Objective To observe the application effect of bladder full-course management program based on the 5A model in patients after radical hysterectomy for cervical cancer.
Methods A total of 94 patients undergoing radical hysterectomy for cervical cancer were selected and randomly divided into control group and study group, with 47 patients in each group. The control group received routine nursing intervention, while the study group received the bladder full-course management program based on the 5A model in addition to the routine nursing intervention. The indwelling catheter time, recovery of bladder function, quality of life scores, incidence of catheter-associated urinary tract infection, occurrence of lower urinary tract symptoms, and discharge satisfaction were compared between the two groups.
Results The bladder function recovery rate was higher in the study group than in the control group, and the first catheter removal time and postoperative indwelling catheter time were shorter in the study group than in the control group(P < 0.05). The incidence of catheter-associated urinary tract infection was lower in the study group than that in the control group 2.13% (1/47) versus 14.89%(7/47), P < 0.05. The incidence of lower urinary tract symptoms was lower in the study group than in the control group (P < 0.05). The scores of all dimensions of quality of life were higher in the study group than in the control group (P < 0.05). The discharge satisfaction rate was higher in the study group than that in the control group (95.74% versus 78.72%, P < 0.05).
Conclusion The application of the bladder full-course management program based on the 5A model in the treatment of patients undergoing radical hysterectomy for cervical cancer can promote bladder function recovery, shorten the postoperative indwelling catheter time, improve quality of life, reduce the incidence of lower urinary tract symptoms and catheter-associated urinary tract infections, thereby enhancing patients' satisfaction.
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