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分阶段个性化健康宣教在宫颈癌患者术后中的应用效果

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目的 探究分阶段个性化健康宣教在宫颈癌患者术后中的应用效果.方法 选取2021年1月至2023年1月江苏省如皋市中医院82例宫颈癌患者作为研究对象,按照随机数字表法将其分为对照组和观察组,各41例.对照组应用常规健康宣教护理,观察组在对照组基础上给予分阶段个体化健康宣教护理.两组均观察15 d,比较护理前后两组自我效能感量表(GSES)、自我护理能力测定量表(ESCA)、Kolcaba舒适状况量表(GCQ)变化,并检测两组膀胱排尿功能及膀胱储尿功能及术后并发症发生率.结果 干预前,两组GSES、ESCA、GCQ评分比较,差异无统计学意义(P>0.05);干预后,两组GSES评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组ESCA评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组GCQ评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组膀胱最大容量及膀胱顺应性高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05).观察组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论 对宫颈癌患者给予分阶段个体化健康宣教护理,可有效提高患者自我护理能力及自我效能感评分,强化术后舒适度,改善患者膀胱功能恢复情况,降低并发症发生率,值得各个科室借鉴推广.
Application effect of phased personalized health education in patients with cervical cancer after surgery
Objective To explore the application effect of phased personalized health education in patients with cervical cancer after surgery.Methods Eighty-two cervical cancer patients from Rugao Hospital of Traditional Chinese Medicine in Jiangsu Province from January 2021 to Jan-uary 2023 were selected as the study subjects,and they were divided into the control group and the observation group according to the random number table method,with 41 cases in each group.The control group applied conventional health promotion nursing,and the observation group was given phased personalized health education on the basis of the control group.Both groups were observed for 15 days.The changes of the general self-efficiency scale(GSES),the exercise of self-care agency scale(ESCA),and the Kolaba general comfort questionnaire(GCQ)before and after intervention were compared between the two groups,and the bladder urination function,bladder storage function,and postoperative complications of the two groups were measured.Results Before the intervention,GSES,ESCA,and GCQ scores were compared between the two groups,and the dif-ferences were not statistically significant(P>0.05);after the intervention,the GSES scores of both groups were higher than before the intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05);after the intervention,the ESCA scores of both groups were higher than before the intervention,and the observation group was higher than the control group,and the differ-ences were statistically significant(P<0.05);after the intervention,the GCQ scores of both groups were higher than before the intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).After the intervention,the maximum bladder capacity and bladder compliance of both groups were higher than before the intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Phased personalized health promo-tion nursing for cervical cancer patients can effectively improve patients'self-care ability and self-efficacy scores,strengthen postoperative comfort,improve patients'bladder function recovery,and reduce the incidence of complications,which is worthy of reference and promotion in various de-partments.

Phased personalized health educationCervical cancerSelf-care abilityApplication effect

邹佳、殷丹琴、张雪莹

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江苏省如皋市中医院妇科,江苏如皋 226500

江苏省宜兴市中医医院肿瘤科,江苏宜兴 214200

分阶段个性化健康宣教 宫颈癌 自我护理能力 应用效果

江苏省卫生健康委员会科研项目

M2020095

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(17)
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