心理护理在膀胱癌腹壁造口患者中的应用效果

Application effects of psycholpgical nursing on patients with bladder cancer treated by urinary diversion abdominal stoma

目的:探讨心理护理在膀胱癌腹壁造口患者中的应用效果。方法:选择膀胱癌全切术尿流改道腹壁造口患者58例,按入院顺序分为对照组与观察组各29例:对照组仅接受常规护理和电话回访,观察组开展心理护理,分别于出院时、出院后3个月、出院后6个月发放调查问卷,利用焦虑与抑郁自评量表(SAS&SDS)和生活质量综合评定问卷(GQOLI)对2组患者进行评估。结果:观察组不同时期SAS与SDS评分明显低于对照组(P<0.05)。出院后3个月、6个月生活质量指数明显高于对照组(P<0.05)。结论:对膀胱肿瘤尿流改道腹壁造口患者进行心理护理能改善患者的心理状态,提高生活质量。

[Objective]To discuss the application effects of psychological nursing on patients with bladder cancer treated by urinary diversion abdominal stoma. [Method] 58 bladder cancer patients undergoing radical cystectomy and urinary diversion abdominal stoma were selected and randomly divided into observation group and control group according to the order of admission. 29 patients in control group were given conventional nursing and call visits only. Other 29 in the observation group were given psychological nursing. These two groups were assessed at discharge,3 months and 6 months after discharge using Self- rating Anxiety Self- rating Depression Scale（ SAS SDS）,and General Quality Of Life Inventory（ GQOLI）. [Result]The SAS and SDS score of observation group was significantly lower than control group（ P 〈0. 05）. Compared with control group,the life quality indicators were significantly improved（ P 〈0. 05） both 3months or 6 months after discharge. [Conclusion]Psychological nursing can improve the life quality of patients with bladder cancer treated by urinary diversion abdominal stoma,includeing the psychological status improving.