中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
18期
2225-2228
,共4页
董春琴%傅文珍%傅亚飞%翁东
董春琴%傅文珍%傅亞飛%翁東
동춘금%부문진%부아비%옹동
非肌层浸润性膀胱移行细胞癌%生活质量%综合护理干预%护理满意度
非肌層浸潤性膀胱移行細胞癌%生活質量%綜閤護理榦預%護理滿意度
비기층침윤성방광이행세포암%생활질량%종합호리간예%호리만의도
Non-muscle invasive bladder cancer%Comprehensive nursing intervention%Quality of life%Nursing satisfaction
目的：探讨综合护理干预在非肌层浸润性膀胱移行细胞癌患者术后的应用效果，为患者的术后治疗和康复提供有效的护理措施。方法将109例非肌层浸润性膀胱移行细胞癌患者随机分为观察组59例和对照组50例。对照组采用术后一般护理、膀胱冲洗护理、膀胱灌注化疗护理、术后并发症知识宣教等护理措施；观察组在此基础上给予综合护理干预措施。观察两组的治疗效果和术后不良反应的发生情况。采用SF-36健康调查得表（ SF-36）评估患者术后生活质量，采用焦虑自评量表（ SAS ）、抑郁自评量表（ SDS）评价患者心理状态，采用自制调查表调查护理满意度。结果两组患者手术均成功，术后随访时间（26．1±7．8）个月。观察组术后复发率20．3％（12/59）；对照组术后复发率18．0％（9/50），两组患者术后复发率差异无统计学意义（χ2＝1．237，P＞0．05）。观察组术后不良反应发生率为25．4％（15/59），对照组为30．0％（15/50），两组比较差异无统计学意义（χ2＝2．301，P＞0．05）。护理干预后观察组的SF-36量表生活质量总分为（596．1＋113．4）分，高于对照组（512．4＋109．9）分，差异有统计学意义（t＝7．926，P＜0．05）；SF-36量表中TH、RP、MH、VT、RE、SF6项的评分结果均高于对照组，差异有统计学意义（t值分别为4．596，5．028，5．137，5．918，7．009，6．402；P＜0．05）；护理干预后两组的SDS、SAS量表评分结果均低于本组护理前，差异有统计学意义（t＝5．891，4．013；P＜0．05）；护理后观察组的SDS、SAS量表评分均低于对照组，差异有统计学意义（t＝3．815，4．202；P＜0．05）。观察组的护理满意度为93．2％（55/59），高于对照组72．0％（36/50），差异有统计学意义（U＝4．716，P＜0．05）。结论采用综合护理措施可有效提高非肌层浸润性膀胱移行细胞癌患者的术后生活质量、心理状态和护理满意度。
目的：探討綜閤護理榦預在非肌層浸潤性膀胱移行細胞癌患者術後的應用效果，為患者的術後治療和康複提供有效的護理措施。方法將109例非肌層浸潤性膀胱移行細胞癌患者隨機分為觀察組59例和對照組50例。對照組採用術後一般護理、膀胱遲洗護理、膀胱灌註化療護理、術後併髮癥知識宣教等護理措施；觀察組在此基礎上給予綜閤護理榦預措施。觀察兩組的治療效果和術後不良反應的髮生情況。採用SF-36健康調查得錶（ SF-36）評估患者術後生活質量，採用焦慮自評量錶（ SAS ）、抑鬱自評量錶（ SDS）評價患者心理狀態，採用自製調查錶調查護理滿意度。結果兩組患者手術均成功，術後隨訪時間（26．1±7．8）箇月。觀察組術後複髮率20．3％（12/59）；對照組術後複髮率18．0％（9/50），兩組患者術後複髮率差異無統計學意義（χ2＝1．237，P＞0．05）。觀察組術後不良反應髮生率為25．4％（15/59），對照組為30．0％（15/50），兩組比較差異無統計學意義（χ2＝2．301，P＞0．05）。護理榦預後觀察組的SF-36量錶生活質量總分為（596．1＋113．4）分，高于對照組（512．4＋109．9）分，差異有統計學意義（t＝7．926，P＜0．05）；SF-36量錶中TH、RP、MH、VT、RE、SF6項的評分結果均高于對照組，差異有統計學意義（t值分彆為4．596，5．028，5．137，5．918，7．009，6．402；P＜0．05）；護理榦預後兩組的SDS、SAS量錶評分結果均低于本組護理前，差異有統計學意義（t＝5．891，4．013；P＜0．05）；護理後觀察組的SDS、SAS量錶評分均低于對照組，差異有統計學意義（t＝3．815，4．202；P＜0．05）。觀察組的護理滿意度為93．2％（55/59），高于對照組72．0％（36/50），差異有統計學意義（U＝4．716，P＜0．05）。結論採用綜閤護理措施可有效提高非肌層浸潤性膀胱移行細胞癌患者的術後生活質量、心理狀態和護理滿意度。
목적：탐토종합호리간예재비기층침윤성방광이행세포암환자술후적응용효과，위환자적술후치료화강복제공유효적호리조시。방법장109례비기층침윤성방광이행세포암환자수궤분위관찰조59례화대조조50례。대조조채용술후일반호리、방광충세호리、방광관주화료호리、술후병발증지식선교등호리조시；관찰조재차기출상급여종합호리간예조시。관찰량조적치료효과화술후불량반응적발생정황。채용SF-36건강조사득표（ SF-36）평고환자술후생활질량，채용초필자평량표（ SAS ）、억욱자평량표（ SDS）평개환자심리상태，채용자제조사표조사호리만의도。결과량조환자수술균성공，술후수방시간（26．1±7．8）개월。관찰조술후복발솔20．3％（12/59）；대조조술후복발솔18．0％（9/50），량조환자술후복발솔차이무통계학의의（χ2＝1．237，P＞0．05）。관찰조술후불량반응발생솔위25．4％（15/59），대조조위30．0％（15/50），량조비교차이무통계학의의（χ2＝2．301，P＞0．05）。호리간예후관찰조적SF-36량표생활질량총분위（596．1＋113．4）분，고우대조조（512．4＋109．9）분，차이유통계학의의（t＝7．926，P＜0．05）；SF-36량표중TH、RP、MH、VT、RE、SF6항적평분결과균고우대조조，차이유통계학의의（t치분별위4．596，5．028，5．137，5．918，7．009，6．402；P＜0．05）；호리간예후량조적SDS、SAS량표평분결과균저우본조호리전，차이유통계학의의（t＝5．891，4．013；P＜0．05）；호리후관찰조적SDS、SAS량표평분균저우대조조，차이유통계학의의（t＝3．815，4．202；P＜0．05）。관찰조적호리만의도위93．2％（55/59），고우대조조72．0％（36/50），차이유통계학의의（U＝4．716，P＜0．05）。결론채용종합호리조시가유효제고비기층침윤성방광이행세포암환자적술후생활질량、심리상태화호리만의도。
