首页|普适化与个体化双轨护理对子宫内膜癌腹腔镜术后患者康复效果的研究

普适化与个体化双轨护理对子宫内膜癌腹腔镜术后患者康复效果的研究

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目的:探讨普适化与个体化双轨护理对子宫内膜癌(EC)腹腔镜术后患者康复进程、膀胱功能、自护能力、并发症的影响.方法:选取我院2019年8月至2022年1月收治的EC患者164例,随机分为常规护理组和双轨护理组,各82例.2组患者均行腹腔镜手术治疗,常规护理组给予常规护理干预措施,双轨护理组在常规护理的基础上给予普适化与个体化双轨护理干预.比较2组康复进程(术后首次下床、首次排气和住院时间)、自护能力、术后膀胱功能、并发症发生率、生活质量、随访1年复发率.结果:双轨护理组术后首次下床、首次排气和住院时间均短于常规护理组(P<0.05);术后3 d,双轨护理组膀胱功能恢复良好率明显高于常规护理组(P<0.05);护理3个月后,双轨护理组健康知识、自护责任感、护理技能、自我概念水平评分均高于常规护理组,PWB、SWB、EWB、FWB评分均低于常规护理组(P<0.05);护理期间,双轨护理组并发症的发生率低于常规护理组(P<0.05);术后随访1年,双轨护理组复发率略低于常规护理组,但差异无统计学意义(P>0.05).结论:普适化与个体化双轨护理应用于EC腹腔镜术后患者能提高患者自护能力、生活质量,增强膀胱功能,减少并发症和复发,促进患者术后快速康复.
The rehabilitation effect of universal and individualized dual-track nursing on patients with endometrial cancer after laparoscopic surgery
Objective:To investigate the effects of universal and individualized dual-track nursing on the recovery process,bladder function,self-care ability and complications of patients with endometrial cancer(EC)after laparoscopic surgery.Methods:A total of 164 EC patients admitted to our hospital from Aug 2019 to Jan 2022 were collected and randomly divided into conventional nursing group and dual-track nursing group,82 patients in each group.All patients in 2 groups received laparoscopic surgery,the conventional nursing group received routine nursing intervention,and the dual-track nursing group received universal and individual dual-track nursing intervention on the basis of conventional nursing.The recovery process(time of first ambulation,first exhaust and hospitalization),self-care ability,postoperative bladder function,incidence of complications,quality of life,and recurrence rate of 1-year follow-up were compared between the two groups.Results:The first ambulation time,first exhaust time and hospitalization time in dual-track nursing group were shorter than those in conventional nursing group(P<0.05).At 3 days after operation,the recovery rate of bladder function in the dual-track nursing group was significantly higher in dual-track nursing group than that in conventional nursing group(P<0.05).After 3 months of nursing,the scores of health knowledge,self-care responsibility,nursing skills and self-concept in dual-track nursing group were higher than those in conventional nursing group,while the scores of PWB,SWB,EWB and FWB were lower than those in conventional nursing group(P<0.05).During the nursing period,the incidence of complications in the dual-track nursing group was lower than that in the conventional nursing group(P<0.05).After 1 year of follow-up,the recurrence rate of dual-track nursing group was slightly lower than that of conventional nursing group,but the difference was not statistically significant(P>0.05).Conclusion:The application of universal and individualized dual-track nursing in EC patients after laparoscopic surgery can improve patients'self-care ability and quality of life,enhance bladder function,reduce complications and recurrence,and promote patients'rapid recovery after surgery.

dual-track nursingendometrial cancerrecurrence ratebladder function

张克、魏艳丽、张梦梦

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许昌市人民医院妇科,河南 许昌 461000

许昌市人民医院新生儿监护室,河南 许昌 461000

双轨护理 子宫内膜癌 复发率 膀胱功能

2024

沈阳医学院学报
沈阳医学院

沈阳医学院学报

影响因子:0.591
ISSN:1008-2344
年,卷(期):2024.26(2)
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