高危型HPV感染宫颈癌根治术患者实施康复护理的效果分析
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摘要
目的探讨和分析高危型HPV感染宫颈癌根治术患者实施康复护理的效果。方法选取2016年1月～2017年1月收集住院行宫颈癌根治术的62例患者,两组均行宫颈癌根治术。根据护理方法不同随机分为两组,其中干预组(n=31)采取康复护理,对照组(n=31)采取常规护理,比较两组患者术后的康复效果、VAS疼痛评分及护理满意度。结果干预组患者首次下床活动时间、留置尿管时间、住院时间分别短于对照组,差异具有统计学意义(P<0.05)。干预前两组VAS评分比较差异无统计学意义(P>0.05);干预后,两组VAS评分较干预前明显降低,且干预组的VAS评分显著低于对照组(P<0.05)。干预组患者护理满意度96.8%,显著高于对照组的74.2%,差异具有统计学意义(P<0.05)。结论对高危型HPV感染宫颈癌根治术患者实施康复护理可以促进患者术后康复、缩短住院时间、减轻患者痛苦、提高护理满意度,从而提高护理质量。
Objective To investigate and analyze the effect of rehabilitation nursing for patients with high-risk HPV infection undergoing radical resection of cervical cancer. Methods A total of 62 patients who underwent radical resection of cervical cancer from January 2016 to January 2017 were enrolled. Both groups underwent radical resection of cervical cancer. According to the different nursing methods, the patients were randomly divided into two groups. The intervention group(n=31) was treated with rehabilitation care, and the control group(n=31) was given routine nursing.The postoperative rehabilitation effect, VAS pain score and nursing satisfaction were compared between the two groups.Results The first ambulation time, indwelling catheter time, and hospitalization time were shorter in the intervention group than that in the control group. The difference between the two groups was significant(P<0.05). There was no sig nificant difference in VAS scores between the two groups before intervention(P>0.05). After the intervention, the VAS scores of the two groups were significantly lower than those before the intervention, and the VAS scores of the interven tion group were significantly lower than those of the control group(P<0.05). The nursing satisfaction of the intervention group was 96.8%, which was significantly higher than that of the control group. The difference between the two groups was significant(P<0.05). Conclusion Rehabilitation nursing for patients with high-risk HPV infection undergoing cervical cancer radical resection can promote postoperative rehabilitation, shorten hospitalization, reduce patient suffering,and improve nursing satisfaction, thus improving the quality of care.
Objective To investigate and analyze the effect of rehabilitation nursing for patients with high-risk HPV infection undergoing radical resection of cervical cancer. Methods A total of 62 patients who underwent radical resection of cervical cancer from January 2016 to January 2017 were enrolled. Both groups underwent radical resection of cervical cancer. According to the different nursing methods, the patients were randomly divided into two groups. The intervention group(n=31) was treated with rehabilitation care, and the control group(n=31) was given routine nursing.The postoperative rehabilitation effect, VAS pain score and nursing satisfaction were compared between the two groups.Results The first ambulation time, indwelling catheter time, and hospitalization time were shorter in the intervention group than that in the control group. The difference between the two groups was significant(P<0.05). There was no sig nificant difference in VAS scores between the two groups before intervention(P>0.05). After the intervention, the VAS scores of the two groups were significantly lower than those before the intervention, and the VAS scores of the interven tion group were significantly lower than those of the control group(P<0.05). The nursing satisfaction of the intervention group was 96.8%, which was significantly higher than that of the control group. The difference between the two groups was significant(P<0.05). Conclusion Rehabilitation nursing for patients with high-risk HPV infection undergoing cervical cancer radical resection can promote postoperative rehabilitation, shorten hospitalization, reduce patient suffering,and improve nursing satisfaction, thus improving the quality of care.
引文
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[13]黄菊.42例腹腔镜下子宫颈癌根治术的手术配合与护理[J].中外医学研究,2015,13(33):97-98.
