优质细节护理管理在老年膀胱癌尿流改道腹壁造口患者中的应用

Application of high-quality detail nursing management in patients with senile bladder cancer who had urinary diversion and abdominal wall stoma

目的 探讨优质细节护理管理在老年膀胱癌尿流改道腹壁造口患者中的应用效果。方法 随机选取本院2016年5月至2017年4月收治的膀胱癌患者44例做为对照组,2017年5月至2018年4月收治的膀胱癌患者44例为观察组,对照组住院期间进行常规护理,观察组在对照组基础上给予优质细节护理管理,对患者进行6个月随访,比较两组患者干预前后病耻感(SIS)、自护能力(ESCA)、生活质量(FACT-BL),干预期间并发症发生率。结果 干预后,两组患者SIS评分均明显低于干预前(P<0.05),且观察组降低幅度大于对照组(P<0.05);干预后3,6个月,观察组患者ESCA评分明显高于对照组(P<0.05);观察组干预期间并发症发生率明显低于对照组(P<0.05);两组患者FACT-BL评分中生理状况、功能状况、情感状况、社会/家庭状况、特异性模块及总得分均明显高于干预前(P<0.05),且观察组各维度及总得分改善程度好于对照组(P<0.05)。结论 优质细节护理管理应用于老年膀胱癌尿流改道腹壁造口患者中,能改善其疾病病耻感、自护能力,降低并发症发生率,提高其生活质量。

Objective To explore the application effect of high-quality detail nursing management in patients with senile bladder cancer who had urinary diversion and abdominal wall stoma. Methods To select 44 patients with bladder cancer who were admitted to our hospital from May 2016 to April 2017 randomly as the control group, and to select 44 patients with bladder cancer who were admitted to our hospital from May 2017 to April 2018 as the observation group. During the hospitalization, the control group was given routine nursing, while the observation group was given high-quality detail nursing on this basis. We conducted 6 months of follow-ups for these patients. Then we compared the stigma(SIS), self-care ability(ESCA), quality of life(FACT-BL) and the incidence of complications before and after the intervention in the two groups. Results After the intervention, the SIS scores of the two groups were significantly lower than those before the intervention( P <0.05), and the reduction of the observation group was greater than that of the control group( P <0.05). At 3 and 6 months after the intervention, the ESCA scores of the observation group were significantly higher than those of the control group( P <0.05). The incidence of complications during intervention was significantly lower than that in the control group( P <0.05). The physiological status, functional status, emotional status, social/family status, specificity module and total scores in the two groups in the FACT-BL scores were significantly higher than those before the intervention( P <0.05). The improvement of each dimension and the total scores in the observation group were better than those of the control group( P <0.05). Conclusion Applying high-quality detail management in patients with senile bladder cancer who had urinary diversion and abdominal wall stoma can improve their disease stigma and self-care ability. Meanwhile, it can reduce the incidence of complications and improve their quality of life.