根治性膀胱切除原位尿流改道术围手术期的护理

Perioperative nursing of radical resection of bladder orthotopic urinary diversion

目的:对根治性膀胱切除原位尿流改道术围手术期护理效果进行探讨。方法:2011年4月-2014年4月收治根治性膀胱切除原位尿流改道术患者30例,做好患者的术前、术后、引流管、功能锻炼等护理,分析患者的围手术期护理效果。结果:30例患者接受根治性膀胱切除原位尿流改道术治疗后,2例患者出现术后并发症,并发症发生率6.7%,围手术期患者死亡率0%,均安全度过围手术期。2例患者死于癌细胞转移,其余患者皆恢复健康,且不影响患者日常生活,保证患者术后生活质量。结论:围手术期护理在根治性膀胱切除原位尿流改道术后得到应用,不仅有效改善了患者的预后,而且维护了患者的形象,及时疏导患者的消极情绪,提高患者配合医生治疗的积极性与主动性,预后良好。

Objective:To explore the effects of perioperative nursing of radical resection of bladder orthotopic urinary diversion.Method:30 cases of patients with radical resection of bladder orthotopic urinary diversion from April 2011 to April 2014 were given with preoperative and postoperative,drainage tube,functional exercise and other care.The effect of perioperative nursing care of patients was analyzed.Results:Among 30 cases of patients with radical resection of bladder orthotopic urinary diversion,2 cases of patients had postoperative complications,with the incidence of complications 6.7%,and the perioperative mortality was 0% and all of the patients were safety during perioperative.2 cases of patients died of cancer metastasis and the rest of the patients restored to health and did not affect daily life,which guaranteed the patients quality of life after surgery.Conclusion:Perioperative nursing applied in radical resection of bladder orthotopic urinary diversion not only improved the prognosis of patients,but also maintained the image of the patient,guided the patients with negative emotions timely,which improved the enthusiasm and initiative of the treatment in patients and had good prognosis.