Objective To find out the efficacy of postoperative care of patients with non-muscle invasive bladder transitional cell carcinoma and to provide effective interventions for the treatment and rehabilitation of patients after surgery .Methods 109 patients with non-muscle invasive bladder transitional cell carcinoma were randomly divided into the observation group (59 cases) and the control group (50 cases).The control group was cared with the measures included postoperative general nursing intervention , bladder irrigation, intravesical chemotherapy , postoperative complication nursing .Based on these nursing interventions , the observation group was treated with integrated care measures .Patients’ quality of life, mental state and depression were assessed by the Short Form 36 ( SF-36 ) , Self-rating Anxiety Scale ( SAS ) and Self-rating Depression Scale ( SDS), respectively.Nursing satisfaction was investigated by self-made questionnaire. Results Two groups of patients were successfully operated .The postoperative follow-up period was ( 26 .1 ±7.8) months.Recurrence rate of the observation group and the control group were 20.3%(12/59) and 18.0%(9/50), respectively, showed no significant difference (χ2 =1.237,P>0.05).Postoperative incidence of adverse events of observation group and the control group were 25.4% (15/59) and 30.0% (15/50), respectively, showed no significant difference (χ2 =2.301,P>0.05).The SF-36 scores of TH, RP, MH, VT, RE, SF for the observation group were significantly higher ( t =4.596,5.028,5.137,5.918,7.009, 6.402, respectively;P<0.05) than those in the control group .After integrated care measures , the SDS and SAS scores of both groups were significantly lower than before (t=5.891,4.013, respectively;P<0.05).And the SDS and SAS scores in the observation group were significantly lower than those in the control group ( t=3.815,4.202, respectively;P<0.05).Satisfaction with nursing for the observation group was 93.2%(55/59) and 72.0% (36/50) for the control group.There was a significant difference (U =4.716,P <0.05). Conclusions Integrated care measures can effectively improve the quality of life , mental status, and nursing satisfaction of patients with non-muscle invasive bladder transitional cell carcinoma after surgery .
