CAJ | 학술논문

目的：探讨综合护理干预对膀胱肿瘤手术行泌尿造口患者生活质量的影响。方法选择某院泌尿外科2009年1月-2011年1月收治的90例膀胱肿瘤患者，按照数字表法平均分为两组，每组各45例，对照组患者行常规护理，观察组患者行综合护理干预；比较两组患者的治疗依从性、生活质量。结果观察组患者的依从率为89％，明显高于对照组的73％，差异有统计学意义（Z＝3．55，P＜0．05）；护理前，两组患者的生活质量评分差异无统计学意义（P＞0．05），护理后观察组患者在身体、家庭、认知、情感、社会功能方面评分分别为（57．10±1．10），（53．50±1．50），（55．85±1．67），（52．35±1．87），（51.50±0．50）分，均明显高于对照组的（43．20±0．30），（44．38±1．30），（45．00±1．47），（41．85±1.47），（41．30±0．60）分，差异有统计学意义（t 值分别为3．21，3．08，3．24，3．46，4．03；P ＜0．05）。结论对膀胱肿瘤手术行泌尿造口的患者，综合护理干预能够显著提高患者的依从性和生活质量，值得临床推广。
목적：탐토종합호리간예대방광종류수술행비뇨조구환자생활질량적영향。방법선택모원비뇨외과2009년1월-2011년1월수치적90례방광종류환자，안조수자표법평균분위량조，매조각45례，대조조환자행상규호리，관찰조환자행종합호리간예；비교량조환자적치료의종성、생활질량。결과관찰조환자적의종솔위89％，명현고우대조조적73％，차이유통계학의의（Z＝3．55，P＜0．05）；호리전，량조환자적생활질량평분차이무통계학의의（P＞0．05），호리후관찰조환자재신체、가정、인지、정감、사회공능방면평분분별위（57．10±1．10），（53．50±1．50），（55．85±1．67），（52．35±1．87），（51.50±0．50）분，균명현고우대조조적（43．20±0．30），（44．38±1．30），（45．00±1．47），（41．85±1.47），（41．30±0．60）분，차이유통계학의의（t 치분별위3．21，3．08，3．24，3．46，4．03；P ＜0．05）。결론대방광종류수술행비뇨조구적환자，종합호리간예능구현저제고환자적의종성화생활질량，치득림상추엄。
Objective To observe the effect of comprehensive nursing intervention on quality of life of patients with bladder neoplasm .Methods Ninety patients with urinary bladder tumor , admitted to our hospital from January 2009 to January 2011 , were randomly divided into two groups with 45 cases in each group .The control group was given the routine care , and the observation group was given comprehensive nursing intervention .The treatment compliance and quality of life in the two groups were compared .Results The compliance rate of the observation group was 89%, which was significantly higher than 73%in the control group (Z=3.55,P<0.05).Before the intervention, the quality of life in the two groups had no significant difference (P>0.05).After the intervention, the scores of physical condition, family status, cognition, emotional and social function in the observation group were (57.10 ±1.10), (53.50 ±1.50), (55.85 ±1.67), (52.35 ± 1.87) and (51.50 ±0.50), respectively, which were significantly higher than (43.20 ±0.30), (44.38 ± 1.30), (45.00 ±1.47), (41.85 ±1.47) and (41.30 ±0.60) in the control group.The differences were statistically significant (t =3.21,3.08,3.24,3.46,4.03, respectively;P <0.05).Conclusions The comprehensive care intervention can obtain satisfactory clinical outcome in patients with bladder neoplasm .It can significantly improve patients'compliance and quality of life , and worth of clinical promotion .