预见性护理在预防宫颈癌术后并发症中的应用价值

周娟; 张競; 石卉慧

doi:10.16766/j.cnki.issn.1674-4152.002795

预见性护理在预防宫颈癌术后并发症中的应用价值

doi: 10.16766/j.cnki.issn.1674-4152.002795

周娟¹,
张競²,
石卉慧^2, ,

1.
蚌埠市第一人民医院护理部，安徽蚌埠 233000
2.
蚌埠医学院第一附属医院妇瘤科，安徽蚌埠 233004

基金项目:

安徽省教育厅高校自然科学研究重点项目 KJ2019A0384

详细信息

通讯作者:
石卉慧, E-mail: 1339764813@qq.com

中图分类号: R473.73 R737.33
计量
- 文章访问数: 249
- HTML全文浏览量: 59
- PDF下载量: 3
- 被引次数: 0
出版历程
- 收稿日期: 2022-05-07
- 网络出版日期: 2023-02-07

Application value of predictive nursing in preventing postoperative complications of cervical cancer

1.
Department of Nursing, the First People ' s Hospital of Bengbu City, Bengbu, Anhui 233000, China

摘要

摘要: 目的总结预见性护理方法在预防宫颈癌围手术期并发症中的应用价值。方法选择蚌埠市第一人民医院妇产科2017年1月—2019年5月收治的宫颈癌患者，筛选52例患者作为研究对象，按照随机数字表法将所有患者分为观察组和对照组，各26例。对照组患者进行常规护理，观察组患者在原有护理措施的基础上增加预见性护理方法。统计并记录2组患者宫颈癌术后并发症的发生率。结果观察组预见性护理后下肢深静脉血栓的发生率(0)、尿潴留的发生率(7.69%, 2/26)、淋巴囊肿的发生率(3.85%, 1/26)、肠梗阻的发生率(7.69%, 2/26)均低于对照组患者[7.69%(2/26)、19.23%(5/26)、7.69%(2/26)、11.54%(3/26)]，2组并发症总发生率比较差异有统计学意义(χ²=4.282，P=0.039)。观察组患者的护理满意度高于对照组[24(92.30%) vs. 18(69.23%)，χ²=4.457，P=0.035]。结论宫颈癌术后应用预见性护理能够使患者的并发症发生率降低，提高患者的满意度，临床护理应用效果良好，可以在临床一线推广应用。
- 预见性护理 /
- 宫颈恶性肿瘤 /
- 并发症 /
- 应用价值
Abstract: Objective To summarise the application value of predictive nursing in the prevention of perioperative complications in cervical cancer. Methods Patients with cervical cancer admitted to the Department of Obstetrics and Gynecology, the First People ' s Hospital of Bengbu City from January 2017 to May 2019 were selected. A total of 52 patients were screened as study subjects, and all patients were divided into observation group and control group according to random number table, with 26 cases in each group. Patients in the control group were given conventional care, whereas those in the observation group were given additional predictive nursing based on the original care measures simultaneously. The incidences of postoperative complications of cervical cancer in the two groups were counted and recorded. Results The incidences of deep vein thrombosis (0), urinary retention (7.69%, 2/26), lymphatic cyst (3.85%, 1/26) and intestinal obstruction (7.69%, 2/26) in the observation group after predictive nursing were lower than those in the control group [7.69% (2/26), 19.23% (5/26), 7.69% (2/26) and 11.54% (3/26), respectively]. The total incidence of complications between the two groups was statistically significant (χ²=4.282, P=0.039). The nursing satisfaction of the observation group was higher than that of the control group [24 (92.30%) vs. 18 (69.23%), χ²=4.457, P=0.035]. Conclusion The application of predictive nursing after cervical cancer surgery can reduce the complication rate in patients and increase their satisfaction, and clinical care application is effective, which can be recommended in the first line of clinical applications.
- Predictive nursing /
- Cervical malignancy /
- Complications /
- Application value

HTML全文

表 1 2组早期宫颈癌患者临床一般资料比较

Table 1. Comparison of clinical general information of 2 groups of patients with early cervical cancer

组别	例数	年龄(x±s，岁)	FIGO分期(Ⅰa/Ⅰb/Ⅱa，例)	病理类型(鳞癌/腺癌/其他，例)
对照组	26	51.57±6.19	1/21/4	18/5/3
观察组	26	52.45±7.13	2/20/4	19/4/3
统计量		0.524^a	0.972^b	0.745^b
P值		0.603	0.464	0.689
注：^a为t值，^b为χ²值。

下载: 导出CSV

表 2 2组早期宫颈癌患者护理期间并发症发生情况比较[例(%)]

Table 2. Comparison of complications during nursing between two groups of patients with early cervical cancer

