Jiangsu Cancer Hospital, China.
Jiangsu Institute of Cancer Disease Prevention and Control, China.
Comput Math Methods Med. 2022 Jun 30;2022:7495418. doi: 10.1155/2022/7495418. eCollection 2022.
To investigate the effect of comprehensive care based on appropriate Chinese medicine techniques on urinary retention and bladder function recovery after total hysterectomy in patients with cervical cancer.
A total of 148 cases admitted after radical hysterectomy for cervical cancer from January 2019 to early September 2019 were used as the observation sample and were divided into control and experimental groups based on a randomized double-blind method. There were 74 cases each. The control group was given comprehensive care, and the experimental group was given comprehensive care based on appropriate Chinese medicine techniques. The intervention period was 2 weeks after surgery. The recovery rate of bladder function and the occurrence of urinary retention were compared between the two groups, and the duration of postoperative retention of urinary catheter, the amount of residual urine, and the feeling of urination were counted.
The experimental group had better urinary catheter retention time, time to first spontaneous voiding, time to get out of bed, and time to anal discharge than the control group; the experimental group had a higher rate of good bladder function recovery than the control group and better bladder recovery time, residual urine volume, and incidence of urinary retention than the control group; the patients in the experimental group had better UDI-6 scores.
The implementation of comprehensive care based on appropriate Chinese medicine techniques can relieve patients' difficulty in urination and improve their quality of life.
探讨基于中医适宜技术的综合护理对宫颈癌根治术后患者尿潴留及膀胱功能恢复的影响。
选取 2019 年 1 月至 2019 年 9 月初行根治性子宫切除术的宫颈癌患者 148 例作为观察样本，采用随机双盲法分为对照组和实验组，每组 74 例。对照组给予综合护理，实验组给予基于中医适宜技术的综合护理。干预时间为术后 2 周。比较两组患者膀胱功能恢复率及尿潴留发生情况，统计两组患者术后留置导尿管时间、残余尿量、排尿感觉。
实验组患者的导尿管留置时间、首次自主排尿时间、下床时间、肛门排气时间均优于对照组；实验组患者的膀胱功能恢复良好率高于对照组，且膀胱恢复时间、残余尿量、尿潴留发生率均优于对照组；实验组患者的尿失禁影响量表（Urogenital Distress Inventory-6，UDI-6）评分优于对照组。
实施基于中医适宜技术的综合护理能减轻患者排尿困难，提高其生活质量。
