基于健康行为改变理论的康复护理对宫颈癌术后患者盆底与膀胱功能的改善效果  

Effect of rehabilitation nursing based on the theory of health behavior change on the improvement of pelvic floor function and bladder function in patients with cervical cancer after operation

作　　者：谢利莎 熊艳[1] 帅纬纬 XIE Lisha;XIONG Yan;SHUAI Weiwei(Jiangxi Provincial Maternity and Child Healthcare Hospital,Nanchang,330000,China)

机构地区：[1]江西省妇幼保健院肿瘤科,江西省南昌市330000

出　　处：《护理实践与研究》2023年第4期595-599,共5页Nursing Practice and Research

摘　　要：目的 探讨基于健康行为改变理论的康复护理对宫颈癌患者术后盆底功能及膀胱功能的改善效果。方法 选取医院2019年4月—2021年7月98例宫颈癌患者作为研究对象,按照组间基本特征具有可比性原则分为对照组和观察组,每组49例。对照组给予常规护理,观察组给予基于健康行为改变理论的康复干预,观察并比较两组盆底功能、膀胱功能及生活质量的变化。结果 基于健康行为改变理论的康复护理干预前,两组盆底功能障碍评分及总分比较差异无统计学意义(P>0.05);干预后,观察组肛门直肠障碍、泌尿生殖障碍、盆腔器官脱垂障碍评分及总分低于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组生活质量评分比较差异无统计学意义(P>0.05);干预后,观察组CARES-SF评分高于对照组,组间比较差异有统计学意义(P<0.05)。结论 基于健康行为改变理论的康复护理通过明确患者当前问题和现状,制订针对性和个体化干预内容,帮助患者建立康复希望和信心,促进正性思维的发展和维持,可改善宫颈癌术后患者盆底功能及膀胱功能康复、促进整体生活质量。Objective To explore the effect of rehabilitation nursing based on the theory of health behavior change on the improvement of pelvic floor function and bladder function in patients with cervical cancer after operation.Methods To select 98 patients with cervical cancer in the hospital from April 2019 to July 2021 as the study subjects.They were divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 49 patients in each group.The control group was given routine nursing,and the observation group was given rehabilitation intervention based on the theory of health behavior change.The changes of pelvic floor function,bladder function and quality of life in the two groups were observed and compared.Results Before the rehabilitation nursing intervention based on the theory of health behavior change,there was no significant difference in the pelvic floor dysfunction score and total score between the two groups(P>0.05).After intervention,the scores and total scores of anorectal disorders,urogenital disorders,pelvic organ prolapse disorders in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there was no significant difference in the quality of life score between the two groups(P>0.05).After intervention,the CARES-SF score in the observation group was higher than that in the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion The rehabilitation nursing based on the theory of health behavior change can improve the pelvic floor function and bladder function recovery of patients with cervical cancer after surgery and promote the overall quality of life by clarifying the current problems and status of patients,formulating targeted and individualized intervention content,helping patients to establish hope and confidence in rehabilitation,and promoting the development and maintenance

关 键 词：健康行为改变理论 整合性康复干预 宫颈癌 盆底功能 膀胱功能 生活质量 

分 类 号：R473.71[医药卫生—护理学]