23例膀胱肿瘤尿流改道腹壁造口患者出院后随访管理

Follow-ups after Discharge of 23 Patients with Abdominal Stoma after Radical Cystectomy and Urinary Diversion

目的探讨出院后随访管理对膀胱肿瘤尿流改道腹壁造口患者的影响,明确有效的护理方法。方法对膀胱肿瘤住院接受膀胱全切尿流改道腹壁造口的患者23例,实施出院后随访管理。于出院时、出院后3个月及6个月进行造口相关知识掌握情况、生活质量和造口自理状态的调查。结果本组患者出院后3个月、6个月与出院时比较,相关知识掌握情况、生活质量指数和造口自理状态的差异有统计学意义(P<0.05)。结论出院后随访管理有利于提高患者造口相关知识的知、信、行水平,提高患者的生活质量和自我护理能力。

Objective To discuss the effect of follow-ups after discharge of 23 patients with abdominal stoma after radical cystectomy and urinary diversion and to provide effective nursing methods.Methods Follow-ups in discharge,3 months and 6 months after discharge were conducted among 23 patients to collect information about the knowledge related to stoma,the quality of life and self-care of stoma.Results The differences of the knowledge related to stoma,the quality of life and self-care of stoma showed statistic significance（P0.05）.Conclusion The follow-ups after discharge can improve patients＇ KAP and it is beneficial to improving patients＇ quality of life and self-care ability.