Analysis of the impact of refined nursing on the rehabilitation effect of patients undergoing pelvic floor surgery for uterine prolapse
精细化护理对子宫脱垂盆底手术患者康复效果的影响分析

摘要

目的 分析精细化护理在子宫脱垂盆底手术患者中的应用价值。方法 采用回顾性研究设计，选取我院2023年1月至2025年12月期间收治的96例子宫脱垂接受盆底重建手术的患者，根据护理方案的不同分为对照组（常规围术期护理）和观察组（精细化护理）。结果 观察组首次下床活动时间、术后留置尿管时间及术后住院天数明显短于对照组，术后尿潴留发生率更低，术后3个月盆底肌力达到Oxford分级3级及以上的比例更高（P<0.05）。两组术后切口感染及下肢深静脉血栓发生率差异无统计学意义（P>0.05）。结论 精细化护理可能通过优化围术期多个护理环节，在一定程度上改善子宫脱垂盆底手术患者的近期康复效率并降低特定并发症风险。

Abstract

Objective To analyze the application value of refined nursing in patients undergoing pelvic floor surgery for uterine prolapse.
Methods A retrospective study design was adopted to select 96 patients with uterine prolapse who underwent pelvic floor reconstruction surgery in our hospital from January 2023 to December 2025. According to different nursing plans, they were divided into a control group (conventional perioperative nursing) and an observation group (refined nursing).
Results The time of getting out of bed for the first time, the time of indwelling catheter and the days of hospitalization after operation in the observation group were significantly shorter than those in the control group. The incidence of postoperative urinary retention was lower, and the proportion of pelvic floor muscle strength reaching Oxford grade 3 or above three months after operation was higher (P<0.05). There was no statistically significant difference in the incidence of postoperative incision infection and lower limb deep vein thrombosis between the two groups (P>0.05).
Conclusion   Refined nursing may improve the short-term rehabilitation efficiency of patients undergoing pelvic floor surgery for uterine prolapse and reduce the risk of specific complications to a certain extent by optimizing multiple nursing links during the perioperative period.