基于跨理论模型的护理干预对子宫颈癌根治术后患者盆底肌功能锻炼的影响  

Effect of Nursing Intervention Based on Trans Theoretical Model on Pelvic Floor Muscle Function Exercise of Patients after Radical Surgery for Cervical Cancer

作　　者：吴彩娟 陶欣慧 陈雪清[1] 刘玲[1] WU Caijuan;TAO Xinhui;CHEN Xueqing;LIU Ling(Clinical Oncology School of Fujian Medical University,Fuzhou 350014,China;不详)

机构地区：[1]福建医科大学肿瘤临床医学院(福建省肿瘤医院),福建福州350014

出　　处：《中国医学创新》2023年第28期107-110,共4页Medical Innovation of China

摘　　要：目的:探讨基于跨理论模型的护理干预方法对子宫颈癌根治术后患者盆底肌功能锻炼的应用效果。方法:选取福建医科大学肿瘤临床医学院2019年12月—2021年12月收治的行子宫颈癌根治性术患者90例,采用随机数字表法将患者分为对照组和观察组,各45例,对照组接受常规护理及健康指导,观察组在此基础上进行基于跨理论模型的护理干预。使用盆底肌锻炼依从性调查问卷、盆底肌肉锻炼自我效能量表(BPMSES)、国际尿失禁咨询委员会尿失禁问卷表简表(ICI-Q-SF)对两组盆底肌锻炼依从性及自我效能、尿失禁程度进行评价。结果:护理干预3个月后,观察组盆底肌锻炼依从性评分、BPMSES评分均较对照组高、ICI-Q-SF评分较对照组低,差异均有统计学意义(P<0.05)。结论:应用基于跨理论模型的护理干预能够提高子宫颈癌根治术后患者盆底肌锻炼依从性、盆底肌肉锻炼自我效能,降低尿失禁程度。Objective:To explore the effect of nursing intervention based on the trans theoretical model on pelvic floor muscle function exercise in patients after radical surgery for cervical cancer.Method:A total of 90 patients with radical surgery for cervical cancer from December 2019 to December 2021 in Clinical Oncology School of Fujian Medical University were selected.The patients were divided into the control group and the observation group by the random number table method,with 45 cases in each group.The control group received routine nursing and health guidance,and the observation group received nursing intervention based on the trans theoretical model on this basis.The pelvic floor muscle exercise compliance questionnaire,broome pelvic muscle self-efficacy scale(BPMSES),and the international consultation on incontinence questionnaire-short form(ICI-Q-SF)were used to evaluate the compliance and self-efficacy of pelvic floor muscle exercise and the degree of urinary incontinence of the two groups.Result:After 3 months of nursing intervention,the compliance of pelvic floor muscle exercise,selfefficacy of pelvic floor muscle exercise score and BPMSES score in the observation group were higher than those in the control group,and the ICI-Q-SF score was lower than that of the control group,the differences were statistically significant significantly(P<0.05).Conclusion:The application of nursing intervention based on the trans theoretical model can improve the compliance and self-efficacy of pelvic floor muscle exercise,and reduce the degree of urinary incontinence in patients after radical hysterectomy for cervical cancer.

关 键 词：跨理论模型 子宫颈癌 盆底肌功能锻炼 尿失禁 凯格尔训练 

分 类 号：R473.73[医药卫生—护理学]