# Effect of integrated care model on urinary retention after radical hysterectomy for cervical cancer

## TL;DR

An integrated care model after radical hysterectomy for cervical cancer reduces urinary retention and improves patient quality of life.

## Contribution

This study demonstrates that an integrated care model significantly reduces urinary retention and improves outcomes after radical hysterectomy.

## Key findings

- The experimental group had a statistically significant lower complication rate compared to the control group.
- Patients in the experimental group showed improved SAS, SDS, and SF-36 scores post-nursing.
- The integrated care model improved bladder function and reduced urinary catheter reset rates.

## Abstract

To explore the impact of integrated care model on urinary retention after extensive hysterectomy for cervical cancer.

This was a retrospective study. Sixty eight patients with cervical cancer who underwent extensive hysterectomy in Tangshan People’s Hospital from March 2021 to March 2023 were divided into experimental group and control group, 34 cases each. The experimental group received an integrated care model, including periurethral irrigation, pelvic floor muscle and abdominal muscle exercise, induction of urination, bladder function training, and psychological care; the control group adopted a routine care model.

The incidence of complications in the experimental group was lower than that in the control group, and the difference was statistically significant (χ2=4.221, P=0.040). After nursing, the SAS, SDS and SF-36 scores of the two groups of patients were significantly improved compared with those before nursing, and the degree of laboratory improvement was higher than that of the control group. The differences were statistically significant (P<0.05). The nursing satisfaction of the experimental group was higher than that of the control group, and the difference was statistically significant (χ2=4.660, P=0.031).

Adopting an integrated care model for patients with cervical cancer after extensive hysterectomy can shorten the time of indwelling urinary catheter, reduce residual urine volume and urinary catheter reset rate, improve patients’ bladder function, alleviate patients’ negative emotions, and effectively improve patients’ quality of life.