Pender健康促进模式联合ERAS护理在膀胱癌尿流改道腹壁造口术患者中的应用效果

Application Effect of Pender Health Promotion Model Combined with ERAS Nusing in Patients Undergoing Urinary Flow Diversion Abdominal Wall Stomy for Bladder Cancer

目的:探讨Pender健康促进模式联合加速康复外科理念(ERAS)护理在膀胱癌尿流改道腹壁造口术患者中的应用效果。方法:选取2021年9月—2023年9月福建省立医院收治的80例膀胱癌尿流改道腹壁造口术患者。根据乱数表法将其分为观察组和对照组,各40例。对照组采用ERAS护理,观察组在对照组基础上给予Pender健康促进模式。比较两组护理前后健康行为、希望水平、生活质量及并发症。结果:护理后,两组健康责任感、营养、压力管理、躯体活动、人际关系、心理健康评分均升高,观察组健康责任感、营养、压力管理、躯体活动、人际关系、心理健康评分均高于对照组,差异有统计学意义(P<0.05)。护理后,两组积极态度、积极行动和亲密关系评分均升高,观察组积极态度、积极行动和亲密关系评分均高于对照组,差异有统计学意义(P<0.05)。护理后,两组共性测评、特异性测评评分均升高,观察组两组共性测评、特异性测评评分均高于对照组,差异有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:ERAS护理联合Pender健康促进模式能够改善膀胱癌尿流改道腹壁造口术患者健康行为,提高希望水平,改善生活质量。

Objective:To explore the application effect of Pender health promotion model combined with enhanced recovery after surgery(ERAS)nusing in patients undergoing urinary flow diversion abdominal wall stomy for bladder cancer.Method:A total of 80 patients undergoing urinary flow diversion abdominal wall stomy for bladder cancer admitted to Fujian Provincial Hospital from September 2021 to September 2023 were selected.They were divided into observation group and control group according to random number table method,with 40 cases in each group.The control group was given ERAS nursing,and the observation group was given Pender health promotion mode on the basis of the control group.The health behavior,hope level,quality of life before and after nursing and complications were compared between the two groups.Result:After nursing,the scores of health responsibility,nutrition,stress management,physical activity,interpersonal relationship and mental health of both groups were increased,and the scores of health responsibility,nutrition,stress management,physical activity,interpersonal relationship and mental health of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After nursing,the scores of positive attitude,positive action and intimate relationship were increased in both groups,and the scores of positive attitude,positive action and intimate relationship in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of common assessment and specific assessment of the two groups were increased,and the scores of common assessment and specific assessment of the two groups in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:ERAS nursing combined with Pender health promotion model can improve the health behavior,raise the level of hope and improve the quality of life in patients with urinary flow diversion abdominal wall stomy for bladder cancer.