集束化护理在盆腔器官脱垂手术患者中的应用效果  

Application effect of cluster nursing in patients with pelvic organ prolapse surgery

作　　者：刘文婷[1] 陈晗 韩正风 程建云[3] LIU Wenting;CHEN Han;HAN Zhengfeng;CHENG Jianyun(Second Department of Gynecology,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 83000,China;Department of Geriatrics,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 83000,China;Department of Nursing,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 83000,China)

机构地区：[1]新疆医科大学第一附属医院妇二科,新疆乌鲁木齐830002 [2]新疆医科大学第一附属医院老年病科,新疆乌鲁木齐830003 [3]新疆医科大学第一附属医院护理部,新疆乌鲁木齐83000

出　　处：《医药前沿》2025年第12期94-97,共4页Journal of Frontiers of Medicine

基　　金：2022年度新疆医科大学第一附属医院“青年科研启航”专项基金项目(2022YFY-QNRC-06)。

摘　　要：目的观察集束化护理在盆腔器官脱垂(POP)手术患者中的应用效果。方法选取2022年5月—2023年10月新疆医科大学第一附属医院进行手术治疗的120例POP患者,采用随机数字表法分为对照组和观察组各60例。对照组实施常规护理,观察组实施集束化护理。比较两组术后残余尿量,术前及术后3、6个月盆腔器官脱垂程度、盆底肌力和生活质量。结果观察组术后残余尿量少于对照组(P<0.05);术后3、6个月,观察组盆腔器官脱垂定量分度法(POP-Q)分级均低于对照组,盆底肌力分级均高于对照组(P<0.05);术后3个月观察组盆底困扰量表简表(PFDI-20)评分高于对照组,术后6个月PFDI-20评分低于对照组(P<0.05)。结论集束化护理能够显著减少POP患者术后残余尿量,促进膀胱功能恢复,改善患者盆腔器官脱垂程度,增强盆底肌力,提高其术后生活质量。Objective To investigate the effect of cluster nursing in patients with pelvic organ prolapse(POP)surgery.Methods A total of 120 patients with POP who underwent surgical treatment in the First Affiliated Hospital of Xinjiang Medical University from May 2022 to October 2023 were selected and divided into control group and observation group with 60 cases in each group by random number table method.The control group received routine nursing,and the observation group received cluster nursing.The residual urine volume,pelvic organ prolapse degree,pelvic floor muscle strength and quality of life of the two groups were compared before and 3,6 months after surgery.Results The residual urine volume in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05);at 3 and 6 months after operation,the pelvic organ prolapse-quantitative(POP-Q)grades in observation group were lower than those in control group,and the pelvic floor muscle strength grades were higher than those in control group(P<0.05);the Pelvic Floor Distress Inventory-Short Form 20(PFDI-20)score of the observation group was higher than that of the control group at 3 months after surgery,and the PFDI-20 score of the observation group was lower than that of the control group at 6 months after surgery(P<0.05).Conclusions Cluster nursing can significantly reduce the residual urine volume of POP patients,promote the recovery of bladder function,improve the quantitative staging of pelvic organ prolapse,enhance pelvic floor muscle strength,and improve their postoperative quality of life.

关 键 词：盆腔器官脱垂 集束化护理 术后残余尿量 盆腔器官脱垂程度 盆底肌力 生活质量 

分 类 号：R473[医药卫生—护理学]