摘要
目的探讨系统性膀胱功能锻炼路径对宫颈癌根治术后膀胱功能康复的影响。方法选2018年4月至2019年10月在妇科行宫颈癌根治术后患者100例,随机分为研究组和对照组各50例,对照组按宫颈癌根治术后常规护理,研究组在对照组基础上按照系统性膀胱功能锻炼路径进行康复训练;比较两组患者术前3 d、术后14 d膀胱排尿功能(最大尿流率、平均尿流率、排尿量、残余尿量)和储尿功能(膀胱最大容量、平均逼尿肌压、膀胱顺应性),观察两组拔尿管后并发症(尿潴留、尿管重置、尿失禁)发生率,术前3 d、术后3 d、术后14 d用Kolcaba舒适状况量表(GCQ)、自我感受负担(SPB)量表测量两组患者的舒适状态和自我感受负担。结果术前3 d两组最大尿流率、平均尿流率、排尿量、残余尿量比较差异无统计学意义(P>0.05);术后14 d两组最大尿流率、平均尿流率、排尿量均较术前3 d显著下降(P<0.01),研究组下降幅度小于对照组(P<0.01);两组残余尿量显著增加,但研究组增加的幅度小于对照组(P<0.01)。术前3 d两组膀胱最大容量、平均逼尿肌压、膀胱顺应性比较差异无统计学意义(P>0.05),术后14 d两组膀胱最大容量、平均逼尿肌压、膀胱顺应性均显著下降(P<0.01),研究组下降幅度小于对照组(P<0.001)。拔尿管后研究组并发症发生率为22.00%,对照组并发症发生率为48.00%,研究组发生率低于对照组(P<0.01)。两组患者术前3 d(入组时)GCQ比较差异无统计学意义(P>0.05);术后3 d、14 d两组GCQ均较术前3 d显著提高(P<0.01),研究组提高幅度大于对照组(P<0.01)。两组患者术前3 d(入组时)SPB比较差异无统计学意义(P>0.05);术后3 d、14 d两组SPB均较术前3 d显著下降(P<0.01),研究组下降幅度大于对照组(P<0.01)。结论用系统性膀胱功能锻炼路径实施健康教育能有效促进宫颈癌根治术后患者膀胱功能的恢复,降低并发症的发生率,同时改善
Objective To explore the effect of the path of systemic bladder function exercise on the recovery of bladder function after radical operation of cervical cancer.Methods From April 2018 to October 2019,100 patients with cervical cancer after radical surgery in gynecology were randomly divided into study group and control group,with 50 cases in each group.The control group received routine nursing according to cervical cancer radical surgery,and the study group received rehabilitation training according to the systematic bladder function exercise path on the basis of the control group.The bladder micturition function(maximum flow rate,mean flow rate,volume of micturition and residual volume of urine) and urinary storage function(maximum volume of bladder,mean pressure of detrusor and bladder compliance) were compared between the two groups at 3 days before operation and 14 days after operation.The incidence of complications(urinary retention,catheter replacement,urinary incontinence) after catheter removal was observed between the two groups,3 days before operation,3 days after operation and 14 days after operation,the comfort state and self perceived burden of the two groups were measured with Kolcab comfort scale(GCQ) and self perceived burden(SPB) respectively.Results There was no significant difference between the two groups in the maximum flow rate,average flow rate,volume of micturition and residual urine volume 3 days before operation(P>0.05).The maximum flow rate,average flow rate and volume of micturition in the two groups decreased significantly compared with those in the three days before operation(P<0.01),but the decrease in the study group was smaller than that in the control group(P<0.01).The residual urine volume in the two groups increased significantly,but the increase in the study group was smaller than that in the control group(P<0.01).There was no significant difference in bladder maximum volume,mean detrusor pressure and bladder compliance between the two groups at 3 days before operation(P>0.0
作者
张萍
罗琳雪
陆秋
许颖
罗丽霞
ZHANG Ping;LUO Linxue;LU Qiu;XU Ying;LUO Lixia(Department of Gynecology,ffiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Department of Nursing,ffiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)
出处
《右江医学》
2020年第4期276-281,共6页
Chinese Youjiang Medical Journal
基金
广西卫生和计划生育委员会科研课题(Z20180223)。
关键词
宫颈癌根治术
膀胱功能
功能锻炼路径
radical operation of cervical cancer
bladder function
functional exercise path
