自我管理对农民工膀胱癌术后膀胱灌注疗效的影响

Influence of self-management on douching in migrant workers after operations against bladder cancer

目的探讨自我管理对农民工膀胱癌术后膀胱灌注疗效的影响。方法将65例患者随机分为观察组33例,对照组32例,对照组按常规护理,观察组采用心理疏导、盆底肌肉功能锻炼、膀胱灌注的配合、自我症状监测及灌注频率、复查的有效管理,1年后评价患者的疗效及不良反应发生情况。结果干预后观察组6、12个月膀胱癌的复发率低于对照组(P<0.01),膀胱刺激症状、血尿、血象异常、肝功损害及肾功损害的发生率低于对照组(P<0.01)。结论提高农民工患者对膀胱灌注的自我管理能力,不但可减少并发症的发生,而且能降低膀胱癌的复发率,改善其生活质量。

Objective To probe into the influence of self-management on douching in migrant workers after operations against bladder cancer. Method 65 patients were randomly divided into the observation group （33 patients） and the control group （32 patients）. The control group was accepted traditional nursing, while the observation group was accepted mental treatment, pelvic floor muscle functional exercise, douching, self-monitoring and management on the frequency of douching. After one year the evaluation of the effects and the adverse reaction were taken. Results After the intervention, the recurrence rate of bladder cancer within 6 months and within 12 months in the observation group was lower than the control group （P 〈 0. 01 ） , and the incidence of irritative symptoms, hematuria, blood abnormality, liver function damage and kidney function damage were lower than the control group （ P 〈 0. 01 ）. Conclusion The improvement of self-management on douching in migrant workers can reduce the incidence of complications and the recurrence rate of bladder cancer. This will improve patients＇ quality of life.