摘要
目的探究永久性膀胱造瘘患者的护理方法及护理效果。方法选取2016年9月—2017年6月于该院行永久性膀胱造瘘的患者46例,给予患者延续护理,观察其护理效果。结果 46例患者护理后并发症发生率为15.22%,自我护理能力为(104.23±11.98)分,高于护理前差异有统计学意义(t=6.2873,P<0.05),自我感受负担和生活质量的总分分别为(10.34±4.49)分和(41.36±4.52)分,低于护理前差异有统计学意义(t=8.173 7、7.484 8,P<0.05),造口适应能力的持续担忧、接受和积极生活态度分别为(31.07±5.15)分、(22.06±6.21)分和(11.09±3.94)分,高于护理前(t=15.938 3、8.519 7、6.779 6,P<0.05)。结论延续护理应用于永久性膀胱造瘘患者中,可减少患者的并发症,有助于患者自我护理能力、造口适应能力及生活质量的改善,是一种安全性和有效性均比较高的护理方案。
Objective This paper tries to explore the nursing methods and nursing effect of permanent cystostomy.Methods Forty-six patients with permanent bladder fistula in the hospital from September 1, 2016 to June 30, 2017 were selected for follow-up care and their nursing effects were observed. Results 46 patients were nursing postoperative complications rate was 15.22%, self-care ability was(104.23±11.98) points, higher than before nursing the difference was statistically significant(t= 6.2873, P〈0.05), self-perceived burden and quality of life were(10.34±4.49)points and(41.36±4.52)points, respectively, which were lower than those before nursing the difference was statistically significant(t=8.1737,7.4848, P〈0.05). The sustained fears, acceptance and active attitude of stoma were(31.07 ±5.15)points,(22.06 ±6.21)points and(11.09 ±3.94)points higher than before nursing the difference was statistically significant(t =15.938 3, 8.519 7, 6.779 6, P〈0.05). Conclusion Continuous nursing applied to patients with permanent bladder fistula can reduce the patient's complications, help patients self-care ability, stoma adaptability and quality of life improvement, which is a relatively safe and effective care program.
作者
丁伟仁
张翠华
江思仪
林雪梅
DING Wei-ren;ZHANG Cui-hua;JIANG Si-yi;LIN Xue-mei(Urology Department,Guangxi Liuzhou Workers Hospital,Liuzhou,Guangxi Province,545005 Chin)
出处
《系统医学》
2018年第3期145-147,共3页
Systems Medicine
关键词
膀胱造瘘
永久性
延续护理
Cystostomy
Permanent
Continuous nursing