延续护理在宫颈癌根治术后携尿管出院患者中的应用

目的 探讨延续护理在宫颈癌(UCC)根治术后携尿管出院患者中的应用价值及临床意义.方法 采用目的抽样方法,随机选取2021年1月至4月在本院妇瘤外科行UCC根治术后,膀胱残余尿>100 mL,出院后需留置导尿管的134例患者作为研究对象,其中对照组67例,实施常规护理;观察组67例,在实施常规护理的基础上,同时运用延续护理.比较两组患者的尿管管理能力、不良反应发生状况及总体生活质量.结果 在观察组患者尿管管理能力中,其外阴部清洁度、尿管放置位置、膀胱康复锻炼、尿袋安置方法、日常活动等方面评分均高于对照组,且患者的不良反应发生率、患者的总体生活质量高于对照组,差异均有统计学意义(P<0.05).结论 UCC根治术后携尿管患者出院后实施延续护理,可有效提升患者尿管自我护理能力,减少不良反应发生,提高患者生活质量.

Objective To analyze the appliation value of continuing nursing in patients discharged from hospital with urinary catheter afer radical resection of cervical cancer.Methods A purpose sampling was conducted.A random selection was conducted on 134 patients who received radical resection of cervical cancer and discharged with urinary tube because the bladder residual urine>100 ml from January 2021 to April 2021 in tumor hospital afiliated to the university,Chinese Academy of Seiences woman tumor surgery According to the random number table method,they were divided into control group(67 cases,routine nursing)and study group(67 cases,continuous nursing additionlly).The urinary duct management abiliy,the occurrence of adverse reactions and the overall quality of life were compared between the two groups.Results In the urinary duct management ability of patients in the study group,the scores of cleanliness of vulva,placement position of urinary duct,bladder rehabilitation exercise,urine bag placement method and daily activities were higher than those in the control group,and the diferences between the groups were statisticall significant(P<0.05),.The incidence of adverse reactions was 17.91%in the control group and 2.94%in the study group,with statistical significance(P<0.05).The total quality of life of the patients was(69.11±13.2)points in the control group and(8.33±15.8)points in the study group,and the diference was statistically significant(P<0.05).Conclusion Nursing intervention afer discharge of patients with urinary duct after radical resection of cervical cancer can effectively improve the self-care abiliy of urinary duct,reduce the occurrence of adverse reactions and improve the quality oflfe of patients.