中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
17期
144-146
,共3页
连续性护理%膀胱癌腹壁造口术%术后病人护理
連續性護理%膀胱癌腹壁造口術%術後病人護理
련속성호리%방광암복벽조구술%술후병인호리
Continuing care%Abdominal ostomy for bladder cancer%Postoperative patient care
目的：观察分析连续性护理措施在膀胱癌腹壁造口术后病人护理中的护理效果。方法随机选取该院泌尿外科2012年4月-2014年4月期间接收进行腹壁造口术治疗的100例膀胱癌患者作为护理研究对象，根据术后护理方式的不同随机均分为两个护理小组，分别为对照组与观察组，对照组50例患者进行常规术后护理，观察组50例患者在常规护理的基础上加强连续性护理干预措施，观察对比两个护理小组患者的护理效果。结果观察组50例患者在术后自我监测、并发症预防、饮食知识以及造口袋更换等方面的医疗卫生知识掌握情况明显优于对照组，差异具有统计学意义(P<0.05)；观察组患者术后经过护理日常生活能力与精神状态等Spitzer生存质量评分明显优于对照组，差异具有统计学意义(P<0.05)；观察组患者护理满意度(100.00%)明显高于对照组(88.00%)，差异具有统计学意义(P<0.05)。结论在膀胱癌患者腹壁造口术术后临床护理中在常规护理的基础上加强连续性护理干预措施能够有效保证患者术后的生活质量，可以提高患者术后的生活自理以及出院后的自护能力，提高康复效果，达到较高的护理满意度，因此具有临床推广应用的价值。
目的：觀察分析連續性護理措施在膀胱癌腹壁造口術後病人護理中的護理效果。方法隨機選取該院泌尿外科2012年4月-2014年4月期間接收進行腹壁造口術治療的100例膀胱癌患者作為護理研究對象，根據術後護理方式的不同隨機均分為兩箇護理小組，分彆為對照組與觀察組，對照組50例患者進行常規術後護理，觀察組50例患者在常規護理的基礎上加彊連續性護理榦預措施，觀察對比兩箇護理小組患者的護理效果。結果觀察組50例患者在術後自我鑑測、併髮癥預防、飲食知識以及造口袋更換等方麵的醫療衛生知識掌握情況明顯優于對照組，差異具有統計學意義(P<0.05)；觀察組患者術後經過護理日常生活能力與精神狀態等Spitzer生存質量評分明顯優于對照組，差異具有統計學意義(P<0.05)；觀察組患者護理滿意度(100.00%)明顯高于對照組(88.00%)，差異具有統計學意義(P<0.05)。結論在膀胱癌患者腹壁造口術術後臨床護理中在常規護理的基礎上加彊連續性護理榦預措施能夠有效保證患者術後的生活質量，可以提高患者術後的生活自理以及齣院後的自護能力，提高康複效果，達到較高的護理滿意度，因此具有臨床推廣應用的價值。
목적：관찰분석련속성호리조시재방광암복벽조구술후병인호리중적호리효과。방법수궤선취해원비뇨외과2012년4월-2014년4월기간접수진행복벽조구술치료적100례방광암환자작위호리연구대상，근거술후호리방식적불동수궤균분위량개호리소조，분별위대조조여관찰조，대조조50례환자진행상규술후호리，관찰조50례환자재상규호리적기출상가강련속성호리간예조시，관찰대비량개호리소조환자적호리효과。결과관찰조50례환자재술후자아감측、병발증예방、음식지식이급조구대경환등방면적의료위생지식장악정황명현우우대조조，차이구유통계학의의(P<0.05)；관찰조환자술후경과호리일상생활능력여정신상태등Spitzer생존질량평분명현우우대조조，차이구유통계학의의(P<0.05)；관찰조환자호리만의도(100.00%)명현고우대조조(88.00%)，차이구유통계학의의(P<0.05)。결론재방광암환자복벽조구술술후림상호리중재상규호리적기출상가강련속성호리간예조시능구유효보증환자술후적생활질량，가이제고환자술후적생활자리이급출원후적자호능력，제고강복효과，체도교고적호리만의도，인차구유림상추엄응용적개치。
Objective To observe and analyze the effect of continuing care on bladder cancer patients after abdominal stoma surgery. Methods 100 bladder cancer patients underwent abdominal stoma surgery in the Department of Urology of our hospital from April 2012 to April 2014 were selected as the subjects of this study. The patients were randomly and equally divided into two groups, the control group and the observation group in accordance with the postoperative nursing model given to them. 50 cases in the control group were given the conventional postoperative nursing, while 50 cases in the observation group were given continuing care intervention based on the conventional nursing. And the nursing efficacy was observed and compared between the two groups. Results After surgery, compared with the patients in the control group, the 50 cases in the observation group were much better in grasping the health care knowledge about self-monitoring, prevention of complications, dietary knowledge, replacement of ostomy bag and so on with statistically significant difference (P<0.05). After postoperative nursing, the observation group had much better ADL, mental state, and Spitzer QOL scores than the control group (P<0.05). The nursing satisfaction of the observation group was obviously higher than that of the control group (100.00%vs 88.00%) with statistically significant difference (P<0.05). Conclusion For bladder cancer patients underwent abdominal ostomy, conventional nursing combined with continuing care intervention can ef-fectively ensure the postoperative quality of life, improve the postoperative self-care ability and self-protection ability after dis-charge, enhance the level of rehabilitation with high nursing satisfaction, so it has the value of clinical application.
