探讨综合性护理在盆底功能障碍性疾病患者经阴道行骶棘韧带悬吊术中的效果分析

To explore the effect analysis of comprehensive nursing in the patients withfemale pelvic floor dysfunction through vaginal sacrospinous ligament suspension

目的 观察综合性护理在盆底功能障碍性疾病(FPFD)患者经阴道行骶棘韧带悬吊术中的效果。方法 选取80例经阴道行骶棘韧带悬吊术治疗FPFD患者,根据随机数字表法分为两组,每组40例。研究组在围手术期实施综合性护理,对照组实施常规护理。比较两组患者干预前后盆底肌张力指标、盆底障碍影响简易问卷(PFIQ-7)、盆腔脏器脱垂/尿失禁性功能问卷(PISQ-12)及护理满意度。结果 治疗后两组患者的盆底肌张力指标较治疗前提升,研究组高于对照组,而PFIQ-7评分、PISQ-12评分较治疗前下降,研究组低于对照组(P<0.05)。研究组护理满意度100%明显高于对照组的85.00%(P<0.05)。结论 FPFD患者经阴道行骶棘韧带悬吊术围手术期实施综合性护理干预,对改善患者盆底肌张力与功能效果理想,可提高患者护理满意度,值得临床推广。

Objective To observe the effect of comprehensive nursing in patients with female pelvic floor dysfunction(FPFD)undergoing sacrospinous ligament suspension through vagina.Methods 80 patients with FPFD who underwent transvaginal sacrospinous ligament suspension were divided into two groups according to random number table method,with 40 cases in each group.The study group received comprehensive nursing during perioperative period,while the control group received routine nursing.The pelvic floor muscle tone index,the simple Impact questionnaire of pelvic floor disorder(PFIQ-7),the pelvic organ prolapse/urinary incontinence function questionnaire(PISQ-12)and nursing satisfaction were compared between the two groups before and after intervention,Results After treatment,the pelvic floor muscle tone index of the two groups was improved compared with that before treatment,and the score of PFIQ-7 and PISQ-12 in the study group was higher than that in the control group,while the score of PFIQ-7 and PISQ-12 were lower than that before treatment,and the score of the study group was lower than that in the control group(P<0.05).The nursing satisfaction of the study group was 100%higher than that of the control group(85.00%)(P<0.05).Conclusion The comprehensive nursing intervention during perioperative period of transvaginal sacrospinous ligament suspension in FPFD patients has ideal effect on improving the pelvic floor muscle tension and function,and can improve the nursing satisfaction of patients,which is worthy of clinical promotion.