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综合护理干预在宫颈癌术后盆底及膀胱功能恢复中的应用及临床疗效

Application and clinical efficacy of comprehensive nursing intervention in pelvic floor and bladder function recovery post-cervical cancer surgery.

作者信息

Zhao Qiang

机构信息

Qiang Zhao, Department of Gynaecology and Obstetrics, Tangshan People's Hospital, Tangshan 063000, Hebei, China.

出版信息

Pak J Med Sci. 2024 Nov;40(10):2287-2292. doi: 10.12669/pjms.40.10.9271.

Abstract

OBJECTIVE

To evaluate the clinical efficacy of comprehensive nursing intervention in pelvic floor and bladder function recovery post-cervical cancer surgery.

METHOD

This was a retrospective study. A total of 120 patients with cervical cancer undergoing radical surgery at Tangshan People's Hospital from June 2021 to June 2023 were randomly divided into two groups (n=60 cases each group). The control group received routine nursing intervention, while the study group was provided with comprehensive nursing intervention. Comparative analysis was conducted on clinical indicators, postoperative complications, bladder and pelvic floor function recovery, and patient satisfaction before and after intervention in both groups.

RESULT

In the study group, ambulation time, gastrointestinal function recovery, duration of postoperative drainage tube placement, oral diet resumption time, duration of postoperative vaginal bleeding, and length of hospital stay were significantly shorter than in the control group (all < 0.05). Bladder function recovery in the study group was superior to that in the control group (< 0.05). The study group showed lower scores for anorectal disorders, urogenital disorders, and pelvic organ prolapse than the control group (< 0.05, respectively). Patient satisfaction was 100% in the study group and 85% in the control group, suggesting a statistically significant difference between the two groups (< 0.05).

CONCLUSION

Comprehensive nursing intervention deserve to be promoted as it can accelerate postoperative clinical recovery, reduce the incidence of surgical complications, improve pelvic floor and bladder function post-cervical cancer surgery, and enhance patient satisfaction with care.

摘要

目的

评估综合护理干预对宫颈癌手术后盆底及膀胱功能恢复的临床疗效。

方法

本研究为回顾性研究。选取2021年6月至2023年6月在唐山市人民医院接受根治性手术的120例宫颈癌患者,随机分为两组(每组60例)。对照组接受常规护理干预,研究组接受综合护理干预。对两组干预前后的临床指标、术后并发症、膀胱及盆底功能恢复情况以及患者满意度进行比较分析。

结果

研究组的下床活动时间、胃肠功能恢复时间、术后引流管留置时间、恢复经口饮食时间、术后阴道出血时间及住院时间均显著短于对照组(均P<0.05)。研究组膀胱功能恢复情况优于对照组(P<0.05)。研究组的肛肠疾病、泌尿生殖系统疾病及盆腔器官脱垂评分均低于对照组(分别为P<0.05)。研究组患者满意度为100%,对照组为85%,两组差异有统计学意义(P<0.05)。

结论

综合护理干预可加速术后临床康复,降低手术并发症发生率,改善宫颈癌手术后的盆底及膀胱功能,提高患者对护理的满意度,值得推广。

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