【摘要】 目的 探讨护士主导的远程随访在膀胱癌回肠造口患者中的干预效果。方法 将150例接受回肠通道造口手术的膀胱癌患者随机分配至干预组和对照组，每组各75例。对照组给予常规出院指导和电话随访，干预组在常规护理基础上接受为期6个月的护士主导的远程随访干预。比较两组造口自我效能感、生活质量及造口相关并发症发生率。结果 对照组72例、干预组73例完成研究。干预组造口自我效能感、生活质量得分显著高于对照组，造口相关并发症发生率显著低于对照组(均P<0.05)。结论 护士主导的远程随访能有效提升患者造口自我效能感和生活质量，降低造口相关并发症发生率。更多还原

【Abstract】 Objective To investigate the effects of a nurse-led remote follow-up program in bladder cancer patients with urostomy.Methods A total of 150 bladder cancer patients who underwent ileostomy surgery were randomly assigned to either a control group or an intervention group, with 75 in each group.The control group received routine discharge education and telephone follow-up, while their counterparts in the intervention group received a 6-month nurse-led remote follow-up intervention program.The stoma self-efficacy, stoma quality of life(QOL), and incidence of stoma related complications were compared between the two groups.Results A total of 72 patients in the control group and 73 in the intervention group completed the study.The intervention group demonstrated significantly higher stoma self-efficacy and stoma-QOL scores, and significantly lower incidence of stoma-related complications compared to the control group(all P<0.05).Conclusion Nurse-led remote follow-up program can effectively enhance stoma self-efficacy and quality of life, and reduce complications in bladder cancer patients with urostomy.更多还原