关键词: cervical cancer continuity of patient care intermittent urethral catheterization rehabilitation urinary bladder neurogenic dysfunction

来  源:   DOI:10.2147/IJGM.S463225   PDF(Pubmed)

Abstract:
UNASSIGNED: Bladder dysfunction is a common complication following radical hysterectomy, affecting patients\' QOL. Exploring interventions, particularly IC continuity care, is crucial for identifying strategies to enhance postoperative outcomes. This study aimed to assess the impact of continuous intermittent catheterization (IC) care on bladder function recovery and quality of life (QOL) in patients undergoing radical hysterectomy for cervical cancer.
UNASSIGNED: The primary outcome measured was the time to bladder function recovery, with secondary outcomes comprising EORTC QLQ-C30 assessments at 3 and 6 months post-surgery, as well as EORTC QLQ-CX24 evaluations. Meanwhile, urinary complications, readmissions, and outpatient follow-up were also compared.
UNASSIGNED: Among the 128 participants, with 64 in each group, indwelling catheterization durations were similar. However, the IC continuity care group exhibited significantly shorter IC duration and bladder recovery time. This group demonstrated superior QOL, lower occurrence rates post-IC, reduced urethral injuries, and higher readmission and outpatient follow-up rates.
UNASSIGNED: This study underscores continuous IC care emerges as a beneficial intervention, facilitating accelerated bladder function recovery and improved QOL in patients following radical hysterectomy for cervical cancer.
摘要:
膀胱功能障碍是根治性子宫切除术后常见的并发症,影响患者生活质量。探索干预措施,特别是IC连续性护理,对于确定增强术后结局的策略至关重要。这项研究旨在评估持续间歇性导尿(IC)护理对宫颈癌根治性子宫切除术患者膀胱功能恢复和生活质量(QOL)的影响。
测量的主要结果是膀胱功能恢复的时间,次要结局包括术后3个月和6个月的EORTCQLQ-C30评估,以及EORTCQLQ-CX24评估。同时,泌尿系并发症,再入院,并对门诊随访情况进行了比较。
在128名参与者中,每组64个,留置导尿持续时间相似。然而,IC连续性护理组的IC持续时间和膀胱恢复时间明显较短.该组表现出优越的QOL,IC后发生率较低,减少尿道损伤,和更高的再入院率和门诊随访率。
这项研究强调了连续IC护理作为一种有益的干预措施,促进宫颈癌根治性子宫切除术后患者膀胱功能的加速恢复和生活质量的改善。
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