专护小组个体化护理干预对提升膀胱癌全切术患者生存质量效果分析

Effect of individualized nursing intervention on the quality of life of patients undergoing total bladder cancer surgery

目的探讨专护小组个体化护理干预对提升膀胱癌全切术患者生存质量的效果.方法将89例膀胱癌全切术患者采用随机数字表法分为观察组45例及对照组44例,两组均给予常规临床护理干预,观察组在此基础上给予专护小组个体化护理干预.于干预前后采用汉密顿焦虑量表与汉密顿抑郁量表评定两组患者的焦虑抑郁状况,采用生命质量特异模块量表评定两组患者的生存质量,比较两组患者的并发症发病率、术后肛门排气时间、住院时间及满意度.结果干预后两组汉密顿焦虑量表、汉密顿抑郁量表及生命质量特异模块量表评分均较干预前显著下降(P<0.01),观察组较对照组下降更显著(P<0.01).观察组并发症发生率显著低于对照组(P<0.05),满意率显著高于对照组(P<0.05).观察组术后肛门排气时间及住院时间均显著短于对照组(P<0.01).结论专护小组个体化护理干预可以显著缓解患者的焦虑抑郁情绪,提升生存质量,降低并发症发生率,提高满意度,值得临床推广应用.

Objective To investigate the effect of individualized nursing intervention on the quality of life of patients undergoing total bladder cancer surgery.Methods 89 patients with total bladder cancer surgery were randomly divided into observation group (45 cases) and control group (44 cases).Both groups were given routine clinical nursing intervention.On the basis of this,the observation group was given individu-alized nursing intervention.HAMA and HAMD were used to assess the anxiety and depression of the two groups before and after the intervention.The quality of life of the two groups was assessed by QLQ-BLM30,and the incidence of complications,postoperative anal exhaust time,hospital stay and satisfaction were compared between the two groups.Results The HAM A,HAMD and QLQ-BLM30 scores of the two groups were significantly lower than those before the intervention ( P<0.01 ),and the observation group decreased more significantly than the control group ( P<0.01 ).The incidence of co mplications in the observation group was significantly lower than that in the control group (P<0.05),and the satisfaction rate was significantly higher than that in the control group ( P<0.05 ).The postoperative anal exhaust time and hospital stay were significantly shorter in the observation group than those in the control group (P<0.01).Conclusion The individualized nursing intervention of the special care team can significantly alleviate the anxiety and depression of the patients,improve the quality of life,reduce the incidence of complications,and improve the satisfaction.It is worthy of clinical application.