基于健康行为改变理论的康复护理在宫颈癌手术患者中的应用效果  

Application effects of rehabilitation nursing based on health behavior change theory in patients with cervical cancer surgery

作　　者：肖书峰 徐迎雨 XIAO Shufeng;XU Yingyu(Department of Gynecology of Nanyang First People’s Hospital,Nanyang 473000 Henan,China)

机构地区：[1]南阳市第一人民医院妇科,河南南阳473000

出　　处：《中国民康医学》2025年第8期180-183,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于健康行为改变理论的康复护理在宫颈癌手术患者中的应用效果。方法:回顾性分析2021年6月至2023年6月该院收治的86例宫颈癌术后患者的临床资料,按护理方案不同将其分为对照组40例与观察组46例。对照组采用常规康复护理,观察组在对照组基础上采用基于健康行为改变理论的康复护理,比较两组护理前后膀胱功能指标(最大尿流速、排尿量、排尿时间、残余尿量)水平、盆底功能[盆底功能障碍量表(PFDI-20)]评分和术后并发症发生率。结果:护理后,两组最大尿流速、排尿量均大于护理前,且观察组大于对照组,两组排尿时间均短于护理前,且观察组短于对照组,两组残余尿量均少于护理前,且观察组少于对照组,差异有统计学意义(P<0.05);护理后,两组膀胱组织、肠道、盆腔等PFDI-20评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率为2.17%,低于对照组的25.00%,差异有统计学意义(P<0.05)。结论:在常规康复护理基础上采用基于健康行为改变理论的康复护理可改善宫颈癌手术患者膀胱功能指标水平,以及降低盆底功能评分和术后并发症发生率的效果优于单纯常规康复护理。Objective:To observe application effects of rehabilitation nursing based on health behavior change theory in patients with cervical cancer surgery.Methods:The clinical data of 86 patients with cervical cancer treated in this hospital from June 2021 to June 2023 were retrospectively analyzed.According to different nursing plans,they were divided into control group(40 cases)and observation group(46 cases).The control group was given routine rehabilitation nursing,while the observation group was given the rehabilitation nursing based on the health behavior change theory on the basis of that of the control group.The levels of bladder function indexes(maximum urinary flow rate,urinary volume,urination time,residual urine volume),the pelvic floor function[pelvic floor distress inventory-20(PFDI-20)]scores before and after the nursing,and the incidence of postoperative complications were compared between the two groups.Results:After the nursing,the maximum urine flow rate and the urinary volume of the two groups were greater than those before the nursing,and those in the observation group were greater than those in the control group;the urination time of the two groups were shorter than those before the nursing,and that in the observation group was shorter than that in the control group;the residual urine volume of the two groups were less than those before the nursing,and that in the observation group was less than that in the control group;and the differences were statistically significant(P<0.05).After the nursing,the PFDI-20 scores of bladder tissue,intestinal tract and pelvic cavity in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of postoperative complications in the observation group was 2.17%,which was lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine rehabilitation

关 键 词：健康行为改变理论 康复护理 宫颈癌 手术 膀胱功能 盆底功能 并发症 

分 类 号：R473.71[医药卫生—护理学]