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| Effects of the perioperative comprehensive nursing combined with the relaxation therapy for patients with radical hysterectomy on their preoperative anxiety, surgical complications and wound healing |
| Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Beijing Maternal and Child Health Care Hospital, Beijing, 100026 |
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Abstract To study the effects of the perioperative comprehensive nursing combined with the relaxation therapy for patients with radical hysterectomy on their preoperative anxiety, surgical complications and wound healing. Methods: A total of 88 patients with cervical cancer who wanted radical hysterectomy were selected and were divided into the observation group (44 patients with perioperative comprehensive nursing combined with the relaxation therapy) and the control group (44 patients with the routine nursing intervention) by random number table method from January 2023 to December 2023. The postoperative recovery indicators, the preoperative psychological status evaluated by state-trait anxiety inventory (STAI), the cancer-related fatigue evaluated by the revised Piper fatigue scale (RPFS) at admission and discharge, the quality of life evaluated by the international quality of life for cancer patients (QOL-C30) and the nursing satisfaction of the patients were compared between the two groups. The complications and the wound healing situation of the patients in the two groups were recorded. Results: There were no significant differences in the first exhaust time and the drainage tube removal time of the patients between the two groups (P>0.05). The scores state anxiety (38.78±3.62 points) and the trait anxiety (37.31±3.46 points) of STAI of the patients in the observation group after the intervention before operation were significantly lower than those (41.09±3.25 points and 39.83±3.29 points) of the patients in the control group. The proportion of the mild fatigue (36.4%) of the patients assessed by PFS at discharge in the observation group was significantly higher than that (29.6%) of the patients in the control group, but the proportions of the moderate fatigue (54.6%) and the severe fatigue (9.1%) of the patients assessed by PFS at discharge in the observation group were significantly higher than those (59.1% and 11.4%) of the patients in the control group. The score of each item of the QOL-C30 of the patients in the observation group after admitted to hospital was significantly higher than that at hospitalized, and which of the patients in the observation group was significantly higher than that of the patients in the control group. The overall score (70.57±6.18 points) of the patients in the observation group after admitted to hospital was significantly higher than that (58.41±6.40 points) at hospitalized, and which of the patients in the observation group was significantly higher than that (65.67±6.35 points) of the patients in the control group. The proportion of the nursing satisfaction and very satisfaction (100.0%) of the patients in the observation group was significantly higher than that (90.9%) of the patients in the control group (all P<0.05). There was no any patient with complications occurred in the two groups, and the incisions of the patients in the two groups healed well. Conclusion: The perioperative comprehensive nursing combined with the relaxation therapy for the patients with radical hysterectomy can reduce their preoperative anxiety and cancer-related fatigue, and can improve their quality of life and nursing satisfaction.
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