延续护理对膀胱癌术后膀胱灌注患者的影响

Effects of clinical continuous care on the patients with instillation after bladder cancer operation

目的观察延续护理对膀胱癌术后膀胱灌注患者的影响。方法将首次行经尿道膀胱等离子电切术后的100例膀胱灌注患者随机分为对照组和试验组各50例,对照组接受常规护理服务,试验组接受常规护理和延续护理。两组患者分别在入院、出院后1、6、12个月时比较患者疾病知识掌握情况、一般自我效能感得分、心理状况、并发症及生活质量。结果与对照组比较,试验组出院后1个月的疾病知识、焦虑和抑郁自评量表得分均明显提高(P<0.05),生活质量明显升高(P<0.05),出院后6、12个月的疾病知识问卷、一般自我效能感、生活质量得分明显提高(P<0.05,P<0.01),焦虑和抑郁评分明显降低(P<0.05,P<0.01),患者出现膀胱刺激症状、疼痛、胃肠道反应等并发症的发生例数明显较少(P<0.05)。结论延续护理随访模式可提高膀胱癌术后膀胱灌注患者的自护能力,减轻焦虑抑郁心理,减少并发症发生,改善生活质量,可在临床推广应用。

Objective To observe the effect of continuous nursing care on patients with instillation after bladder cancer operation. Methods A hundred cases patients from the Department of Urology Surgery in Sichuan province with the first time transurethral plasmakinetic resection and postoperative instillation were randomly divided into the control group and experimental group （ n = 50 ）. Routine nursing care and clinical continuous care service were given to control group and the experimental group, respectively. The knowledge of diseases, general self - efficacy scale score, psycholog- ical status, complications, and quality of life were compared at the 1~＇, 6th and 12th month. Results Compared with the control group, the disease knowledge, self - rating anxiety scale and self - rating depression scale scores in experimental group were significantly increased at the 1 st month （ P 〈 0.05 ）, but the overall quality of life score was significantly re- duced （P 〈 0. 05 ）. At the 6th and 12th month, the disease knowledge, self - efficacy scale score and overall quality of life scores were significantly improved in experimental group a（ P 〈 0. 05, P 〈 0. 01 ）, as self - rating anxiety scale and self - rating depression scale scores were significantly lower （P 〈 0. 05, P 〈 0. 01 ） , and the occurrence of complications such as pain and gastrointestinal reaction was significantly reduced （ P 〈 0. 05 ）. Conclusion Continuous care service can improve the self - care ability of patients with instillation, reduce anxiety and depression level, reduce complications, improve the quality of life, and can be clinically applied.