“5G互联网+”护理服务模式配合盆底肌康复训练预防妇科肿瘤患者术后盆底肌功能障碍的应用研究  

‘5G Internet+’Nursing Service Mode Combined with Pelvic Floor Muscle Rehabilitation for Pelvic Floor Dysfunction after Gynecological Tumor Surgery

作　　者：陈小菁[1] 庄春雨 林白浪 符剑花 陈燕娥[3] 邢娴静 庄丛 Chen Xiaojing;Zhuang Chunyu;Lin Bailang;Fu Jianhua;Chen Yan’e;Xing Xianjing;Zhuang Cong(Department of Nursing,Haikou Hospital of the Maternal and Child Health(i.e.Haikou Women and Children Hospital),Haikou 570203,Hainan;Department of Postpartum Rehabilitation,Haikou Hospital of the Maternal and Child Health(i.e.Haikou Women and Children Hospital),Haikou 570203,Hainan;Department of Gynaecology,Haikou Hospital of the Maternal and Child Health(i.e.Haikou Women and Children Hospital),Haikou 570203,Hainan,China;Department of Nursing,Haikou People’s Hospital,Haikou 570208,Hainan,China)

机构地区：[1]海口市妇幼保健院/海口市妇女儿童医院护理部,海口570203 [2]海口市妇幼保健院/海口市妇女儿童医院产后康复科,海口570203 [3]海口市妇幼保健院/海口市妇女儿童医院妇科,海口570203 [4]海口市人民医院护理部,海口570208

出　　处：《肿瘤预防与治疗》2023年第2期149-154,共6页Journal of Cancer Control And Treatment

基　　金：海南省自然科学基金(编号:821RC726);海南省卫生健康行业科研项目(编号:22A200134)。

摘　　要：目的:探讨“5G互联网+”护理服务模式配合盆底肌康复训练预防妇科肿瘤术后盆底肌功能障碍(Pelvic floor dysfunction,PFD)的干预效果。方法:选取2021年9月至2022年8月海口市妇幼保健院收治的87例妇科肿瘤术后PFD患者作为研究对象,采用随机数字表法将其分为观察组(n=43)和对照组(n=44),两组患者均给予盆底肌康复训练,观察组辅以“5G互联网+”护理服务模式。比较2组的临床疗效和干预前后盆底肌张力恢复情况,采用盆底功能障碍问卷(Pelvic Floor Distress Inventory-Short Form 20,PFDI-20)、盆底功能障碍影响简易问卷7(Pelvic Floor Impact Questionnaire-Short Form 7,PFIQ-7)对2组患者干预前后的盆底功能进行对比分析。结果:观察组的总有效率明显高于对照组[88.4%(38/43)vs 70.5%(31/44)],差异有统计学意义(χ^(2)=4.255,P=0.039)。观察组和对照组干预前后盆底肌张力分级之间差异均有统计学意义(观察组:Z=-5.787,P<0.001;对照组:Z=-2.583,P=0.010);干预后,观察组的盆底肌张力改善情况优于对照组,差异有统计学意义(Z=-2.814,P=0.005)。干预后,两组患者的PFDI-20量表评分均低于干预前,差异有统计学意义(均P<0.05);干预后,观察组的PFDI-20量表评分明显低于对照组,差异有统计学意义(t=-5.833,P<0.001)。干预后,两组患者的PFIQ-7量表评分均低于干预前,差异有统计学意义(均P<0.05);干预后,观察组的PFIQ-7量表评分明显低于对照组,差异有统计学意义(t=-4.436,P<0.001)。结论:妇科肿瘤术后PFD患者采用“5G互联网+”护理服务模式配合盆底肌康复训练的干预效果显著,值得临床推广应用。Objective:To explore the effect of‘5G Internet+’nursing service mode combined with pelvic floor muscle rehabilitation on pelvic floor dysfunction(PFD)after gynecological tumor surgery.Methods:87 patients with PFD after gynecological tumor surgery in Haikou Hospital of the Maternal and Child Health from September 2021 to August 2022 were selected as the research objects.They were randomly assigned to the observation group(n=43)and the control group(n=44).Both groups underwent pelvic floor muscle rehabilitation training program.The observation group was supplemented by the‘5G Internet+’nursing service mode.Clinical efficacy of the two groups and the recovery of pelvic floor muscle tension before and after the intervention were compared.Pelvic Floor Distress Inventory-Short Form 20(PFDI-20)and Pelvic Floor Impact Questionnaire-Short Form 7(PFIQ-7)were used to compare the pelvic floor functions of the two groups before and after intervention.Results:The total response rate of the observation group was significantly higher than that of the control group[88.4%(38/43)vs 70.5%(31/44),χ^(2)=4.255,P=0.039].There was a statistically significant difference in the grades of pelvic floor muscle tension in two groups before and after treatment(observation group:Z=-5.787,P<0.001;control group:Z=-2.583,P=0.010).After treatment,the improvement in pelvic floor muscle tension in the observation group was significantly better than that in the control group(Z=-2.814,P=0.005).After intervention,the scores of PFDI-20 in two groups were significantly lower than those before intervention(all P<0.05);the score of PFDI-20 of the observation group was significantly lower than that of the control group(t=-5.833,P<0.001).After intervention,the scores of PFIQ-7 in two groups were significantly lower than those before intervention(all P<0.05);the PFIQ-7 score of the observation group was significantly lower than that of the control group(t=-4.436,P<0.001).Conclusion:The intervention of‘5G Internet+’nursing service mode combined with

关 键 词：“5G互联网+”护理服务模式 妇科肿瘤术后 盆底功能障碍性疾病 盆底功能 

分 类 号：R737.3[医药卫生—肿瘤]