基于时机理论的干预方案对宫颈癌根治术后膀胱功能恢复的应用研究

Application Research of Intervention Programs Based on Timing Theory on Bladder Function Recovery after Radical Surgery for Cervical Cancer

摘要: 目的：探讨基于时机理论的干预方案对宫颈癌根治术后膀胱功能恢复的应用效果。方法：选取2023年6月~2023年12月于山东大学齐鲁医院妇科行宫颈癌根治术的102例患者作为研究对象，按照研究对象入组时间分为对照组和观察组各51例。对照组给予常规的护理及随访；观察组给予基于时机理论的护理方案及随访。比较两组患者的出院当日出院准备度和出院指导质量，随访尿潴留的发生率、导尿管相关的尿路感染及拔尿管时间。结果：观察组患者出院准备度和出院指导质量的各评分均高于对照组(t = −4.169, p < 0.05; t = −6.353, p < 0.05)，术后尿潴留发生率低于对照组(χ² = 6.33, p = 0.012)，导管相关尿路感染(χ² = 2.204, p = 0.138)，拔尿管时间(t = 2.469, p = 0.015)。结论：基于时机理论的干预方案可提高宫颈癌患者的出院准备度和出院指导质量，降低术后尿潴留发生率，缩短了拔尿管时间，膀胱功能恢复更快，本研究为制定科学、规范的干预方案提供参考依据。

Abstract: Objective: To study the application of intervention program based on timing theory on bladder function recovery after radical hysterectomy for cervical cancer. Methods: In June~December 2023 line in my department, 102 cases of patients with cervical cancer radical as the research object, according to the time is divided into control group and intervention group, 51 cases each. The control group was given routine nursing and follow-up, and the intervention group was given intervention program nursing and follow-up based on timing theory. The readiness for hospital discharge, quality of discharge guidance, incidence of urinary retention, catheter-related urinary tract infection and catheter removal time were compared between the two groups. Results: All dimensions and total score of discharge readiness and discharge teaching quality in the intervention group were higher than those in the control group (t = −4.169, p < 0.05; T = 6.353, p < 0.05), the incidence of postoperative urinary retention is lower than the control group (chi-square = 6.33, p = 0.012), catheter-related urinary tract infections (chi-square = 2.204, p = 0.138) in urine tube pull time (t = 2.469, p = 0.015). Conclusions: The intervention program based on timing theory can improve the discharge readiness and discharge guidance quality of patients with cervical cancer, reduce the incidence of postoperative urinary retention, and recover bladder function faster, which provides a reference for the formulation of scientific and standardized intervention programs.