集束化护理策略干预膀胱肿瘤TURBT术后膀胱痉挛的作用价值

The value of cluster nursing strategy in intervention of bladder spasm after TURBT surgery for bladder tumors

目的探讨集束化护理策略干预在膀胱肿瘤患者中的应用效果。方法采用随机数字表法将萍乡市第二人民医院2021年9月-2022年9月收治的60例膀胱肿瘤患者分为对照组(接受常规护理)和观察组(接受集束化护理),每组均包含30例患者,两组均持续护理1周。比较两组膀胱痉挛发生率、疼痛、膀胱冲洗时间、心理状态和舒适度。结果观察组膀胱痉挛发生率低于对照组(P<0.05);观察组护理后视觉模拟评分法(VAS)评分低于对照组,膀胱冲洗时间短于对照组(P<0.05);观察组护理后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于对照组(P<0.05);观察组护理后Kolcaba舒适状况量表(GCQ)中社会文化、心理、生理及环境评分均高于对照组(P<0.05)。结论集束化护理策略干预可减少膀胱肿瘤患者膀胱痉挛发生,减轻患者术后疼痛,膀胱冲洗时间更短,有效改善了患者的不良心理状态,从而提升其舒适度。

Objective To explore the application effect of cluster nursing strategy intervention in bladder cancer patients.Method A random number table method was used to divide 60 bladder tumor patients admitted to our hospital from September 2021 to September 2022 into a control group(receiving routine care)and an observation group(receiving cluster care).Each group consisted of 30 patients,and both groups received continuous care for one week.Compare the incidence of bladder spasms,pain,bladder flushing time,psychological status,and comfort between the two groups.Results The incidence of bladder spasms in the observation group was lower than that in the control group(P<0.05);after nursing,the visual analogue scale(VAS)score of the observation group was lower than that of the control group,and the bladder flushing time was shorter than that of the control group(P<0.05);the observation group had lower scores on the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)after nursing compared to the control group(P<0.05);the social,cultural,psychological,physiological,and environmental scores on the Kolcaba Comfort Scale(GCQ)in the observation group after nursing were higher than those in the control group(P<0.05).Conclusion Cluster nursing strategy intervention can reduce the occurrence of bladder spasms in bladder tumor patients,alleviate postoperative pain,shorten bladder flushing time,effectively improve patients'adverse psychological state,and thus enhance their comfort.