早期护理干预对根治性膀胱全切回肠原位膀胱术后严重并发症的影响

Effect of early nursing intervention on severe complication of radical cystectomy and orthotopic ileal neobladder

目的探讨早期护理干预对根治性膀胱全切回肠原位膀胱术后严重并发症发生的影响。方法将30例拟行根治性膀胱全切回肠原位膀胱术患者随机分：勾干预组和对照组各15例，对照组予常规护理，干预组针对本术式术后可能发生的严重并发症进行术前术后心理疏导、健康教育、充分术前肠道准备、术后严格各管道护理、加强营养支持。比较2组术后严重并发症发生率、置管时间、住院天数。结果干预组术后严重并发症发生率低于对照组，置管时间、住院天数干预组明显少于对照组，2组比较差异有统计学意义。结论早期预见性护理干预可减少根冶性膀胱全切回肠原位膀胱术后严重并发症的发生率，缩短住院时间，提高手术的成功率。

Objective To investigate the effect of early nursing intervention on severe complication of radical cystectomy and orthotopic ileal neobladder. Methods A total ef 30 patients undergoing radical cystectomy with orthotopic ileal neobladder were randomly divided into the intervention group and the con- trol group with 15 cases in each group, the control group received routine nursing, while the inter,Jention group received psychological counseling, health education, sufiScient preoperative preparation, postoperative strict tube care, nutritional support according to the serious complications after operation. The postoperative com- plications, indwelling time of tubes, hospitalization days between two groups we~：e compared. Results Serious complications rate after surgery of the intervention group was lower than that in the control group. The in- dwelling time of tubes, length of stay in the intervention group were less than those of the control group, the two groups had significant difference. Conclusions Early predictive nursing intervention can reduce compli-cations rate after radical cystectomy and ileal neobladder, shorten the hospitalization time and im- prove the success rate of operation.