腹腔镜宫颈癌根治治疗中基于坚强概念延续护理应用

Application of continuous nursing based on the concept of doughtiness in patients during laparoscopic radical resection ofcervical cancer

目的:分析基于坚强概念延续护理在腹腔镜宫颈癌根治术中的应用效果。方法:选取2019年10月—2021年12月本院行腹腔镜宫颈癌根治术的112例患者,常规护理56例为对照组,基于坚强概念延续护理56例为观察组,比较两组生活质量、自护能力、情绪状态及术后相关临床指标。结果:护理后观察组生理状况、社会/家庭状况、情感状况、功能状态等不同维度FACT-G量表评分和CCS量表评分,以及自我概念、自护责任感、自我护理技能、健康知识水平等不同维度ESEA量表评分均高于对照组,焦虑自评量表(45.2±4.6分)和抑郁自评量表(46.1±6.4分)评分均低于对照组(50.6±6.8分、54.5±6.7分),术后首次下床时间(32.4±9.4 h)、首次排气时间(50.3±7.9 h)均早于对照组(49.2±11.0 h、64.2±11.8 h),住院时间(8.7±2.7 d)短于对照组(12.8±3.2 d)(均P<0.05)。结论:基于坚强概念延续护理能够有效改善腹腔镜宫颈癌根治术患者生活质量,提高自护能力,缓解负面情绪,缩短术后恢复时间。

Objective:To analyze the application effect of continuous nursing based on the concept of doughtiness in patients during laparoscopic radical resection of cervical cancer.Methods:A total of 116patients who wanted laparoscopic radical resection of cervical cancer were recruited as the research subjects from October 2019to December 2021,including 56patients treated with routine nursing in control group and 56patients treated with continuous nursing based on the concept of doughtiness in observation group.The quality of life,the self-care ability,the emotional state,and the postoperative clinical indicators of the patients were compared between the two groups.Results:The scores of FACTG scale and CCS scale in the different dimensions,such as physiological status,social/family status,emotional status,and functional status,and the scores of ESEA scale in the different dimensions,such as self-concept,sense of selfcare,self-care skills,and health knowledge level of the patients in the observation group after nursing were significantly higher than those of the patients in the control group.The scores of self-rating anxiety scale(45.2±4.6points)and self-rating depression scale(46.1±6.4points)of the patients in the observation group were significantly lower than those(50.6±6.8points and 54.5±6.7points)of the patients in the control group.The time to the first get out of bed(32.4±9.4h),the time to the first exhaust(50.3±7.9h),and the time of hospital stay(8.7±2.7d)of the patients in the observation group were significantly shorter than those(49.2±11.0h,64.2±11.8h,and 12.8±3.2d)of the patients in the control group(P<0.05).Conclusion:Continuous nursing based on the concept of doughtiness for the patients with laparoscopic radical resection of cervical cancer can effectively improve their quality of life,increase their self-care ability,relieve their negative emotions,and shorten their postoperative recovery time.