组别	例数	深静脉血栓	尿潴留	淋巴囊肿	肠梗阻	总发生
对照组	26	2(7.69)	5(19.23)	2(7.69)	3(11.54)	12(46.15)
观察组	26	0	2(7.69)	1(3.85)	2(7.69)	5(19.23)
注：2组患者并发症总发生率比较，χ²=4.282，P=0.039。

下载: 导出CSV

表 3 2组早期宫颈癌患者护理总满意度比较[例(%)]

Table 3. Comparison of total nursing satisfaction between two groups of patients with early cervical cancer

组别	例数	非常满意	满意	不满意	满意度
对照组	26	10(38.46)	8(30.77)	8(30.77)	18(69.23)
观察组	26	15(57.69)	9(34.62)	2(7.69)	24(92.30)
注：2组患者护理满意度比较，χ²=4.457，P=0.035。

下载: 导出CSV

参考文献(18)

[1]	STELZLE D, TANAKA L F, LEE K K, et al. Estimates of the global burden of cervical cancer associated with HIV[J]. Lancet Glob Health, 2021, 9(2): e161-e169. doi: 10.1016/S2214-109X(20)30459-9
[2]	NAUMANN R W, LEATH C A. Advances in immunotherapy for cervical cancer[J]. Curr Opin Oncol, 2020, 32(5): 481-487. doi: 10.1097/CCO.0000000000000663
[3]	HUANG H J, TUNG H J, YANG L Y, et al. Role of human papillomavirus status after conization for high-grade cervical intraepithelial neoplasia[J]. Int J Cancer, 2021, 148(3): 665-672. doi: 10.1002/ijc.33251
[4]	FERNANDES A, VIVEROS-CARREÑO D, HOEGL J, et al. Human papillomavirus-independent cervical cancer[J]. Int J Gynecol Cancer, 2022, 32(1): 1-7. doi: 10.1136/ijgc-2021-003014
[5]	周晖, 刘昀昀, 罗铭, 等. 《2020 NCCN子宫颈癌临床实践指南(第1版)》解读[J]. 中国实用妇科与产科杂志, 2020, 36(2): 131-138. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF202002011.htm ZHOU H, LIU Y Y, LUO M, et al. Interpretation of the 2020 NCCN Clinical Practice Guidelines for Cervical Cancer (1st edition)[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2020, 36(2): 131-138. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF202002011.htm
[6]	弋柳娜, 卫会琴, 张小芹. 宫颈癌患者根治术后并发肠梗阻的危险因素分析及护理对策[J]. 中华全科医学, 2019, 17(9): 1605-1608. doi: 10.16766/j.cnki.issn.1674-4152.001008 YI L N, WEI H Q, ZHANG X Q. Risk factors analysis and nursing strategies for patients with intestinal obstruction after radical resection of cervical cancer[J]. Chinese Journal of General Practice, 2019, 17(9): 1605-1608. doi: 10.16766/j.cnki.issn.1674-4152.001008
[7]	苏怀轩, 庹鹏, 王寿平. 纳布啡复合酮咯酸静脉镇痛对剖宫产术后疼痛及快速康复的影响[J]. 中华实用诊断与治疗杂志, 2019, 33(8): 819-822. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZD201908028.htm SU H X, TUO P, WANG S P. Effect of intravenous nalbuphine combined with ketorolac analgesia on relieving pain and enhanced recovery after cesarean section[J]. Journal of Chinese Practical Diagnosis and Therapy, 2019, 33(8): 819-822. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZD201908028.htm
[8]	胡航, 黄领, 卜嫚嫚, 等. 基于前馈控制模式的综合优质护理对宫颈癌根治术后恢复及并发症的影响[J]. 海南医学, 2022, 33(6): 810-813. doi: 10.3969/j.issn.1003-6350.2022.06.036 HUH, HUANG L, BU M M, et al. Influence of comprehensive high-quality nursing based on feedforward control model on recovery and complications after radical surgery for cervical cancer[J]. Hainan Medical Journal, 2022, 33(6): 810-813. doi: 10.3969/j.issn.1003-6350.2022.06.036
[9]	杜海霞, 苏凤龙, 赵巧棉. 快速康复护理对宫腔镜子宫手术患者术后疼痛及康复的影响[J]. 河北医学, 2018, 24(3): 514-517. doi: 10.3969/j.issn.1006-6233.2018.03.045 DU H X, SU F L, ZHAO Q M. Effect of Rapid Rehabilitation Nursing on Postoperative Pain and Rehabilitation in Patients Undergoing Hysteroscopic Uterine Surgery[J]. Hebei Medicine, 2018, 24(3): 514-517. doi: 10.3969/j.issn.1006-6233.2018.03.045
