宫颈癌病人术后尿潴留防控中康复训练辅助集束化护理效果分析  

Analysis of the effect of rehabilitation training assisted by cluster nursing in the prevention and control of postoperative urinary retention in patients with cervical cancer

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作  者:胡凤超 Hu Fengchao(Zhangqiu District People's Hospital,Jinan Shandong,250200,China)

机构地区:[1]章丘区人民医院,山东济南250200

出  处:《中外女性健康研究》2024年第10期143-146,共4页Women's Health Research

摘  要:目的:探究宫颈癌病人术后尿潴留防控中康复训练辅助集束化护理效果。方法:选取自2022年1月至2023年12月,100例在本院行手术治疗的宫颈癌患者,根据数字表法将其分为两组,n=50例,给予对照组集束化护理干预,给予观察组康复训练+集束化护理干预,并将两组盆底肌功能、膀胱功能恢复情况、其他观察性指标(首次下床活动时间、留置导管时间、首次自行排尿时间、首次进食时间以及住院时间等)及尿动力学指标等进行对比分析。结果:观察组盆底肌功能评分较对照组低,尿动力学指标均较对照组高,差异具有统计学意义(P<0.05);观察组尿潴留、尿路感染发生率均低于对照组(P<0.05);观察组躯体、社会功能、情感、认知及角色等维度评分均高于对照组(P<0.05)。结论:在宫颈癌病人术后尿潴留防控中采取康复训练辅助集束化护理干预效果更佳。Objective:To explore the effect of rehabilitation training assisted by cluster nursing in the prevention and control of postoperative urinary retention in patients with cervical cancer.Methods:From January 2022 to December 2023,100 cases of cervical cancer patients who underwent surgical treatment in our hospital were divided into two groups according to the numerical table method,n=50 cases,and the control group was given cluster nursing intervention,and the observation group was given rehabilitation training+cluster nursing intervention.The pelvic floor muscle function,bladder function recovery and other observational indexes(the time of getting out of bed for the first time,the time of indwelling catheter,the first self-intervention)were compared.Results:The pelvic floor muscle function score of the observation group was lower than that of the control group,and the urodynamic indicators were higher than those of the control group,with statistical significance(P<0.05);The incidence of urinary retention and urinary tract infection in the observation group was lower than that in the control group(P<0.05);The scores of physical,social,emotional,cognitive,and role dimensions in the observation group were higher than those in the control group(P<0.05).Conclusion:In the prevention and control of postoperative urinary retention in patients with cervical cancer,rehabilitation training assisted by cluster nursing intervention is better.

关 键 词:宫颈癌 术后尿潴留 康复训练 集束化护理 术后并发症 盆底肌功能 

分 类 号:R473.71[医药卫生—护理学]

 

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