延续护理对膀胱癌造口患者生活质量的影响

Effect of continuing nursing on quality of life of patients with bladder cancer colostomy

目的探讨延续护理对膀胱癌造口患者生活质量的影响。方法选取2016年1月~2017年5月我院收治的膀胱癌造口患者97例,随机分为对照组(48例)与观察组(49例),对照组患者接受常规护理干预,而观察组患者在此基础上接受延续护理。干预1年后对两组患者的生活质量进行比较分析。结果与治疗前相比,观察组患者功能领域和特异性条目水平有所改善(P<0.05)。进一步进行组间比较,结果显示,治疗后,观察组患者功能领域和特异性条目水平均优于对照组患者(P<0.05)。观察组患者并发症发生率低于对照组患者(P<0.05)。结论对膀胱癌造口患者实施延续护理,可以提高其造口自我照顾能力,并能够通过增强患者自我效能达到提高其生命质量的目的,具有一定临床价值。

Objective To explore the effect of continuing nursing on quality of life of patients with bladder cancer colostomy. Methods 97 patients with bladder cancer colostomy who were admitted and treated in our hospital from January 2016 to May 2017 were selected.They were randomly divided into the control group with 48 cases and the observation group with 49 cases.Patients in the control group were given routine nursing intervention while patients in the observation group were given continuing nursing at basis of it.After intervention for one year,quality of life of patients in two groups was compared and analyzed. Results Functional domains and specific items levels in the observation group were improved compared with those before treatment(P < 0.05).Further comparison between two groups showed that after treatment,functional domains and specific items levels in the observation group were better than those in the control group(P < 0.05).The incidence of complications in the observation group was lower than that in the control group(P < 0.05). Conclusion Continuing nursing for patients with bladder cancer colostomy can improve the ability of self-care of colostomy and enhance patients’ self-efficacy to improve the quality of life,which is of certain clinical values.