36例膀胱肿瘤尿流改道腹壁造口患者的出院后护理干预

Continued nursing care after discharge in 36 patients with abdominal stoma undergoing radical cystectomy and urinary diversion

报告了36例膀胱肿瘤尿流改道腹壁造口患者出院后的护理干预。1年内36例存在不同程度的焦虑心理,34例无法自己更换造口袋,11例出现造口皮肤问题,7例出现尿路感染,3例出现尿酸盐结晶,1例出现造口局部疼痛。护士进行为期1年的电话咨询、技术指导、上门家访、造口沙龙的措施,上述问题基本得到解决。患者自我护理能力提高,造口并发症发生率下降,对未来的生活充满信心。认为出院后的护理干预有利于提高患者的自我护理能力和生活质量,使其尽快回归患病前的社会生活状态。

This paper introduces continued nursing care after discharge in 36 patients with abdominal stoma who underwent radical cystectomy and urinary diversion.Within one year,anxiety appeared in 36 patients,and 34 of them were impotent to change the ostomy bag by themselves.In addition,the problem of skin disorders,urinary infection,urate crystals,and local pain occurred in 11 cases,7 cases,3 cases,and 1 case,respectively.One-year of continued nursing care was provided for the patients by the means of telephone consultation,skills guidance,home visit and health education salon.As a result,the above problems were resolved,the patients＇ self-care agency was improved,thus resulting in lower incidence of complications and greater confidence in future life.Continued nursing care after discharge can promote the patients＇ self-care agency,improve their quality of life and help them return to normal social activity sooner.