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青年宫颈癌术后幸存者盆底功能障碍与盆底肌锻炼自我效能相关性分析
马丽丽1      辛春燕2      马静1      叶金婵1      苏建萍1
1.新疆医科大学护理学院,新疆乌鲁木齐   830011;
2.新疆医科大学附属肿瘤医院妇外一科,新疆乌鲁木齐   830011
Correlation analysis of pelvic floor dysfunction and self-efficacy of pelvic floor muscle exercise in young postoperative survivors with cervical cancer
MA Lili1   XIN Chunyan2   MA Jing1   YE Jinchan1   SU Jianping1
1.College of Nursing, Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi   830011, China; 
2.the First Department of Gynecology, Cancer Hospital Affiliated to Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi   830011, China
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摘要 目的 对青年宫颈癌术后幸存者盆底肌锻炼自我效能状况进行调查并分析其影响因素,旨在为进一步制订精准盆底肌康复干预计划提供参考依据。 方法 选择2020年1月—7月新疆地区某三级甲等肿瘤医院接受宫颈癌根治术后的105例青年幸存者为研究对象。使用自行设计的一般资料调查表、盆底肌锻炼自我效能量表(BPMSES)、盆底功能障碍简表(PFDI-20),对研究对象进行现况调查。分析青年宫颈癌术后幸存者盆底功能障碍与盆底肌锻炼自我效能相关性。 结果 105例青年宫颈癌术后幸存者盆底肌锻炼自我效能水平总分为(103.11±26.06)分,盆底功能障碍得分为12.50(4.17,22.40)分。不同年龄、居住地、职业、婚姻状况的青年宫颈癌术后幸存者盆底肌锻炼自我效能评分比较,差异均有统计学意义(均P < 0.05)。青年宫颈癌术后幸存者盆底肌锻炼自我效能中预期自我效能及总分与排尿、排便、盆腔器官脱垂及盆底功能障碍总分呈正相关;而预期结果与排尿、盆腔器官脱垂及盆底功能障碍总分呈正相关(P < 0.05或P < 0.01)。多元逐步线性回归分析结果显示,盆腔器官脱垂、婚姻状况、居住地、排便是青年宫颈癌术后幸存者盆底肌锻炼自我效能的影响因素(P < 0.05),累积解释盆底肌锻炼自我效能总分的18.3%。 结论 青年宫颈癌术后幸存者盆底肌锻炼自我效能得分普遍较高,医护人员应当结合青年宫颈癌术后幸存者术后常见的盆底并发症和独特心理特征制订具有针对性的护理干预措施,通过引导其采取积极的应对方式来预防或减轻盆底功能障碍的发生,提升患者术后生活质量。
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马丽丽1 辛春燕2 马静1 叶金婵1 苏建萍1
关键词 宫颈癌术后幸存者盆底肌自我效能影响因素    
Abstract:Objective To investigate the self-efficacy of pelvic floor muscle exercise in young postoperative survivors of cervical cancer and to analyze its influencing factors, in order to provide a reference for the further formulation of accurate pelvic floor muscle rehabilitation. Methods A total of 105 young postoperative survivors who underwent radical resection of cervical cancer in a grade 3A cancer hospital in Xinjiang region from January to July 2020 were selected as the research subjects. The self-designed general information questionnaire, broome pelvic muscle self-efficacy scale (BPMSES) and pelvic floor distress inventory short form (PFDI-20) were used to investigate the current situation of the subjects. The correlation between pelvic floor dysfunction and self-efficacy of pelvic floor muscle exercise in young postoperative survivors with cervical cancer were analyzed. Results The total score of self-efficacy of pelvic floor muscle exercise in 105 young postoperative survivors of cervical cancer were (103.11±26.06) points, and pelvic floor dysfunction were 12.50(4.17, 22.40) points. There were statistically significant differences in scores of the self-efficacy of pelvic floor muscle exercise among young postoperative survivors with cervical cancer in different age, residence, occupation and marital status (all P < 0.05). The expected self-efficacy and total scores of pelvic floor muscle exercise in young postoperative survivors with cervical cancer were positively correlated with urination, defecation, pelvic organ prolapse and pelvic floor dysfunction total score. The expected results were positively correlated with urination, pelvic organ prolapse and pelvic floor dysfunction total score (all P < 0.05). The results of multiple stepwise linear regression analysis showed that pelvic organ prolapse, marital status, residence and defecation were the influencing factors of pelvic floor muscle exercise self-efficacy in young postoperative survivors with cervical cancer (P < 0.05), which cumulative explanatory self-efficacy score of pelvic floor muscle exercise was 18.3%. Conclusion Young postoperative survivors with cervical cancer of self-efficacy pelvic floor muscle exercise scores are generally high, medical staff should be combined with young postoperative survivors with cervical cancer pelvic floor of common complications and unique psychological characteristics to develop targeted nursing intervention measures, by guiding the active coping ways to prevent or reduce the occurrence of pelvic floor dysfunction, improve patient quality of life after surgery.
Key wordsCervical cancer    Postoperative    Survivor    Pelvic floor muscle    Self-efficacy    Influencing factors
    
基金资助:新疆维吾尔自治区自然科学基金项目(2020D0 1C154)。
通讯作者: 苏建萍(1972.6-),女,硕士,主任护师,教授,新疆医科大学护理学院副院长;研究方向:临床护理。   
作者简介: 马丽丽(1992.12-),女,新疆医科大学护理学院2018级护理学专业在读硕士研究生;研究方向:妇科肿瘤护理。
引用本文:   
马丽丽1 辛春燕2 马静1 叶金婵1 苏建萍1. 青年宫颈癌术后幸存者盆底功能障碍与盆底肌锻炼自我效能相关性分析[J]. 中国医药导报, 2021, 18(14): 98-102.
MA Lili1 XIN Chunyan2 MA Jing1 YE Jinchan1 SU Jianping1. Correlation analysis of pelvic floor dysfunction and self-efficacy of pelvic floor muscle exercise in young postoperative survivors with cervical cancer. 中国医药导报, 2021, 18(14): 98-102.
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https://www.yiyaodaobao.com.cn/CN/     或     https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I14/98

 

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