老年膀胱癌全膀胱切除尿道改流健康信念模式干预效果评价

Evaluation of the Effect of Interventional Health Belief Model on Cystolithiasis for Cystectomy in Elderly Bladder Cancer

目的探讨老年膀胱癌全膀胱切除尿道改流患者健康信念干预效果。方法选取46例接受全膀胱切除十输尿管腹壁造口尿液改道手术的老年膀胱癌患者作为研究对象。按照手术顺序随机分为对照组(n=22)和观察组(n=24)。对照组给予常规护理和健康教育,观察组在对照组基础上实施健康信念模式干预。对比两组患者入院第2天和出院跟踪随访3个月的焦虑抑郁水平、自护能力和生活质量评分结果。结果两组患者入院第2天焦虑抑郁水平、自护能力及生活质量比较,差异无统计学意义(P>0.05);出院3个月随访结果显示:观察组焦虑抑郁明显低于对照组;观察组自护能力和生活质量各项得分均高于对照组,差异均有统计学意义(P<0.05)。结论对老年膀胱癌尿道改流患者实施健康信念模式干预,可使患者焦虑症状抑郁情绪得到明显改善,显著提高患者自护能力和生活质量。

Objective To investigate the effects of intervention on health beliefs in elderly patients with bladder cancer undergoing total cystectomy for urethral diversion. Methods 46 elderly patients with bladder cancer who underwent urinary diversion of the ten-ureter stoma of the ureteral canal were randomly divided into a control group（n=22） and an observation group（n=24） according to the surgical sequence. The control group was given routine nursing and health education, and the observation group was given a health belief model intervention on the basis of the control group. The scores of anxiety, depression, self-care ability and quality of life were compared between the two groups on the second day of admission and follow-up for three months after discharge. Results There was no significant difference in anxiety, depression, self-care ability and quality of life between the two groups on the second day of admission（P0.05）. The three-month follow-up results showed that the anxiety and depression in the observation group was significantly lower than that in the control group; self-care ability in the observation group The scores of quality of life and quality of life were significantly higher than those of the control group, and the differences were statistically significant（P〈0.05）. Conclusion The implementation of health belief model intervention for elderly patients with urethral diversion of bladder cancer can significantly improve depression symptoms of patients with anxiety symptoms and significantly improve self-care ability and quality of life.