The rehabilitation effect of universal and individualized dual-track nursing on patients with endometrial cancer after laparoscopic surgery
10.16753/j.cnki.1008-2344.2024.02.008
- VernacularTitle:普适化与个体化双轨护理对子宫内膜癌腹腔镜术后患者康复效果的研究
- Author:
Ke ZHANG
1
;
Yanli WEI
;
Mengmeng ZHANG
Author Information
1. 许昌市人民医院妇科,河南 许昌 461000
- Keywords:
dual-track nursing;
endometrial cancer;
recurrence rate;
bladder function
- From:
Journal of Shenyang Medical College
2024;26(2):152-156,161
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of universal and individualized dual-track nursing on the recovery process,bladder function,self-care ability and complications of patients with endometrial cancer(EC)after laparoscopic surgery.Methods:A total of 164 EC patients admitted to our hospital from Aug 2019 to Jan 2022 were collected and randomly divided into conventional nursing group and dual-track nursing group,82 patients in each group.All patients in 2 groups received laparoscopic surgery,the conventional nursing group received routine nursing intervention,and the dual-track nursing group received universal and individual dual-track nursing intervention on the basis of conventional nursing.The recovery process(time of first ambulation,first exhaust and hospitalization),self-care ability,postoperative bladder function,incidence of complications,quality of life,and recurrence rate of 1-year follow-up were compared between the two groups.Results:The first ambulation time,first exhaust time and hospitalization time in dual-track nursing group were shorter than those in conventional nursing group(P<0.05).At 3 days after operation,the recovery rate of bladder function in the dual-track nursing group was significantly higher in dual-track nursing group than that in conventional nursing group(P<0.05).After 3 months of nursing,the scores of health knowledge,self-care responsibility,nursing skills and self-concept in dual-track nursing group were higher than those in conventional nursing group,while the scores of PWB,SWB,EWB and FWB were lower than those in conventional nursing group(P<0.05).During the nursing period,the incidence of complications in the dual-track nursing group was lower than that in the conventional nursing group(P<0.05).After 1 year of follow-up,the recurrence rate of dual-track nursing group was slightly lower than that of conventional nursing group,but the difference was not statistically significant(P>0.05).Conclusion:The application of universal and individualized dual-track nursing in EC patients after laparoscopic surgery can improve patients'self-care ability and quality of life,enhance bladder function,reduce complications and recurrence,and promote patients'rapid recovery after surgery.