摘要
目的观察宫颈癌术后放疗过程中实施尿路护理干预对留置尿管患者尿路感染及生活质量的影响情况。方法选取2016年6月至2017年6月梅州市人民医院盆腔放疗科收治的68例宫颈癌术后放疗留置尿管患者为研究对象,根据临床护理方案分为对照组与干预组,每组各34例,分别给予常规护理干预、尿路护理干预,观察两组患者经不同护理干预后尿路感染、生活质量、尿管留置时间指标情况。结果干预组尿路感染发生率为5.88%,低于对照组的26.47%,差异有统计学意义(P<0.05);治疗前两组生活质量评分比较,差异无统计学意义(P>0.05);治疗后两组生活质量评分均有所上升,且干预组显著高于对照组,差异有统计学意义(P<0.001);干预组尿管留置时间短于对照组,差异有统计学意义(P<0.001)。结论对宫颈癌术后放疗留置尿管患者实施尿路护理干预可有效降低尿路感染发生率,提高患者生活质量,缩短其尿管留置时间。
Objective To observe the effect of urinary tract nursing intervention on urinary tract infection and quality of life in patients with an indwelling urinary catheter during postoperative radiotherapy for cervical cancer.Methods A total of 68 patients with cervical cancer treated by the Pelvic Radiotherapy of Meizhou People's Hospital from June 2016 to June 2017 who underwent postoperative radiotherapy with an indwelling urinary catheter inserted were selected as the research subjects and divided into the control group and the intervention group according to the clinical nursing protocol,34 cases in each group.The two groups were given routine nursing intervention and urinary tract nursing intervention respectively.The indexes including urinary tract infection,quality of life and urinary catheterization duration were observed after different nursing interventions.Results The incidence of urinary tract infection in the intervention group(5.88%)was lower than that in the control group(26.47%),with statistically significant difference(P<0.05).There was no statistically significant difference in the score of quality of life between the two groups before treatment(P>0.05).The score of quality of life in the two groups increased after treatment.The score of quality of life in the intervention group was significantly higher than that in the control group,with statistically significant difference(P<0.001).The urinary catheterization duration in the intervention group was shorter than that in the control group,with statistically significant difference(P<0.001).Conclusion Urinary tract nursing intervention in patients undergoing postoperative radiotherapy for cervical cancer with an indwelling urinary catheter inserted can effectively reduce the incidence of urinary tract infection,improve the quality of life and shorten the urinary catheterization duration.
作者
刘云
郑志坚
丘敏
黄苑芳
LIU Yun;ZHENG Zhijian;QIU Min;HUANG Yuanfang(Pelvic Radiotherapy,Meizhou People’s Hospital,Guangdong,Meizhou 514031,China)
出处
《中国医药科学》
2022年第7期127-130,共4页
China Medicine And Pharmacy
关键词
尿路护理干预
宫颈癌
术后放疗
留置尿管
尿路感染
Urinary tract nursing intervention
Cervical cancer
Postoperative radiotherapy
Indwelling urinary catheter
Urinary tract infection
