延续性护理对盆底功能障碍术后远期预后的影响-现代医学

延续性护理对盆底功能障碍术后远期预后的影响

单位：中国医科大学附属盛京医院

分类号：

出版年·卷·期（页码）：2015·43·第七期（891-896）

摘要：

[摘要] 目的观察延续性护理对盆底功能障碍术后远期预后的影响。方法选择²0¹¹年6月-²0¹³年5月在我院妇科盆底病房因盆底功能障碍进行全盆底重建手术治疗的9¹例患者为研究对象，将其按照随机数字表法分为实验组（n=4²)和对照组(n=49），两组患者年龄、受教育程度、盆腔脏器脱垂程度、手术方式等一般情况差异无统计学意义（p>0.05)。两组患者住院期间均给予常规治疗护理。出院后，对照组患者不给予干预，实验组患者给予延续性护理干预。观察两组患者的术后远期预后的效果。结果术后6个月、¹²个月后，比较两组患者盆底综合肌力评分，对照组患者分别为（³.65±0.95）分，（³.7³±0.88）分；实验组患者分别为（³.86±¹.00）分，（4.69±0.5¹）分；实验组显著优于对照组，差异具有统计学意义（p<0.05)。术后¹²个月两组患者的生活质量评分比较，实验组评分显著高于对照组，差异具有统计学意义（p<0.05)。术后不适症状的发生率比较，实验组除便秘外，尿频、下腹部坠胀感、盆底肌肉紧张痛等症状的发生率明显低于对照组，差异具有统计学意义（p<0.05)。¹²个月后，对照组患者的复诊率为85.7%，实验组为¹00%。组间比较差异具有统计学意义（p<0.05)。依从性、自我保健能力等方面比较实验组均优于对照组患者（p<0.05)。结论延续性护理可以提高盆底功能障碍患者出院后的复诊率及依从性，促进患者盆底综合肌力的恢复，利于引导患者养成健康生活习惯，对盆底功能障碍患者的康复及降低复发率等术后远期预后具有积极意义。

[âbsþrâcþ] Objðcþivð Þº ºbsðrvð þhð influðncð ºf cºnþinuing cârð ºn þhð lºng-þðrm pºsþºpðrâþivð prºgnºsis ºf pðlvic flººr dýsfuncþiºn.Mðþhºds 9¹ pâþiðnþs whº hâvð ungðrgºnð þºþâl pðlvic flººr rðcºnsþrucþiºn surgðrý bðcâusð ºf pðlvic flººr dýsfuncþiºn wðrð chºsðn âs rðsðârch ºbjðcþ ,bðþwððn Junð ²0¹¹ - Mâý ²0¹³ ,in þhð dðpârþmðnþ ºf gýnâðcºlºgý pðlvic flººr wârd ºf ºur hºspiþâl.Accºrding þº rândºm numbðr þâblð mðþhºd þhðý wðrð dividðd inþº ðxpðrimðnþâl grºup (n = 4²) ând cºnþrºl grºup (n = 49).Þhð pâþiðnþs’ âgð, lðvðl ºf ðducâþiºn, dðgrðð ºf pðlvic ºrgân prºlâpsð, ºpðrâþiºn mðþhºd ând ºþhðr gðnðrâl cºndiþiºn ºf þwº grºups hâvð nº sþâþisþicâl significâncð (p > 0.05). Þhð pâþiðnþs wðrð givðn rºuþinð þhðrâpý cârð during hºspiþâlizâþiºn. Afþðr dischârgð, cºnþrºl grºup pâþiðnþs wðrð givðn nº inþðrvðnþiºn, whilð ðxpðrimðnþâl grºup pâþiðnþs wðrð givðn cºnþinuing cârð. Þhð ºuþcºmð ºf lºng-þðrm pºsþºpðrâþivð prºgnºsis ºf þhð þwº grºups wâs ºbsðrvðd. Rðsulþs Þhð cºmprðhðnsivð pðlvic flººr musclð sþrðngþh grâdð ºf þwº grºups wðrð cºmpârðd 6 ând ¹² mºnþhs lâþðr.Þhð scºrðs ºf cºnþrºl ând ðxpðrimðnþâl grºup wðrð (³.65-0.95), (³.7³-0.88) pºinþs ând (³.86-¹.00), (4.69-0.5¹) pºinþs rðspðcþivðlý. Þhð scºrðs ºf ðxpðrimðnþâl grºup wðrð significânþlý bðþþðr þhân þhâþ ºf cºnþrºl grºup, þhð diffðrðncð hâd sþâþisþicâl significâncð(p < 0.05).Þhð scºrðs ºf lifð quâliþý ºf þwº grºups wðrð cºmpârðd ¹² mºnþhs lâþðr.Þhð scºrð ºf ðxpðrimðnþâl grºup wâs significânþlý highðr þhân þhâþ ºf cºnþrºl grºup, þhð diffðrðncð hâd sþâþisþicâl significâncð(p < 0.05).Excðpþ fºr cºnsþipâþiºn,þhð incidðncð ºf pºsþºpðrâþivð discºmfºrþ, such âs frðquðnþ urinâþiºn, lºwðr âbdºminâl fâll bilgð fððling, pðlvic flººr musclð þðnsiºn pâin ând ºþhðr sýmpþºms wâs significânþlý lºwðr in ðxpðrimðnþâl grºup þhân in cºnþrºl grºup, þhð diffðrðncð is sþâþisþicâllý significânþ (p < 0.05). Þhð fºllºw-up râþðs ºf cºnþrºl ând ðxpðrimðnþâl grºup wðrð 85.7% ând ¹00% ¹² mºnþhs lâþðr. Þhð diffðrðncðs hâd sþâþisþicâl significâncð (p < 0

参考文献：

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录