人文关怀理念在全膀胱切除尿流改道患者中的应用

Application of humanistic care concept in patients undergoing radical cystectomy and urinary diversion

目的 探讨人文关怀理念在全膀胱切除-尿流改道患者中的应用效果.方法 2015年1月至2017年9月我院收治88例行全膀胱切除+尿流改道患者,随机分成试验组和对照组.对照组实施传统常规护理措施,试验组采取基于人文关怀模式的护理措施.对比两组患者术后1、3、6个月的自我社会功能评价,评价指标为不同时期各量表之间的差值.结果 试验组出院后1个月内、1 ~3个月、3~6个月的造口自我护理意愿及造口护理技能评分、焦虑及抑郁评分、自我护理能力测定评分、生活质量评分均优于对照组,差异均有统计学意义(P<0.05).术后6个月进行并发症分析,试验组10例,对照组23例,差异有统计学意义(P<0.05).结论 人文关怀理念在临床护理中的应用可有效改善患者术后社会功能的恢复,提高患者生活质量,在临床中具有较高的应用价值.

Objective To explore the effect of applying humanistic care concept in patients that were performed radical cystectomy and urinary diversion.Methods Eighty-eight patients undergoing radical cystectomy and urinary diversion in our hospital from January 2011 to May 2016 were selected.All patients were randomly divided into experiment group and control group.Of them,control group was given routine nursing care.Experiment group was administered humanistic care pattern-based nursing measures.Self-evaluation on social function was conducted in both groups 1,3 and 6 months after surgery,and the results were compared between two groups.All evaluation indexes were expressed as differences in all scales at various stages.Results Willingness score of ostomy self-nursing and score of ostomy nursing skill in experiment group upon discharge to 1 month after discharge,1 to 3 months after discharge,and 3 to 6 months after discharge,respectively,which were better than those in control group.Differences were of statistical significance(P<0.05).Anxiety score and depression score in experiment group at those three periods,respectively,were better than those in control group(P<0.05).Evaluation score of self-nursing ability in experiment group at those three periods,respectively,were better than those in control group(P<0.05).Score of quality of life in experiment group at those three periods were better than those in control group.All differences were of statistical significance(P <0.05).Judging from the point of view of incidence of complications 6 months after surgery,10 and 23 cases in experiment and control groups developed complications,respectively(P <0.05).Conclusions Applying humanistic care concept in clinical nursing contributes to effectively improving the postoperative recovery of social function in patients and enhancing their quality of life.It shows high application value in clinical practice.