手术室人性化心理干预在腹腔镜膀胱肿瘤切除回肠代膀胱手术中的应用

Application of Humanistic Psychological nursing intervention in laparoscopic resection of bladder tumor and ileal bladder tumor

目的 研究分析手术室人性化心理干预在腹腔镜膀胱肿瘤切除回肠代膀胱手术中的应用。方法 选取桐庐县第一人民医院2015年2月-2016年12月收治的100例腹腔镜膀胱肿瘤切除回肠代膀胱手术患者为研究对象,随机分为对照组和实验组,每组50例。对照组患者进行常规护理,实验组患者进行手术室人性化心理干预。比较分析实验组与对照组满意度以及相关临床指标。结果 经过对应护理后,实验组总满意47例（94.0%）。对照组总满意36例（72.0%）,实验组患者的满意度显著高于对照组,差异具有统计学意义（P〈0.05）。实验组患者的住院时间以及手术时间均显著短于对照组,对照组患者术中出血量显著多于实验组,差异具有统计学意义（P〈0.05）。结论手术室人性化心理干预在腹腔镜膀胱肿瘤切除回肠代膀胱手术中的应用能够在很大程度上提高患者满意度,提高治疗效果,帮助患者恢复,具有临床进一步推广和应用的意义。

Objective To study and analyze the application of Humanistic Psychological Intervention in the operation of laparoscopic bladder tumor resection and ileal neobladder. Methods 100 cases of laparoscopic bladder tumor resection and ileal neobladder were selected from February 2015 to December 2016 in our hospital as the study subjects, and randomly divided into the control group and the experimental group, with 50 patients in each group. The patients in control group received routine nursing care, while the experimental group received Humanistic Psychological Intervention Nursing in operation room. The nursing satisfaction and related clinical indicators were compared in the two groups. Results After the corresponding nursing, the total satisfaction in the experimental group was 47 cases （94%）, the total satisfaction in the control group was 36（72%）. The satisfaction degree of the patients in the experimental group was significantly higher than that in the control group, the difference was statistically significant （P〈0.05）. The hospitalization time and operation time of the experimental group were significantly shorter than those of the control group, and the amount of bleeding in the control group was significantly higher than that in the experimental group, the difference was statistically significant （P〈0.05）. Conclusion The application of operation room humanized psychological intervention after resection of ileal neobladder surgery in laparoscopic bladder tumor can improve nursing satisfaction to a large extent, improve the treatment effect of the patients, help patients recover, with further clinical promotion and application significance.