针对性干预对宫颈癌术后患者尿潴留的影响  

Effect of targeted intervention on urinary retention after cervical cancer surgery

作　　者：骆江云 雷虹 刘楠 孙清丽 程杰 LUO Jiangyun;LEI Hong;LIU Nan;SUN Qingli;CHENG Jie(First Ward,Department of Obstetrics and Gynecology,Anyang Third People’s Hospital,Anyang 455000,He’nan,China)

机构地区：[1]安阳市第三人民医院妇产科一区,河南安阳4550000

出　　处：《癌症进展》2022年第10期1053-1056,共4页Oncology Progress

摘　　要：目的探讨针对性干预对宫颈癌术后患者尿潴留的影响。方法将60例接受广泛性子宫切除术的宫颈癌患者按干预方式不同分为常规组(n=30)和针对性干预组(n=30)。常规组采用常规干预,针对性干预组在常规组的基础上采用针对性干预。比较两组患者尿潴留相关情况(住院时间、残余尿量、再置管率、尿潴留发生率)及术后并发症发生率;干预前后比较两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)、欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)评分。结果针对性干预组患者住院时间明显短于常规组,残余尿量明显少于常规组,再置管率、尿潴留发生率均明显低于常规组,差异均有统计学意义(P﹤0.01)。干预后,两组患者SAS、SDS评分均降低,且针对性干预组患者SAS、SDS评分均低于常规组,差异均有统计学意义(P﹤0.05)。干预后,两组患者躯体功能、情绪功能、社会功能、认知功能评分及总分均升高,且针对性干预组患者各维度评分及总分均高于常规组,差异均有统计学意义(P﹤0.05)。针对性干预组患者术后并发症总发生率低于常规组患者,差异有统计学意义(P﹤0.05)。结论宫颈癌术后患者采取针对性干预,能够缓解焦虑、抑郁的不良情绪,提高生活质量,缩短住院时间,降低尿潴留发生率,并减少并发症发生,有利于患者术后恢复。Objective To investigate the effect of targeted intervention on urinary retention after cervical cancer surgery.Method A total of 60 patients with cervical cancer who received extensive hysterectomy were divided into routine group(n=30,received routine intervention)and targeted intervention group(n=30,received targeted intervention on the basis of routine group).The incidences of urinary retention(length of hospital stay,residual urine volume,recatheterization rate and incidence of urinary retention)were compared between the two groups.Scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QOL-C30)were compared before and after intervention in the two groups.Result The length of hospital stay,residual urine volume,recatheterization rate,and the incidence of urinary retention in targeted intervention group were lower than those in routine group(P<0.01);after intervention,SAS and SDS scores decreased in two groups,with lower scores in targeted intervention group than those in routine group(P<0.05);scores of total and physical function,emotional function,social function,cognitive function increased with higher scores in targeted intervention group than those in routine group(P<0.05).The total incidence of postoperative complications in the targeted intervention group was lower than that in the routine group(P<0.05).Conclusion Targeted intervention after cervical cancer surgery can ease anxiety,depression,improve the quality of life,shorten the length of hospital stay,reduce the incidence of urinary retention,and reduce complications,which is beneficial to postoperative recovery.

关 键 词：宫颈癌 针对性干预 尿潴留 生活质量 

分 类 号：R737.33[医药卫生—肿瘤]