论文部分内容阅读
目的探讨综合性护理联合控尿功能训练对宫颈癌根治术后患者生活质量及膀胱功能的影响。方法选取2014年8月至2016年2月间西安交通大学医学院附属广仁医院收治的103例行宫颈癌根治术的患者,采用随机数表法分为观察组和对照组,观察组52例,对照组51例。观察组患者予以综合性护理联合控尿功能训练,对照组患者行常规护理。比较两组患者治疗后的膀胱功能变化情况,对两组患者6个月后的生活质量进行比较。结果观察组患者治疗后的残余尿量、尿潴留率和再置管率均低于对照组患者,且自解小便率高于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者治疗后的膀胱功能优于对照组患者,差异有统计学意义(P<0.05)。观察组功能领域内的角色功能、认知功能、躯体功能、情绪功能及社会功能评分均高于对照组,差异均有统计学意义(均P<0.05)。观察组症状领域中的疼痛、疲劳及恶性呕吐评分低于对照组,差异均有统计学意义(均P<0.05)。观察组单一症状领域中的食欲减退、失眠、气短、腹泻、便秘及经济困难评分均低于对照组,差异均有统计学意义(均P<0.05)。观察组总体生活质量量表评分高于对照组,差异有统计学意义(P<0.05)。结论综合性护理联合控尿功能训练可明显提高宫颈癌根治术后患者的生活质量,促进膀胱功能的恢复,最终改善宫颈癌患者的预后。
Objective To investigate the effect of comprehensive nursing combined with urinary control training on quality of life and bladder function in patients with cervical cancer after radical operation. Methods From August 2014 to February 2016, 103 patients undergoing radical gastrectomy for cervical cancer admitted to Guangren Hospital Affiliated to Xi’an Jiaotong University School of Medicine were randomly divided into observation group and control group. The observation group included 52 cases , Control group 51 cases. Patients in the observation group were given comprehensive nursing and urine control training, and patients in the control group were given routine nursing care. The changes of bladder function after treatment were compared between the two groups, and the quality of life of the two groups after 6 months was compared. Results The residual urine volume, urinary retention rate and re-catheterization rate in the observation group were lower than those in the control group, and the rate of spontaneous urination was higher than that in the control group (all P <0.05). The bladder function of the observation group was better than that of the control group after treatment, the difference was statistically significant (P <0.05). The functional, cognitive, physical, emotional and social function scores of the observation group were higher than those of the control group (all P <0.05). Pain scores, fatigue and vomiting scores in the observation group were lower than those in the control group (all P <0.05). The loss of appetite, insomnia, shortness of breath, diarrhea, constipation and economic difficulties in the single symptom field of the observation group were all lower than those in the control group, with significant differences (all P <0.05). The observation group overall quality of life scale scores higher than the control group, the difference was statistically significant (P <0.05). Conclusion Comprehensive nursing combined with urinary control training can significantly improve the quality of life of patients with cervical cancer after radical surgery and promote the recovery of bladder function, and ultimately improve the prognosis of patients with cervical cancer.