延续性护理指导对宫颈癌放疗患者家庭阴道冲洗依从性、阴道粘连情况与生活质量的影响

Impact of continuous nursing guidance on compliance with home vaginal flushing,vaginal adhesion,and quality of life in cervical cancer radiotherapy patients

目的探讨延续性护理指导对宫颈癌放疗患者家庭阴道冲洗依从性、阴道粘连情况与生活质量的影响。方法选取2021年8月至2022年7月在菏泽市妇幼保健院接受放疗治疗的92例宫颈癌患者为研究对象,以随机数字表法分为两组,每组各46例。对照组采取常规护理措施,研究组在对照组的基础上采用延续性护理指导进行家庭阴道冲洗。比较两组患者的家庭阴道冲洗依从性、阴道粘连情况,以及出院时与出院6个月时生命质量测定量表(QLQ-C30)评分。结果研究组家庭阴道冲洗的总依从率高于对照组(P<0.05)。研究组阴道粘连发生率低于对照组(P<0.05)。研究组出院6个月时QLQ-C30评分高于对照组(P<0.05)。结论宫颈癌放疗患者采用延续性护理指导进行家庭阴道冲洗,能够有效提高冲洗的依从性,降低阴道粘连发生率,保障生活质量。

Objective To explore the impact of continuous nursing guidance on compliance with home vaginal flushing,vaginal adhesion,and quality of life in cervical cancer radiotherapy patients.Methods A total of 92 patients with cervical cancer who received radiotherapy from August 2021 to July 2022 in Heze Maternal and Child Health Care Hospital were selected as the study subjects,and were divided into two groups by random number table method,with 46 cases in each group.The control group received routine care,while the study group received continuous nursing guidance for home vaginal flushing on the basis of the control group.The compliance with home vaginal flushing,vaginal adhesion,and the quality of life measurement scale(QL Q-C30)scores at discharge and 6 months after discharge between two groups were compared.Results The total compliance rate of home vaginal flushing in the study group was higher than that in the control group(P<0.05),and the incidence of vaginal adhesions was lower than that in the control group(P<0.05).The QLQ-C30 score in the study group was higher than that in the control group(P<0.05).Conclusion Continuous nursing guidance for home vaginal flushing can improve the compliance,reduce incidence of vaginal adhesions,and ensure quality of life.