【摘要】 目的探讨综合护理干预对膀胱癌术后腹壁造口患者生活质量以及并发症的影响。方法选取膀胱癌全切尿流改道术患者60例,按照随机数表法分为观察组和对照组各30例。对照组给予常规护理,观察组给予综合护理干预,比较2组患者治疗后的社会功能、认识功能、躯体功能、情绪功能、角色功能、总体健康情况以及术后并发症发生情况、治疗后对腹壁造口相关知识的掌握情况。结果治疗后,2组患者的躯体功能、情绪功能、角色功能、社会功能、认知功能以及总体健康情况都有所改善,且观察组的(76.12±6.49、65.15±3.48、67.89±6.18、49.12±3.17、58.14±6.12、61.03±6.12)分均高于对照组的(65.14±7.12、58.12±6.17、59.12±6.10、45.26±4.18、53.12±6.49、56.12±3.98)分,差异有统计学意义(P<0.05);治疗后,观察组患者恶心、呕吐、失眠以及疼痛的并发症发生率分别为3.33%、6.67%、0、3.33%,低于对照组的23.33%、40.00%、16.67%、30.00%,差异有统计学意义(P<0.05);治疗后,观察组患者造口袋更换、并发症预防、饮食知识掌握分别为(16.23±3.19、15.45±1.98、20.13±3.49)分,高于对照组的(13.12±2.52、13.78±3.61、18.02±3.12)分,差异有统计学意义(P<0.05)。结论综合护理可有效提高膀胱癌术后患者的自我护理能力以及生活质量,改善患者总体健康情况,并提高护理质量。更多还原

【Abstract】 Objective To evaluate effect of comprehensive nursing intervention on quality of life and prevention of complications of bladder cancer after abdominal stoma. Methods A total of 60 bladder cancer patients were selected in our hospital for treatment of urinary diversion surgery were divided into the observation group and the control group( 30 cases) according to random number table method. The control group was treated with routine care,and the observation group was given comprehensive nursing intervention,social function,cognitive function,physical function,emotional function,role function,and overall health situation and the incidence of postoperative complications after treatment,knowledge mastery for abdominal stoma were compared. Results After treatment,physical function,emotional function,role function,social function,cognitive function and overall health were improved,and the scores of the observation group( 76. 12 ± 6. 49,65. 15 ± 3. 48,67. 89± 6. 18,49. 12 ± 3. 17,58. 14 ± 6. 12,61. 03 ± 6. 12 points) were higher than the control group( 65. 14 ± 7. 12,58. 12 ± 6. 17,59. 12 ± 6. 10,45. 26 ± 4. 18,53. 12 ± 6. 49,56. 12 ± 3. 98points),and the difference was significant( P < 0. 05); After treatment,nausea,vomiting,insomnia,pain and complication rates were 3. 33%,6. 67%,0,and 3. 33% in the observation group,which were lower than 23. 33%,40. 00%,16. 67%,30. 00% in the control group,the differencewas significant( P < 0. 05); Ostomy bag replacement,prevention of complications,diet knowledge level in the observation group were( 16. 23 ± 3. 19,15. 45 ± 1. 98,20. 13 ± 3. 49) points,which were higher than( 13. 12 ± 2. 52,13. 78 ± 3. 61,18. 02 ± 3. 12) points in the control group,the difference was significant( P < 0. 05). Conclusion The comprehensive care can effectively improve the self-care and quality of life of patients with bladder cancer,enhance overall health and quality of care.更多还原