基于延续性护理管理的健康宣教对宫颈环切术后患者康复效果的影响  

The effect of health education based on continuous care management on the rehabilitation effect of patients after cervical circumcision(LEEP)

作　　者：朱秀丽 曾容妹 刘灶娣 陆翠群 陆雯静 Zhu Xiuli;Zeng Rongmei;Liu Zaodi;Lu Cuiqun;Lu Wenjing(Obstetrics and Gynecology,Yingde Maternal and Child Health Hospital,Qingyuan 513000,China)

机构地区：[1]英德市妇幼保健院妇产科,清远513000

出　　处：《国际护理学杂志》2023年第15期2863-2867,共5页international journal of nursing

基　　金：清远市科技计划项目(2020B)。

摘　　要：目的:探究基于延续性护理管理的健康宣教对宫颈环切(LEEP)术后康复效果的影响。方法:选取2020年7月至2022年1月在英德市妇幼保健院进行治疗的宫颈上皮内病变患者102例作为研究对象,按随机数字表法将其分为研究组和对照组,各51例。两组患者均采取LEEP手术,且术后给予云南白药。对照组采取常规LEEP术后护理,研究组给予基于延续性护理管理的健康宣教。比较两组患者术后康复情况、遵医行为的各项遵从率、负性情绪情况、生活质量评分。结果:两组患者LEEP术后,研究组创面愈合时间、阴道流液时间及创面感染率均明显低于对照组,差异有统计学意义(P<0.05);研究组合理饮食及运动、每日清洁外阴、规则用药及按时复诊的人数明显多于对照组,差异有统计学意义(P<0.05);干预后两组患者负性情绪均有明显改善,且研究组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均显著低于对照组,差异有统计学意义(P<0.05);两组患者LEEP术后,研究组患者的生理领域、社会关系领域、心理领域及总分均明显高于对照组,差异有统计学意义(P<0.05),而环境领域两组差异较小,差异无统计学意义(P>0.05)。结论:基于延续性护理管理的健康宣教应用于LEEP术后患者,有利于帮助其形成良好的遵医行为,进而促进患者创面愈合,同时可改善患者术后负性情绪及生活质量。Objectivee To explore the influence of health education nursing based on continuous nursing management on the rehabilitation effect after cervical excision(LEEP).Methods A total of 102 patients with ectopic cervical epithelium treated in this hospital from July 2020 to January 2022 were selected as the subjects.According to random number table method,they were divided into study group and control group,51 cases in each group.Patients in both groups received LEEP surgery,and Yunnan Baiyao was given after surgery.The control group received conventional LEEP postoperative care,and the study group received health education nursing based on continuous nursing management.The postoperative recovery of the two groups were compared.Compliance rates of compliance behavior of patients in the two groups were compared.Negative emotions(SAS and SDS)before and after intervention were compared between the two groups.The quality of life scores were compared between the two groups.Results After LEEP,the wound healing time,vaginal fluid flow time and wound infection rate in the study group were significantly lower than those in the control group(P<0.05).Compared with the indexes of compliance behavior between the two groups,the number of patients in the study group with reasonable diet and exercise,daily cleaning of vulva,regular drug use and timely visit was significantly higher than that in the control group(P<0.05).After intervention,the negative emotions in both groups were significantly improved,and SAS and SDS scores in the study group were significantly lower than those in the control group(P<0.05).After LEEP,the physiological field,social relationship field,field and total score in the study group were significantly higher than those in the control group(P<0.05),while the difference in the environmental field was small between the two groups(P>0.05).Conclusions Health education nursing based on continuous nursing management is applied to patients after LEEP surgery,which is conducive to helping them form good compliance beh

关 键 词：宫颈上皮内病变 宫颈环切术 延续性护理 健康教育 

分 类 号：R473.71[医药卫生—护理学]