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机械刺激联合生物反馈训练应用于子宫颈癌患者术后的效果

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目的 探讨机械刺激联合生物反馈训练应用于子宫颈癌患者术后的效果。方法 选取厦门大学附属妇女儿童医院/厦门市妇幼保健院 2022 年 1 月—2023 年 5 月收治的 100 例子宫颈癌患者进行探讨,将其随机分成研究组与对照组各 50 例。2组在治疗期间均接受常规康复干预,对照组在此基础上采用生物反馈训练治疗,研究组在对照组的基础上,实施机械刺激技术治疗。比较2组患者自护能力情况和术后膀胱功能恢复情况、自身疼痛程度以及自我感觉负担情况和舒适状况。结果 干预后 2 组患者自护能力量表(exercise of self-care agency scale,ESCA)评分高于干预前,且研究组ESCA评分高于对照组,差异有统计学意义(P<0。05)。研究组患者术后膀胱功能恢复率和首次拔管成功率明显高于对照组,差异有统计学意义(P<0。05),尿潴留率明显低于对照组,差异有统计学意义(P<0。05)。术后 6、12、24 h研究组患者的视觉模拟评分(visual analogue scale,VAS)评分明显低于对照组,差异有统计学意义(P<0。05)。研究组患者术前3 d和术后14 d舒适状况量表(critical care quarterly,CCQ)评分均高于对照组,差异有统计学意义(P<0。05),而自我感觉负担量表(self-perceived burden,SPB)评分低于对照组,差异有统计学意义(P<0。05)。结论 机械刺激技术联合生物反馈训练能够显著提高子宫颈癌患者术后的膀胱功能障碍和直肠功能障碍恢复,有助于改善患者的疼痛程度、睡眠质量、社会支持以及护理质量,适合推广。
Effect of Mechanical Stimulation Combined With Biofeedback Training on Postoperative Patients With Cervical Cancer
Objective To investigate the effect of mechanical stimulation combined with biofeedback training on postoperative patients with cervical cancer.Methods A total of 100 cases of cervical cancer patients admitted to Women and Children's Hospital,School of Medicine,Xiamen University/Xiamen Maternal and Child Health Care Hospital from January 2022 to May 2023 were randomly divided into the study group and the control group with 50 cases each.Both groups were received routine rehabilitation intervention during treatment,the control group was treated with biofeedback training on this basis,and the study group was treated with mechanical stimulation technology on the basis of the control group.The self-care ability,the recovery of bladder function,the degree of self-pain,the sense of burden and comfort were compared between the two groups.Results Exercise of self-care agency scale(ESCA)scores were higher in both groups after intervention,and ESCA scores in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The recovery rate of bladder function and the success rate of first extubation in the study group were significantly higher than those in the control group,the differences were statistically significant(P<0.05),and the urinary retention rate was significantly lower than that in the control group,the difference was statistically significant(P<0.05).The visual analogue scale(VAS)score of the study group was significantly lower than that of the control group at 6,12 and 24 h after surgery,the differences were statistically significant(P<0.05).The critical care quarterly(CCQ)scores of the study group were higher than those of the control group(P<0.05)at 3 days before surgery and 14 days after surgery,while the self-perceived burden(SPB)scores of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion Mechanical stimulation combined with biofeedback training can significantly improve the recovery of bladder dysfunction and rectal dysfunction in patients with cervical cancer after surgery,and help improve the degree of pain,sleep quality,social support and nursing quality of patients,which is suitable for promotion.

mechanical stimulation technologybiofeedback trainingcervical cancerbladder functionurinary retentionquality of liferehabilitation training

方玲君、李丽琴

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厦门大学附属妇女儿童医院 / 厦门市妇幼保健院妇科,福建 厦门 361000

厦门大学附属妇女儿童医院/ 厦门市妇幼保健院急诊科,福建 厦门 361000

机械刺激技术 生物反馈训练 子宫颈癌 膀胱功能 尿潴留 生活质量 康复训练

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(3)
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