Risk factors analysis and nursing strategies for patients with intestinal obstruction after radical resection of cervical cancer
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摘要: 目的 分析和探讨宫颈癌根治术后患者并发肠梗阻的危险因素及护理对策。 方法 选择2016年3月—2018年7月西北妇女儿童医院收治的进行宫颈癌根治术的146例患者,根据患者宫颈癌根治术后是否发生肠梗阻,分为观察组和对照组,其中14例宫颈癌根治术后并发肠梗阻的患者为观察组,132例宫颈癌根治术后未发生肠梗阻的患者为对照组。为保证收集的资料真实有效,本研究由医生和护士共同收集危险因素,对2组年龄、体质量指数(body mass index,BMI)、盆腹腔手术史、术前肠道准备、手术方式、麻醉方式、手术时间、术后血钾水平、术后禁食时间、术后感染等情况进行统计,并采用单因素分析和logistic回归分析分析宫颈癌根治术后患者并发肠梗阻的危险因素。 结果 单因素分析和logistic回归分析结果显示:年龄、盆腹腔手术史、术前肠道准备、手术方式、麻醉方式、手术时间、术后血钾水平、术后禁食时间、术后感染是宫颈癌根治术后患者并发肠梗阻的危险因素。 结论 年龄、盆腹腔手术史、术前肠道准备、手术方式、麻醉方式、手术时间、术后血钾水平、术后禁食时间、术后感染是宫颈癌根治术后患者并发肠梗阻的影响因素,临床中要重视这些因素,改善护理质量,做好预防性治疗,避免肠梗阻的发生。Abstract: Objective To analyze the risk factors and nursing strategies of patients with intestinal obstruction after radical resection of cervical cancer. Methods A total of 146 patients who underwent radical resection of cervical cancer in our hospital from March 2016 to July 2018 were enrolled. Patients with intestinal obstruction after radical resection of cervical cancer were included in the observation group (n=14), and 132 patients without intestinal obstruction after radical resection of cervical cancer were included in the control group. In order to ensure the authenticity and effectiveness of the collected data, the risk factors were collected by professional doctors and nurses. The age, BMI, history of pelvic and abdominal surgery, preoperative bowel preparation, surgical procedure, anesthesia, operation time, postoperative blood K-level, postoperative fasting time, postoperative infection, etc. were statistically analyzed, and single factor and logistic regression analysis were used to determine the risk factors for intestinal obstruction after radical resection of cervical cancer. Results Univariate and logistic regression analysis showed that age, history of pelvic and abdominal surgery, preoperative bowel preparation, surgical procedure, anesthesia, operation time, postoperative potassium level, postoperative fasting time, postoperative infection were the influencing factors of intestinal obstruction after radical resection of cervical cancer. Conclusion In the clinic, we should pay attention to these factors, improve the quality of care, do preventive treatment and care, minimize the occurrence of complications, improve patient satisfaction, and prevent the occurrence of intestinal obstruction.
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Key words:
- Cervical cancer /
- Intestinal obstruction /
- Risk factors /
- Nursing strategies
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