基于5A模式的膀胱全程管理方案在宫颈癌根治术后患者中的应用效果

Effect of bladder full-course management program based on 5A model in patients after radical hysterectomy for cervical cancer

  • 摘要: 目的 观察基于5A模式的膀胱全程管理方案在宫颈癌根治术患者中的应用效果。方法 选取94 例宫颈癌根治术患者作为研究对象,随机分为对照组和研究组,每组 47 例。对照组患者接受常规护理干预,研究组患者在对照组基础上接受基于5A模式的膀胱全程管理方案干预。比较2组患者的留置尿管时间、膀胱功能恢复情况、生活质量评分、导尿管相关性尿路感染发生情况、下尿路症状发生情况及出院满意度。结果 研究组膀胱功能恢复率高于对照组,首次拔管时间、术后留置尿管时间短于对照组,差异有统计学意义(P<0.05); 研究组导尿管相关性尿路感染发生率为2.13%(1/47),低于对照组的14.89%(7/47), 差异有统计学意义(P<0.05); 研究组下尿路症状发生率低于对照组,差异有统计学意义(P<0.05); 研究组生活质量各维度评分均高于对照组,差异有统计学意义(P<0.05); 研究组出院满意度为95.74%, 高于对照组的78.72%, 差异有统计学意义(P<0.05)。结论 将基于5A模式的膀胱全程管理方案应用于宫颈癌根治术患者的治疗中,能够促进膀胱功能恢复,缩短术后留置尿管时间,提升患者生活质量,降低下尿路症状和导尿管相关性尿路感染的发生率,进而提高患者满意度。

     

    Abstract: Objective To observe the application effect of bladder full-course management program based on the 5A model in patients after radical hysterectomy for cervical cancer. Methods A total of 94 patients undergoing radical hysterectomy for cervical cancer were selected and randomly divided into control group and study group, with 47 patients in each group. The control group received routine nursing intervention, while the study group received the bladder full-course management program based on the 5A model in addition to the routine nursing intervention. The indwelling catheter time, recovery of bladder function, quality of life scores, incidence of catheter-associated urinary tract infection, occurrence of lower urinary tract symptoms, and discharge satisfaction were compared between the two groups. Results The bladder function recovery rate was higher in the study group than in the control group, and the first catheter removal time and postoperative indwelling catheter time were shorter in the study group than in the control group(P<0.05). The incidence of catheter-associated urinary tract infection was lower in the study group than that in the control group 2.13% (1/47) versus 14.89%(7/47), P<0.05. The incidence of lower urinary tract symptoms was lower in the study group than in the control group (P<0.05). The scores of all dimensions of quality of life were higher in the study group than in the control group (P<0.05). The discharge satisfaction rate was higher in the study group than that in the control group (95.74% versus 78.72%, P<0.05). Conclusion The application of the bladder full-course management program based on the 5A model in the treatment of patients undergoing radical hysterectomy for cervical cancer can promote bladder function recovery, shorten the postoperative indwelling catheter time, improve quality of life, reduce the incidence of lower urinary tract symptoms and catheter-associated urinary tract infections, thereby enhancing patients' satisfaction.

     

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