基于适时理论的出院准备服务计划在宫颈癌根治术患者中的运用与效果评价

目的 将Cameron适时理论应用于宫颈癌根治术患者的出院准备服务计划制订中,以期提高临床护理工作质量。方法 将2020年4月-9月收治的52例行宫颈癌根治术的患者设为对照组,2020年10月-2021年3月收治的54例行宫颈癌根治术的患者设为干预组。对照组采用传统常规出院准备,干预组采用基于适时理论的出院准备服务计划。比较2组出院准备度评分、出院指导质量评分、尿潴留发生率、首次残余尿量及恢复自主排尿时间。结果 干预组出院准备度得分、出院指导质量得分均高于对照组(t=-15.696,P<0.001;t=-10.663,P<0.001),术后4周尿潴留发生率低于对照组(χ²=4.327,P=0.038),首次残余尿量少于对照组(t=7.061,P<0.001),恢复自主排尿时间早于对照组(t=7.501,P<0.001)。结论 基于适时理论的出院准备服务计划可提高宫颈癌手术患者出院准备度,提高护理人员出院准备指导质量,降低术后尿潴留发生率,并促进患者加速康复,值得临床推广运用。

Application of discharge preparation service plan based on timely theory in patients undergoing cervical cancer surgery and its effects

Objective To formulate a hospital discharge preparation service plan for patients undergoing the cervical cancer surgery based on the timely theory, so as to improve the clinical nursing quality. Methods Fifty-two patients undergone radical cervical cancer resection between April and September 2020 were selected into the control group, while 54 treated in the following 6 months were chosen into an intervention group. The control group was given routine discharge preparation, while the intervention group was given discharge preparation service plan based on the timely theory. Then the discharge readiness, quality of discharge guidance, urinary retention rate, the first residual urine and the spontaneous urination time were compared between the 2 groups. Results The scores of the discharge readiness and the quality discharge guidance score of the intervention group were significantly higher than that of the control group (t=-15.696, P<0.001;t=-10.663, P<0.001), while the urinary retention rate within 4 weeks after surgery and the first residual urine of the former were significantly lower than the latter (χ² =4.327, P=0.038; t=7.061, P<0.001). Moreover, the spontaneous urination time of the former group was significantly earlier than the latter group(t=7.501, P<0.001). Conclusion Discharge preparation service plan based on the timely theory can improve the preparation for discharge and the guidance quality of nursing staff, lower the incidence of urinary retention and accelerate the recovery of patients. Therefore, it is worthy of clinical application.