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责任制护理对经腹宫颈癌根治术患者的效果观察 被引量:9

Efficacy of primary nursing in patients undergoing transabdominal trachelectomy
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摘要 目的探讨经腹宫颈癌根治术治疗患者采用责任制护理的应用效果。方法选取2018年1月至2020年2月间陕西省安康市妇幼保健院收治的80例经腹宫颈癌根治术治疗患者。根据采用的护理方法不同进行分组,围手术期实施常规护理的40例患者纳入对照组,实施责任制护理的40例患者纳入观察组。比较分析两组患者的治疗有效率、术后并发症及生活质量等。结果观察组的临床治疗有效率为97.5%,大于对照组的85.0%,差异有统计学意义(P<0.05)。观察组的尿潴留、切口感染、泌尿系统感染与下肢深静脉血栓等术后并发症发生率为5.0%,低于对照组的27.5%,差异有统计学意义(P<0.05)。观察组的躯体功能、心理状态、疼痛功能和社会关系等生活质量评分均高于对照组,差异均有统计学意义(均P<0.05)。结论经腹宫颈癌根治术治疗患者采用责任制护理,可有效提高临床治疗效果,减少并发症发生率,改善生活质量,值得在临床推广应用。 Objective To explore and analyze the efficacy of primary nursing in patients undergoing transabdominal trachelectomy and the effect on incidence of complications.Methods Between January 2018 and February 2020,80 patients with cervical cancer undergoing transabdominal trachelectomy were included.Based on the nursing they received,40 patients receiving perioperative primary nursing were included in an observation group and 40 patients receiving perioperative conventional nursing were included in a control group.Efficacy,postoperative incidence of complications and quality of life were compered between the two groups.Results The efficacy rate was 97.5%in the observation group which was higher than 85.0%of the control group(all P<0.05).The incidence of complications including urinary retention,incision infection,urinary system infection,and lower extremity deep vein thrombosis was 5.0%in the observation group which was lower than 27.5%of the control group(P<0.05).The quality of life scores in the aspects of psychological state,pain function,and social relationship were significantly higher in the observation group than in the control group(all P<0.05).Conclusion Primary nursing can effectively improve clinical efficacy,reduce incidence of complications,and improve quality of life in patients with cervical cancer transabdominal trachelectomy,which is worthy of clinical application.
作者 宋晓聪 吴杜 SONG Xiao-cong;WU Du(Department of Obstetrics and Gynecology,Ankang Maternal and Child Health Hospital,Ankang 725000,China)
出处 《中国肿瘤临床与康复》 2021年第4期505-508,共4页 Chinese Journal of Clinical Oncology and Rehabilitation
关键词 经腹宫颈癌根治术 常规护理 责任制护理 临床疗效 并发症 Transabdominal trachelectomy Routine care Primary nursing Clinical efficacy Complications
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