标题: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
作者:胡航,黄领,卜嫚嫚,周寒,李颂 郑州大学附属肿瘤医院手术部,河南 郑州 450003
卷次:
2022年33卷6期
【摘要】 目的 分析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。方法 选取郑州大学附属肿瘤医院2018年9月至2020年1月收治的98例宫颈癌根治术后患者展开研究,采用随机数表法分为观察组和对照组各49例。对照组采用术后常规护理,观察组采用基于前馈控制模式的综合优质护理。比较两组患者术后恢复情况、护理前及护理 2周后的生活质量量表(SF-36)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分,并统计两组患者护理2周后的并发症发生情况。结果 观察组患者的留置导尿管时间、切口愈合时间、住院时间分别为(1.65±0.36)个月、(7.58±1.42) d、(17.01±2.39) d,明显短于对照组的(2.77±0.41)个月、(10.73±1.50) d、(22.68±2.45) d,差异均有统计学意义(P<0.05);护理2周后,观察组患者的精神健康、生理机能、情感职能评分分别为(76.25±7.34)分、(73.48±6.13)分、(80.97±5.18)分,明显高于对照组的(65.38±6.92)分、(65.79±5.72)分、(74.55±4.96)分,焦虑、抑郁评分分别为(51.12±3.29)分、(50.04±3.28)分,明显低于对照组的(56.84±3.71)分、(55.29±3.65)分,差异均有统计学意义(P<0.05);观察组患者的并发症发生率为 2.04%,明显低于对照组的 14.29%,差异有统计学意义(P<0.05)。结论 基于前馈控制模式的综合优质护理能有效促进宫颈癌根治术后患者快速恢复,改善患者的生活质量和心理状态,且并发症少,值得临床推广使用。
【关键词】 宫颈癌根治术;前馈控制;术后恢复;生活质量;心理状态;并发症
【中图分类号】 R473.73 【文献标识码】 A 【文章编号】 1003—6350(2022)06—0810—04
Influence of comprehensive high-quality nursing based on feedforward control model on recovery andcomplications after radical surgery for cervical cancer.
HU Hang, HUANG Ling, BU Man-man, ZHOU Han, LI Song.Department of Surgery, Cancer Hospital Affiliated to Zhengzhou University, Zhengzhou 450003, Henan, CHINA
【Abstract】 Objective To analyze the effect of comprehensive high-quality nursing based on feedforward con-trol mode on postoperative recovery and complications of radical surgery for cervical cancer.Methods Ninety-eight pa-tients with cervical cancer treated in the Cancer Hospital Affiliated to Zhengzhou University from September 2018 toJanuary 2020 were selected for the study. According to the random number table method, they were randomly divided in-to an observation group and a control group, with 49 patients in each group. The control group was treated with postoper-ative routine nursing, and the observation group was given comprehensive high-quality nursing based on feedforwardcontrol mode. The postoperative recovery, quality of life scale (SF-36), Self-rating Anxiety Scale (SAS), and Self-ratingDepression Scale (SDS) scores before and 2 weeks after nursing were compared between the two groups, and the compli-cations between the two groups after 2 weeks of nursing were counted. Results The indwelling catheter time, incisionhealing time, and length of hospital stay in the observation group were (1.65±0.36) months, (7.58±1.42) d, and (17.01±2.39) d, which were significantly shorter than (2.77±0.41) months, (10.73±1.50) d, (22.68±2.45) d in the control group(P<0.05). After 2 weeks of nursing, the scores of mental health, physiological function, and emotional function of the ob-servation group were (76.25±7.34) points, (73.48±6.13) points, and (80.97±5.18) points, which were significantly higherthan (65.38±6.92) points, (65.79±5.72) points, (74.55±4.96) points of the control group, while the scores of anxiety anddepression were (51.12±3.29) points, (50.04±3.28) points, which were significantly lower than (56.84±3.71) points,(55.29±3.65) points of the control group (P<0.05). The incidence of complications in the observation group was 2.04%,which was significantly lower than 14.29% in the control group (P<0.05). Conclusion Comprehensive high-qualitynursing based on the feedforward control model can effectively promote the rapid recovery of patients after radical resec-tion of cervical cancer, improve the quality of life and psychological state of patients, and has few complications, whichis worthy of clinical promotion.
【Key words】 Radical surgery for cervical cancer; Feedforward control; Postoperative recovery; Quality of life;Psychological status; Complications ·护理·doi:10.3969/j.issn.1003-6350.2022.06.036
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