普拉提运动护理联合沟通达标理论护理及盆底肌训练对宫颈癌术后患者膀胱功能及家庭功能的影响。
The Effect of Pilates Exercise Nursing Combined with Communication Standard-Reaching Theory Nursing and Pelvic Floor Muscle Training on Bladder Function and Family Function of Patients after Cervical Cancer Surgery.
机构信息
Wuhan Fourth Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Nursing Department, Title Nursing, China.
Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Department of Integrated Traditional Chinese and Western Medicine, China.
出版信息
Comput Math Methods Med. 2022 Apr 22;2022:6444462. doi: 10.1155/2022/6444462. eCollection 2022.
OBJECTIVE
To explore the effect of Pilates exercise nursing combined with nursing based on the theory of communication compliance and pelvic floor muscle training on bladder function and family function of patients after cervical cancer surgery.
METHODS
The medical records of 96 postoperative cervical cancer patients treated in our hospital from November 2019 to May 2021 were selected as retrospective research objects and were divided into observation group and control group with 48 cases each according to the digital table method. The control group received nursing care based on the theory of communication compliance and pelvic floor muscle training, and the observation group received Pilates exercise therapy nursing on the basis of the control group. The differences in urinary retention, family intimacy and adaptability, bladder function, and family function evaluation scores were compared between the two groups.
RESULTS
After nursing, the residual urine volume, urination time, and urination interval of the observation group were lower than those of the control group, while the self-resolving urination rate and urination volume of the observation group were higher than those of the control group, which was statistically significant ( < 0.05). Before nursing, the family intimacy and adaptability scores of the two groups of patients were not statistically significant ( > 0.05). After nursing, the family intimacy score, family adaptability score, and sexual function score of the observation group were significantly higher than the control group; the comparison was statistically significant ( < 0.05). After nursing, the bladder function recovery of the observation group was significantly better than that of the control group, which was statistically significant ( < 0.05). Before nursing, the comparison of family function evaluation between the two groups of patients was not statistically significant ( > 0.05). After nursing, the observation group's problem solving, communication, role, emotional response, emotional intervention, behavior control, and total functional scores were lower than those of the control group, which were statistically significant ( < 0.05).
CONCLUSION
Carrying out nursing care based on the theory of communication compliance with Pilates exercise therapy for patients after cervical cancer surgery has a good nursing effect improves the patient's family intimacy and adaptability and patient's urinary retention and bladder function. Moreover, Pilates exercise nursing is a postoperative treatment for cervical cancer which provides a certain reference for clinical care of patients.
目的
探讨基于沟通顺应性理论和盆底肌训练的普拉提运动护理对宫颈癌术后患者膀胱功能和家庭功能的影响。
方法
选取我院 2019 年 11 月至 2021 年 5 月收治的 96 例宫颈癌术后患者的病历作为回顾性研究对象，根据数字表法分为观察组和对照组，每组 48 例。对照组接受基于沟通顺应性理论和盆底肌训练的护理，观察组在对照组基础上接受普拉提运动治疗护理。比较两组患者的尿潴留、家庭亲密度和适应性、膀胱功能和家庭功能评估评分的差异。
结果
护理后，观察组的残余尿量、排尿时间和排尿间隔均低于对照组，而观察组的自主排尿率和排尿量均高于对照组，差异有统计学意义（<0.05）。护理前，两组患者的家庭亲密度和适应性评分无统计学意义（>0.05）。护理后，观察组的家庭亲密度评分、家庭适应性评分和性功能评分均明显高于对照组，差异有统计学意义（<0.05）。护理后，观察组的膀胱功能恢复明显优于对照组，差异有统计学意义（<0.05）。护理前，两组患者家庭功能评估比较无统计学意义（>0.05）。护理后，观察组的问题解决、沟通、角色、情绪反应、情绪干预、行为控制和总分均低于对照组，差异有统计学意义（<0.05）。
结论
对宫颈癌术后患者开展基于沟通顺应性理论的普拉提运动护理，具有良好的护理效果，可改善患者的家庭亲密度和适应性，减轻患者的尿潴留和膀胱功能障碍。此外，普拉提运动护理是宫颈癌术后的一种治疗方法，为患者的临床护理提供了一定的参考。
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