护理干预在膀胱癌电切术后膀胱灌注中的应用体会

Application experience of nursing intervention in bladder irrigation after transurethral resection of bladder cancer

目的:探讨实施护理干预在膀胱癌电切术后膀胱灌注中的作用。方法:收治膀胱癌电切术后定期行膀胱灌注的患者32例,从心理、护理操作、术后健康教育上对其进行护理干预,观察相关效果。结果:32例患者中,死亡1例,中断治疗2例,复发后TURBT后继续化疗6例,15例患者完成化疗定期复查中,其余患者继续治疗中。结论:通过改变导尿管的型号,于操作前、操作中、操作后对其进行护理干预,患者自觉不适症状减轻或消失,满意度增加,减少了膀胱灌注后并发症的发生,能够积极配合化疗,提高了患者的生活质量和生存率。

Objective:To investigate the effect of nursing intervention on bladder irrigation after transurethral resection of bladder cancer.Methods:Bladder instillation after transurethral resection of bladder cancer in 32 cases were selected.We had carried out nursing intervention based on the psychological,nursing and postoperative health education,and we observed the effect.Results:Among 32 cases,1 case died;2 cases of interruption of treatment;6 cases with continue chemotherapy after recurrence TURBT;15patients completed chemotherapy on a regular basis review;the rest of the patients continue treatment;the rest of the patients received continue treatment.Conclusion:Through our change in the type of catheter,before operation,during operation,after theoperation of its nursing intervention,patients with symptoms of discomfort reduced or disappeared,the satisfaction increased,reduce the incidence of complications after the instillation of bladder,which can actively cooperate with chemotherapy,improve the quality of life and survival rate of patients.