综合护理干预在全子宫切除术后压力性尿失禁康复中的应用  

Application of Comprehensive Nursing Intervention in the Rehabilitation of Stress Urinary Incontinence after Total Hysterectomy

作　　者：尤敏佳 王敏 周宁波[2] YOU Minjia;WANG Min;ZHOU Ningbo(Gynecology Department,the First People's Hospital of Taicang,Taicang,Jiangsu,215400,China;Obstetrics and Gynecology Comprehensive Ward,the First People's Hospital of Taicang,Taicang,Jiangsu,215400,China)

机构地区：[1]太仓市第一人民医院妇科,江苏太仓215400 [2]太仓市第一人民医院妇产综合病区,江苏太仓215400

出　　处：《中外医疗》2024年第32期175-178,共4页China & Foreign Medical Treatment

摘　　要：目的探究全子宫切除术后患者应用综合护理干预中的作用。方法随机选取2021年12月—2023年12月太仓第一人民医院收治的160例行全子宫切除术患者为研究对象,根据护理方法的不同分为研究组、对照组,各80例。对照组行一般护理,研究组加用综合护理。比较两组的压力性尿失禁水平、盆底肌功能及生活质量水平。结果研究组压力性尿失禁情况优于对照组,差异有统计学意义(P<0.05)。护理前,两组患者的盆底肌功能比较,差异无统计学意义(P>0.05);护理后,研究组盆底肌功能水平中症状(10.45±2.19)分、影响(5.96±1.43)分、重要程度(6.26±1.57)分均低于对照组的(17.65±2.33)分、(10.28±2.11)分、(9.98±1.76)分,差异有统计学意义(t=20.139、15.159、14.108,P均<0.05)。护理前,两组患者的生活质量评分比较,差异无统计学意义(P>0.05);护理后,研究组生活质量中生理、心理、物质及社会评分均高于对照组,差异有统计学意义(P均<0.05)。结论综合护理干预能够改善全子宫切除术后患者的压力性尿失禁水平,提高盆底肌功能及生活质量。Objective To explore the role of comprehensive nursing intervention in patients after total hysterectomy.Methods A total of 160 patients after total hysterectomy admitted to the First People's Hospital of Taicang from December 2021 to December 2023 were selected randomly as the research objects.According to different nursing methods,they were divided into study group and control group,with 80 cases in each group.The control group received general nursing,and the study group received comprehensive nursing.The levels of stress urinary incontinence,pelvic floor muscle function and quality of life were compared between the two groups.Results The stress urinary incontinence in the study group was better than that in the control group,and the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in pelvic floor muscle function between the two groups(P>0.05).After nursing,the symptoms(10.45±2.19)points,influence(5.96±1.43)points and importance(6.26±1.57)points in the pelvic floor muscle function level of the study group were lower than those of the control group(17.65±2.33)points,(10.28±2.11)points,(9.98±1.76)points,and the differences were statistically significant(t=20.139,15.159,14.108,all P<0.05).Before nursing,there was no significant difference in quality of life score between the two groups(P>0.05);after nursing,the physiological,psychological,material and social scores of quality of life in the study group were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Comprehensive nursing intervention can improve the level of stress urinary incontinence in patients after total hysterectomy,improve pelvic floor muscle function and quality of life.

关 键 词：综合护理干预 全子宫切除术 压力性尿失禁 盆底肌功能 生活质量 

分 类 号：R473.71[医药卫生—护理学]