[14]孙淑敏.宫颈癌根治术患者的术后护理分析[J].中国医学创新,2011,8(4):140-141
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[16]韩冬芳,李小妹,周凯娜,等.综合护理干预对缓解宫颈癌根治术患者焦虑心理的效果研究[J].护士进修杂志,2016,31(20):1831-1834.
[17]徐华,彭莉敏,吴云燕,等.优质护理服务对宫颈癌根治术后患者康复的影响[J].实用临床医学,2011,12(7):110-112.
[18]Wang PL,Cheng YB,Kuerban G,et al.The clinical characteristic differences between thrombosis-related edema and lymphedema following radiotherapy or chemoradiotherapy for patients with cervical cancer[J].J Radiat Res,2012,53:125-129.
[19]张宏,童茜.康复护理对促进宫颈癌根治术患者膀胱功能恢复的影响[J].护理实践与研究,2016,13:153-155.
[20]王贤卿.综合护理干预在宫颈癌根治术后对患者的影响分析[J].现代诊断与治疗,2015,26(11):2617-2618.
[2]刘芳容.舒适护理在宫颈癌根治术后康复护理中的应用[J].航空航天医学杂志,2013,24:380-381
[3]刘威,丁环.综合护理干预对宫颈癌根治术后并发症的影响[J].航空航天医学杂志,2016,27(9):1157-1158.
[4]王阳阳,宋素婷,刘安.综合护理干预对宫颈癌根治术后患者膀胱功能恢复的影响[J].解放军护理杂志,2014,31(22):108-110.
[5]严惠玲,李玉春,张素花.心理护理干预对宫颈癌根治术患者焦虑状况的影响[J].齐鲁护理杂志,2013,24(9):1329-1330.
[6]李逢勤,邹泽.综合护理干预对宫颈癌根治术后患者心理状态及生活质量的影响[J].慢性病学杂志,2017,18(7):810-812.
[7]丁振华,史迎春,孙玉娟,等.综合护理干预对根治性宫颈癌患者术后早期活动依从性的影响[J].国际护理学杂志,2014,33(11):3019-3021.
[8]张亚莉.综合护理对宫颈癌患者术后生活质量的影响[J].中国现代药物应用,2015,9(11):227-228.
[9]陈香英,林美珠,李扬.宫颈癌根治术68例围手术期心理问题及护理干预[J].福建医药杂志,2011,33(6):164-165.
[10]王红霞,路金美,徐守琴.宫颈癌根治术患者围手术期护理[J].医学理论与实践,2012,(4):102-103.
[11]程春梅.护理干预对宫颈癌患者心理状态的影响[J].贵阳中医学院学报,2014,36(2):92-94.
[12]严惠玲,李玉春,张素花.心理护理干预对宫颈癌根治术患者焦虑状况的影响[J].齐鲁护理杂志,2013,19(9):36-37.
[13]黄菊.42例腹腔镜下子宫颈癌根治术的手术配合与护理[J].中外医学研究,2015,13(33):97-98.
[14]孙淑敏.宫颈癌根治术患者的术后护理分析[J].中国医学创新,2011,8(4):140-141
[15]韩冬芳,李小妹,张苏梅,等.综合护理训练对宫颈癌根治术患者抑郁干预效果的研究[J].中国医学伦理学,2016,29(1):163-166.
[16]韩冬芳,李小妹,周凯娜,等.综合护理干预对缓解宫颈癌根治术患者焦虑心理的效果研究[J].护士进修杂志,2016,31(20):1831-1834.
[17]徐华,彭莉敏,吴云燕,等.优质护理服务对宫颈癌根治术后患者康复的影响[J].实用临床医学,2011,12(7):110-112.
[18]Wang PL,Cheng YB,Kuerban G,et al.The clinical characteristic differences between thrombosis-related edema and lymphedema following radiotherapy or chemoradiotherapy for patients with cervical cancer[J].J Radiat Res,2012,53:125-129.
[19]张宏,童茜.康复护理对促进宫颈癌根治术患者膀胱功能恢复的影响[J].护理实践与研究,2016,13:153-155.
[20]王贤卿.综合护理干预在宫颈癌根治术后对患者的影响分析[J].现代诊断与治疗,2015,26(11):2617-2618.