The effect of activity intervention on preoperative intestinal cleaning of cervical cancer patients / 中国实用护理杂志

ABSTRACT

Objective To investigate the effect of activity intervention on intestinal cleansing of patients with cervical cancer undergoing oral administration of compound polyethylene glycol electrolyte powder, so as to improve the intestinal cleanliness of patients and reduce the adverse reactions of drugs. Methods A total of 75 cases of cervical cancer patients were divided into intervention group containing 37 cases and control group containing 38 cases by lottery, the control group before taking medicine was given the diet guidance, explaining the method of taking medicine and time of taking medicine, as well as points for attention after taking medication;while the intervention group increased activity intervention on the basis of the control group. Results The intervention group of patients with intestinal cleanlinessⅠ degree accounted for 78.37％ (29/37), Ⅱ degree (18.91％, 7/37) and Ⅲ degree (2.7％, 1/37); while the control group of patients with intestinal cleanliness Ⅰ degree accounted for 55.3％ (1/38), Ⅱ degree (23.7％, 9/38) andⅢdegree (21.1％, 8/38), and the difference was statistically significant (χ2=6.962, P=0.031).The intervention group with nausea and vomiting level 0 accounted for 59.5％ (22/37), level Ⅰ(24.3％, 9/37) and level Ⅱ(16.2％, 6/37); while the control group with nausea and vomiting level 0 accounted for 28.9％ (11/38), level Ⅰ(44.7％, 17/38), level Ⅱ (26.3％, 10/38), the difference was statistically significant(χ2 = 7.116, P = 0.028). The intervention group with abdominal distension level 0 accounted for 62.2％(23/37), level 1(24.3％, 9/37), level 2 (13.5％, 5/37) and level 3 (0);while the control group with abdominal distension level 0 accounted for 28.9％ (11/38), level 1(47.4％, 18/38), level 2 (21.1％, 8/38) and level 3 (2.6％,1/38), the difference was statistically significant (χ2=8.916, P=0.030). The first defecation time of the intervention group was (2.18 ± 0.59) h and the total defecation time was (2.93 + 0.86) h, while the first defecation time of the control group was (3.13 + 0.64) h and the total defecation time was (3.80+1.01) h, and the difference was statistically significant (t=-3.035,-2.520, P<0.01 or 0.05). Conclusion Activity intervention can improve the intestinal cleansing effect of cervical cancer patients and reduce the occurrence of adverse reactions.