observation group. The situations of complication, bladder function, vaginal stump bacterial infection, and the nursing satisfaction of the patients were compared between the two groups. Results: The rates of urinary tract infection(4.0%), deep vein thrombosis(2.0%), vaginal residual bacterial infection(4.0%) of the patients in the observation group were significantly lower than those(12.0%, 9.0%, and 14.0%) of the patients in the control group, and the residual urine volume(75.89±18.24 ml) of the patients in the observation group was significantly less than that(126.76±19.19 ml) of the patients in the control group. The rate of good bladder function(71.0%) and nursing satisfaction(96.0%) of the patients in the observation group were significantly higher than those(40.0% and 86.0%) of the patients in the control group(all P<0.05). Conclusion: After radical operation of cervical cancer, IMB guided intervention combined with preoperative vaginal preparation can actively mobilize cooperate of the patients, reduce the incidence of complications, and promote postoperative rehabilitation.

关 键 词：宫颈癌根治术 术后护理 信息-动机-行为干预 术前阴道准备 并发症 术后康复 满意度 

分 类 号：R473.73[医药卫生—护理学]