摘要
目的:探讨延伸护理对根治性膀胱切除加尿流改道术后治疗效果的影响。方法:选取膀胱癌行根治性膀胱切除加尿流改道术患者共46例,分为观察组和对照组各23例。观察组23例患者开展延伸护理服务,对照组患者实施常规护理。采用生活质量综合评定问卷(GQOLI)对患者术后健康相关生活质量指数进行评估。统计患者术后6、12月因并发症而就医次数。结果:观察组健康相关生活质量指数明显高于对照组(P<0.01),术后因并发症就医次数明显少于对照组(P<0.01)。结论:延伸护理服务能改善根治性膀胱切除加尿流改道术后的治疗效果。
Objective:To investigate the effect of extended nursing model on outcome of treating bladder urothelial cancer after radical cystectomy and urinary diversion.Methods:Forty-six bladder cancer patients undergoing radical cystectomy and urinary diversion were selected and randomly divided into observation and control group.23 patients in the observation group were given extended nursing care.23 Patients in the control group were given discharge guidance and call visits only.The quality-of-life indicator were assessed by the questionnaire of related knowledge of general quality of life inventory(GQOLI),the hospitalization times after discharge were counted at 6months and 12 months.Results:The patients'quality-of-life indicator in the observation group was significantly improved compared with the control group(P<0.01),the hospitalization times after discharge at 6months and 12 months were less than the control group(P<0.01).Conclusion:Extended nursing care can improve outcome of treating bladder urothelial cancer after radical cystectomy and urinary diversion.
