健康行为改变理论对宫颈癌术后盆底肌功能及膀胱功能康复护理的影响

Influence of health behavior change theory on rehabilitation nursing of pelvic floor muscle function and bladder function after cervical cancer surgery

目的分析健康行为改变理论在宫颈癌术后康复护理中对盆底肌功能、膀胱功能的临床影响。方法选取76例宫颈癌患者,采取随机数字表法分成对照组(采用常规康复护理)与观察组(采用健康行为改变理论),每组38例。比较两组干预效果。结果干预后观察组盆腔功能障碍性疾病症状问卷表(PFDI-20)及分量表评分均低于对照组、尿失禁生活质量问卷(I-QOL)各项评分均高于对照组(P<0.05)。观察组第1次排尿成功率92.11%高于对照组的65.79%,残余尿量少于对照组,导尿管留置时间短于对照组,尿潴留发生率、尿路感染率均低于对照组(P<0.05)。结论健康行为改变理论应用于宫颈癌术后康复护理中,可有效提升盆底肌功能、膀胱功能,提高生活质量。

Objective To analyze the clinical influence of health behavior change theory on pelvic floor muscle function and bladder function in postoperative rehabilitation nursing of cervical cancer.Methods 76 patients with cervical cancer were selected and divided into control group(routine rehabilitation nursing)and observation group(health behavior change theory)by random number table method,with 38 cases in each group.The intervention effect of the two groups was compared.Results After intervention,the scores of PFDI-20 and subscale in the observation group were lower than those in the control group,and the scores of I-QOL were higher than those in the control group(P<0.05).The success rate of the first urination in the observation group was 92.11%higher than that in the control group(65.79%),the residual urine volume was lower than that in the control group,the catheter retention time was shorter than that in the control group,the incidence of urinary retention and urinary tract infection were lower than that in the control group(P<0.05).Conclusion The application of health behavior change theory in postoperative rehabilitation nursing of cervical cancer can effectively improve the function of pelvic floor muscle and bladder,and improve the quality of life.