个体化心理干预对腹壁造口尿流改道患者生活质量的影响

Effect of individually psychological intervention on the quality of life in patients with abdominal stoma for urine

目的：探讨个体化心理干预对腹壁造口尿流改道患者生活质量的影响。方法：将56例行膀胱全切腹壁造口尿流改道的膀胱癌患者用随机数字表法分为观察组30例,对照组26例。对照组行常规专业护理,观察组在对照组基础上,参考Kubler Ross的5阶段患者心理理论进行个体化心理干预。术后3个月采用膀胱癌生活质量量表对患者的生活质量进行调查。结果：术后6个月躯体状况、社会家庭状况、情感状况、功能状况、膀胱癌模块和膀胱癌生活质量量表总分均高于对照组（P〈0.05-P〈0.01）。结论：个体化心理干预能增强腹壁造口尿流改道患者心理、生理、社会方面的适应性,提高生活质量。

Objective： To investigate the effects of individually psychological intervention on the quality of life in patients with abdominal stoma for urine. Methods： Fifty-six patients with bladder cancer treated with abdominal stoma for urine after radical cystectomy were randomly divided into the control group（ n = 26） and observation group（ n = 30）. The control group were nursed with routine method,the observation group were nursed with individually psychological intervention based on routine method. The quality of life in all patients were surveyed by the questionnaire of quality of life in 6 months after operation. Results： The situation of body,social / family,emotion and function,bladder cancer pattern and total scores of quality of life in observation group were higher than those in control group（ P〈0. 05 to P〈0. 01）. Conclusions： The individually psychological intervention can improve the psychological,physical and social adaptability,and the quality of life in patients with abdominal stoma for urine.