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驻马店市第一人民医院西院区妇产科
纸质出版日期:2022,
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苏秋霞, 何战强, 廖雪珂. 针对性护理对宫颈癌患者心理状态、排尿功能和机体恢复的影响[J]. 保健医学研究与实践, 2022,19(4):105-109.
Su Qiuxia, He Zhanqiang, Liao Xueke. Effects of targeted nursing on psychological status, urinary function and overall recuperation of patients with cervical cancer[J]. Health Medicine Research and Practice, 2022,19(4):105-109.
苏秋霞, 何战强, 廖雪珂. 针对性护理对宫颈癌患者心理状态、排尿功能和机体恢复的影响[J]. 保健医学研究与实践, 2022,19(4):105-109. DOI:
Su Qiuxia, He Zhanqiang, Liao Xueke. Effects of targeted nursing on psychological status, urinary function and overall recuperation of patients with cervical cancer[J]. Health Medicine Research and Practice, 2022,19(4):105-109. DOI:
目的 探讨针对性护理对宫颈癌患者心理状态、排尿功能和机体恢复的影响。方法 选取2017年5月—2021年5月驻马店市某医院收治的72例宫颈癌患者
采用随机数字表法分为观察组与对照组
每组36例。2组患者均行宫颈癌根治术治疗
对照组患者给予常规护理
观察组患者在对照组基础上给予针对性护理。比较2组患者干预前后贝克焦虑量表(BAI)评分、贝克抑郁量表21项版(BDI-21)评分、应对方式、自我护理能力等指标。结果 2组患者干预后BAI及BDI-21评分低于干预前
且观察组低于对照组
差异均有统计学意义(P<0.05)。2组患者干预后Jalowies应对方式量表中面对、寻求支持维度评分高于干预前且观察组高于对照组
姑息、逃避维度评分低于干预前且观察组低于对照组
差异均有统计学意义(P<0.05)。2组患者干预后自我护理能力量表(ESCA)中自我概念、自护责任感、自护技能、健康知识水平维度评分高于干预前且观察组高于对照组
差异均有统计学意义(P<0.05)。观察组患者残余尿量少于对照组
恢复自主排尿时间、留置导尿管时间、住院时间均短于对照组
差异均有统计学意义(P<0.05)。观察组患者尿潴留、尿路感染、尿路刺激征发生率均低于对照组
差异均有统计学意义(P<0.05)。观察组患者护理投诉率、护理纠纷率、护理差错率均低于对照组
差异均有统计学意义(P<0.05)。结论 针对性护理用于宫颈癌患者
可改善心理状态、应对方式
提高自护能力
并能改善排尿功能、促进机体恢复
且并发症发生率低、护理质量高。
Objective To explore the effects of targeted nursing on the psychological status
urinary function and overall recuperation of patients with cervical cancer.Methods Seventy-two cases of cervical cancer patients admitted to a hospital in Zhumadian from May 2017 to May 2021 were enrolled and divided into observation and control groups using a random number table
36 cases in each group.Patients in both groups were treated with radical cervical cancer surgery;patients in the control group were given conventional care
and patients in the observation group were given targeted nursing on the basis of the control group.The Beck Anxiety Inventory(BAI) scores
Beck Depression Inventory-21(BDI-21) scores
coping strategies
and self-care ability were compared between the two groups before and after the intervention.Results After the intervention
the BAI and BDI-21 scores were lower than those before the intervention in both groups and lower in the observation group than in the control group
with statistically significant differences(P<0.05).The scores for the dimensions of confrontation and seeking support in the Jalowiec coping scale were higher in the 2 groups than before the intervention and higher in the observation group than in the control group
and the those for the dimensions of appeasement and avoidance were lower than before the intervention and lower in the observation group than in the control group
all with statistically significant differences(P<0.05).The scores for self-conception
self-care responsibility
self-care skills
and health knowledge in the Exercise of Self-care Agency(ESCA) scale were higher in both groups than before the intervention and higher in the observation group than in the control group
with statistically significant differences(P<0.05).The residual urine volume of the patients in the observation group was less than that in the control group
and the time to resume voluntary urination
duration of catheterization and hospitalization time were all shorter than those in the control group
with statistically significant differences(P<0.05).The incidence of urinary retention
urinary tract infection and urinary tract irritation signs were lower in the observation group than in the control group
and the differences were all statistically significant(P<0.05).The nursing complaint rate
nursing dispute rate and nursing error rate of the observation group were all lower than those of the control group
and the differences were statistically significant(P<0.05).Conclusion Targeted nursing care for cervical cancer patients can improve their psychological status
coping strategies
and self-care ability
as well as improve urinary function and promote overall recuperation
with low complication rate and high nursing quality.
宫颈癌针对性护理心理状态排尿功能自护能力
cervical cancerTargeted nursingPsychological stateUrinary functionSelf-care ability
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