CAJ | 학술논문

目的探讨早期护理干预对根治性膀胱全切回肠原位膀胱术后严重并发症发生的影响.方法将30例拟行根治性膀胱全切回肠原位膀胱术患者随机分为干预组和对照组各15例,对照组予常规护理,干预组针对本术式术后可能发生的严重并发症进行术前术后心理疏导、健康教育、充分术前肠道准备、术后严格各管道护理、加强营养支持.比较2组术后严重并发症发生率、置管时间、住院天数.结果干预组术后严重并发症发生率低于对照组,置管时间、住院天数干预组明显少于对照组,2组比较差异有统计学意义.结论早期预见性护理干预可减少根治性膀胱全切回肠原位膀胱术后严重并发症的发生率,缩短住院时间,提高手术的成功率.
목적 탐토조기호리간예대근치성방광전절회장원위방광술후엄중병발증발생적영향.방법 장30례의행근치성방광전절회장원위방광술환자수궤분위간예조화대조조각15례,대조조여상규호리,간예조침대본술식술후가능발생적엄중병발증진행술전술후심리소도、건강교육、충분술전장도준비、술후엄격각관도호리、가강영양지지.비교2조술후엄중병발증발생솔、치관시간、주원천수.결과 간예조술후엄중병발증발생솔저우대조조,치관시간、주원천수간예조명현소우대조조,2조비교차이유통계학의의.결론 조기예견성호리간예가감소근치성방광전절회장원위방광술후엄중병발증적발생솔,축단주원시간,제고수술적성공솔.
Objective To investigate the effect of early nursing intervention on severe complication of radical cystectomy and orthotopic ileal neobladder.Methods A total of 30 patients undergoing radical cystectomy with orthotopic ileal neobladder were randomly divided into the intervention group and the control group with 15 cases in each group,the control group received routine nursing,while the intervention group received psychological counseling,health education,sufficient preoperative preparation,postoperative strict tube care,nutritional support according to the serious complications after operation.The postoperative complications,indwelling time of tubes,hospitalization days between two groups were compared.Results Serious complications rate after surgery of the intervention group was lower than that in the control group.The indwelling time of tubes,length of stay in the intervention group were less than those of the control group,the two groups had significant difference.Conclusions Early predictive nursing intervention can reduce compli-cations rate after radical cystectomy and ileal neobladder,shorten the hospitalization time and improve the success rate of operation.