全程护理干预对膀胱癌尿流改道腹壁造口患者生活质量的影响

Study for the effect on quality of life by full process nursing intervention for patients with bladder cancer treated by urinary diversion abdominal stoma

目的探讨全程护理干预对膀胱癌尿流改道腹壁造口患者的自我护理能力和生活质量的影响。方法 2008年1月~2010年10月,将因膀胱癌在我科接受膀胱全切尿流改道腹壁造口的42例患者随机分组,对照组实行传统的围手术期护理,干预组制订个性化的围手术期和出院后的全程护理干预措施。结果两组比较,干预组的自我护理能力和生活质量指数大大提高。结论通过开展全程护理干预特别是出院后的护理干预,有利于患者早日康复,提高患者的生活质量和自我护理能力。

Objective To study the effect on self-care ability and quality of life by full process nursing intervention for patients with bladder cancer treated by urinary diversion abdominal stoma. Method 42 patients with bladder cancer accepted cystectomy and urinary diversion abdominal stoma was selected and randomly divided into intervention and control group in our hospital from January 2008 to October 2010.patients in intervention group was given individualized peri-operation nursing and full process nursing intervention after discharge.Patients in control group was given routine peri-operation nursing only.Result The patients＇ self-care ability and quality of life index in intervention group was significantly improved compared with control group.Conclusion Full nursing intervention,especially post-discharge care,will helpful for patients early recovery and improving patient quality of life and self-care ability.