中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
14期
106-109
,共4页
膀胱癌%根治性膀胱癌切除术%围手术期%健康教育%生活质量
膀胱癌%根治性膀胱癌切除術%圍手術期%健康教育%生活質量
방광암%근치성방광암절제술%위수술기%건강교육%생활질량
Bladder cancer%Radical resection of bladder cancer%Perioperative%Health education%Quality of life
目的：探讨健康教育干预在根治性膀胱癌切除术围手术期的应用效果。方法选取2006年6月～2013年6月我院收治的临床完整资料的膀胱癌患者52例作为观察对象，随机分为干预组和对照组各26例，对照组行常规对症护理，干预组于术前、术中、术后着重实施围术期健康教育干预，比较两组患者术前准备时间、手术相关知识掌握度、护理配合度、护理满意度的合格率、手术时间、术中出血量及术中SAS评分。结果干预组患者术前准备时间明显快于对照组[（2.1±0.2）d vs （4.2±0.9） d,P＜0.05]，干预组患者的手术相关知识掌握度、护理配合度、护理满意度合格率明显高于对照组，干预组患者术中出血量明显少于对照组，干预组患者术中SAS评分明显低于对照组（P＜0.05）。干预组患者手术结束时及出院时的生理、心理、社会关系、环境、尿流改造方面的生活质量各项评分均较入院前及对照组显著升高，组间比较，差异具有统计学意义（P＜0.05）。结论在根治性膀胱癌切除术围手术期实施系统的健康教育干预措施可以缩短术前准备时间、减少术中出血量及减轻患者的焦虑心理，从而提高护理配合度及满意度，进一步改善患者的生活质量。
目的：探討健康教育榦預在根治性膀胱癌切除術圍手術期的應用效果。方法選取2006年6月～2013年6月我院收治的臨床完整資料的膀胱癌患者52例作為觀察對象，隨機分為榦預組和對照組各26例，對照組行常規對癥護理，榦預組于術前、術中、術後著重實施圍術期健康教育榦預，比較兩組患者術前準備時間、手術相關知識掌握度、護理配閤度、護理滿意度的閤格率、手術時間、術中齣血量及術中SAS評分。結果榦預組患者術前準備時間明顯快于對照組[（2.1±0.2）d vs （4.2±0.9） d,P＜0.05]，榦預組患者的手術相關知識掌握度、護理配閤度、護理滿意度閤格率明顯高于對照組，榦預組患者術中齣血量明顯少于對照組，榦預組患者術中SAS評分明顯低于對照組（P＜0.05）。榦預組患者手術結束時及齣院時的生理、心理、社會關繫、環境、尿流改造方麵的生活質量各項評分均較入院前及對照組顯著升高，組間比較，差異具有統計學意義（P＜0.05）。結論在根治性膀胱癌切除術圍手術期實施繫統的健康教育榦預措施可以縮短術前準備時間、減少術中齣血量及減輕患者的焦慮心理，從而提高護理配閤度及滿意度，進一步改善患者的生活質量。
목적：탐토건강교육간예재근치성방광암절제술위수술기적응용효과。방법선취2006년6월～2013년6월아원수치적림상완정자료적방광암환자52례작위관찰대상，수궤분위간예조화대조조각26례，대조조행상규대증호리，간예조우술전、술중、술후착중실시위술기건강교육간예，비교량조환자술전준비시간、수술상관지식장악도、호리배합도、호리만의도적합격솔、수술시간、술중출혈량급술중SAS평분。결과간예조환자술전준비시간명현쾌우대조조[（2.1±0.2）d vs （4.2±0.9） d,P＜0.05]，간예조환자적수술상관지식장악도、호리배합도、호리만의도합격솔명현고우대조조，간예조환자술중출혈량명현소우대조조，간예조환자술중SAS평분명현저우대조조（P＜0.05）。간예조환자수술결속시급출원시적생리、심리、사회관계、배경、뇨류개조방면적생활질량각항평분균교입원전급대조조현저승고，조간비교，차이구유통계학의의（P＜0.05）。결론재근치성방광암절제술위수술기실시계통적건강교육간예조시가이축단술전준비시간、감소술중출혈량급감경환자적초필심리，종이제고호리배합도급만의도，진일보개선환자적생활질량。
Objective To investigate the effect of health education intervention in radical resection of bladder cancer perioperative. Methods From June 2006 to June 2013,52 cases bladder cancer patients were randomly assigned to the intervention group and the control group each of 26 patients ,the control group underwent routine symptomatic care,the intervention group preoperative, intraoperative and postoperative focus on the implementation of perioperative health ed-ucation intervention.And the preparation time, the passing rate of surgery-related knowledge to master degrees,the de-gree of care,nursing satisfaction,operative time,intraoperative blood loss ,SAS score were compared between two groups. Results The intervention group’s preoperative preparation time were significantly faster than the control group [(2.1± 0.2)d vs (4.2±0.9)d,P<0.05)], the degree of surgical related knowledge, the degree of care,the nursing satisfaction,the passing rate of intervention group was significantly higher than the control group,the blood loss was significantly less control group,the SAS score was significantly lower than the control group(P<0.05). The intervention group were physi-cal, psychological, social relationships, environment, quality of life aspects of the urinary reconstruction scores were significantly higher than the control group, the difference was significant(P<0.05). Conclusion Health education inter-ventions for radical resection of bladder cancer can shorten preparation time, reduce blood loss and relieve patient anxi-ety, improve care and satisfaction,to further improve the patient's quality of life.