[10]	宋保梅. 预见性护理干预对子宫内膜癌患者术后康复及下肢DVT发生率的影响[J]. 河南医学研究, 2018, 27(7): 1341-1342. doi: 10.3969/j.issn.1004-437X.2018.07.118 SONG B M. Effect of anticipatory nursing intervention on postoperative rehabilitation and incidence of DVT in lower limbs of patients with endometrial cancer[J]. Henan Medical Research, 2018, 27(7): 1341-1342. doi: 10.3969/j.issn.1004-437X.2018.07.118
[11]	邢福常. 预见性护理在妇科肿瘤护理中的应用价值[J]. 中国医药指南, 2019, 17(10): 213-214. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201910162.htm XING F C. The value of anticipatory care in gynecologic oncology care[J]. Guide of China Medicine, 2019, 17(10): 213-214. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201910162.htm
[12]	王旭美, 吴小丽. 预见性护理对子宫内膜癌患者术后康复情况及下肢DVT发生率影响分析[J]. 实用妇科内分泌电子杂志, 2019, 6(12): 19-20. https://www.cnki.com.cn/Article/CJFDTOTAL-FKDZ201912011.htm WANG X M, WU X L. Analysis of the impact of anticipatory care on postoperative recovery and incidence of DVT in lower extremities in patients with endometrial cancer[J]. Electronic Journal of Practical Gynecologic Endocrinology, 2019, 6(12): 19-20. https://www.cnki.com.cn/Article/CJFDTOTAL-FKDZ201912011.htm
[13]	李玉洁, 周浩, 席俊华. 基于医护一体化的预见性护理在输尿管软镜碎石术围术期护理中的应用[J]. 中华全科医学, 2022, 20(8): 1427-1429, 1448. doi: 10.16766/j.cnki.issn.1674-4152.002614 LI Y J, ZHOU H, XI J H. Application of predictive nursing based on the integration of medical and nursing in cooperative nursing of retrograde intrarenal surgery[J]. Chinese Journal of General Practice, 2022, 20(8): 1427-1429, 1448. doi: 10.16766/j.cnki.issn.1674-4152.002614
[14]	蒋学. 预见性护理对宫颈恶性肿瘤根治术后尿潴留的预防效果[J]. 实用妇科内分泌电子杂志, 2017, 4(13): 45. JIANG X. Effect of anticipatory care on the prevention of urinary retention after radical cervical malignancy surgery[J]. Electronic Journal of Practical Gynecological Endocrinology, 2017, 4(13): 45.
[15]	毛沙群, 郭燕华, 冯小萍, 等. 大黄联合咀嚼口香糖对子宫肌瘤切除术后胃肠功能恢复的临床疗效[J]. 北方药学, 2019, 16(12): 32-33. https://www.cnki.com.cn/Article/CJFDTOTAL-BFYX201912020.htm MAO S Q, GUO Y H, FENG X P, et al. Clinical efficacy of rhubarb combined with chewing gum on the recovery of gastrointestinal function after myomectomy[J]. Journal of North Pharmacy, 2019, 16(12): 32-33. https://www.cnki.com.cn/Article/CJFDTOTAL-BFYX201912020.htm
[16]	黄亚薇. 快速康复护理理念在妇科恶性肿瘤患者围手术期护理中的应用[J]. 实用临床护理学电子杂志, 2020, 5(4): 40-46. https://www.cnki.com.cn/Article/CJFDTOTAL-SLHL202004034.htm HUANG Y W. Application of rapid rehabilitation nursing concept in perioperative care for patients with gynecologic malignancies[J]. Electronic Journal of Practical Clinical Nursing Science, 2020, 5(4): 40-46. https://www.cnki.com.cn/Article/CJFDTOTAL-SLHL202004034.htm
[17]	严璐, 李红梅. 预见性护理在预防全髋关节置换术下肢深静脉血栓形成的临床观察[J]. 河北医学, 2014, 20(10): 1720-1723. https://www.cnki.com.cn/Article/CJFDTOTAL-HCYX201410052.htm YAN L, LI H M. The Preventive Effect of Prospective Nursing on Deep Venous Thrombosis of Lower Limbs after a Total Hip Replacement[J]. Hebei Medicine, 2014, 20(10): 1720-1723. https://www.cnki.com.cn/Article/CJFDTOTAL-HCYX201410052.htm
[18]	常鹄, 李纪宾, 陈元立, 等. 健康宣教传播乳腺癌和宫颈癌相关防治知识的调查分析[J]. 中国医药, 2019, 14(7): 1029-1032. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG201907018.htm CHANG H, LI J B, CHEN L Y, et al. Investigation on health education for prevention and treatment of breast cancer and cervical cancer[J]. China Medicine, 2019, 14(7): 1029-1032. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG201907018.htm