首页|ACTED康复护理在重度子宫脱垂术后患者中的应用效果

ACTED康复护理在重度子宫脱垂术后患者中的应用效果

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目的:观察ACTED康复护理在重度子宫脱垂术后患者中的应用效果.方法:选取 2019 年 12 月至 2022 年 7 月该院收治的66 例重度子宫脱垂术后患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各 33 例.对照组采用常规康复护理,观察组在对照组基础上采用ACTED康复护理.比较两组康复优良率,护理前后盆底功能[盆底功能障碍问卷(PFDI-20)]、心理困扰程度[简易凯斯勒心理困扰量表(K10)]和健康行为能力[健康行为能力自评量表(SRAHP)]评分.结果:观察组康复优良率为 93.94%(31/33),高于对照组的 75.76%(25/33),差异有统计学意义(P<0.05);护理 3 个月后,两组膀胱、肠道、盆腔等各项PFDI-20 评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组K10评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组SRAHP评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05).结论:ACTED康复护理应用于重度子宫脱垂术后患者,可提高康复优良率与健康行为能力,减轻盆底功能障碍和心理困扰程度,效果优于常规康复护理.
Application effects of ACTED rehabilitation nursing in postoperative patients with severe uterine prolapse
Objective:To observe application effects of ACTED rehabilitation nursing in postoperative patients with severe uterine prolapse.Methods:A prospective study was conducted on 66 patients with severe uterine prolapse admitted to the hospital from December 2019 to July 2022.According to the random number table method,they were divided into observation group and control group,33 cases in each group.The control group was treated with routine rehabilitation nursing,while the observation group was treated with the ACTED rehabilitation nursing on the basis of that of the control group.The excellent and good rate of rehabilitation,the pelvic floor function[pelvic floor dysfunction index(PFDI-20)]score,the psychological distress degree[simple Kessler psychological distress scale(K10)]score,and the healthy behavior ability[self-rated abilities for health practices scale(SRAHP)]score were compared between the two groups before and after the nursing.Results:The excellent and good rate of rehabilitation in the observation group was 93.94%(31/33),which was higher than that in the control group 75.76%(25/33),and the difference was statistically significant(P<0.05).After 3 months of nursing,the PFDI-20 scores of bladder,intestine and pelvic cavity in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The K10 scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,the SRAHP scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:The ACTED rehabilitation nursing in the postoperative patients with severe uterine prolapse can improve the excellent and good rate of rehabilitation,and the healthy behavior ability,reduce the degree of pelvic floor dysfunction and psychological distress.Moreover,it is superior to the routine rehabilitation nursing.

ACTED rehabilitation nursingSevere uterine prolapsePelvic floor functionPsychological distressHealth behavior ability

潘锦秀、杨晶晶、王娜

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开封市妇产医院产房,河南 开封 475000

ACTED康复护理 重度子宫脱垂 盆底功能 心理困扰 健康行为能力

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(14)