CAJ | 학술논문

目的探讨膀胱功能训练对原位乙状结肠代膀胱术后患者生活质量及心理状态的影响。方法将行膀胱全切原位乙状结肠代膀胱术患者60例随机分为实验组和对照组，实验组进行系统新膀胱功能训练，对照组行普通膀胱功能训练，分别采用生活质量量表、焦虑自评量表（SAS）和抑郁自评量表（SDS）对两组患者的生活质量及心理状况进行评价。结果经3个月的护理干预后，实验组昼夜控尿情况均优于对照组，尿失禁发生率少于对照组；两组患者SAS和SDS评分结果比较差异有统计学意义（<0.05），术后3个月生活质量评价统计学意义显著（<0.05）。结论采用系统新膀胱训练方法对行原位乙状结肠代膀胱手术治疗的患者进行训练，可以有效提高控尿和排尿能力，改善患者的心理状态，提高患者生活质量。
목적탐토방광공능훈련대원위을상결장대방광술후환자생활질량급심리상태적영향。방법장행방광전절원위을상결장대방광술환자60례수궤분위실험조화대조조，실험조진행계통신방광공능훈련，대조조행보통방광공능훈련，분별채용생활질량량표、초필자평량표（SAS）화억욱자평량표（SDS）대량조환자적생활질량급심리상황진행평개。결과경3개월적호리간예후，실험조주야공뇨정황균우우대조조，뇨실금발생솔소우대조조；량조환자SAS화SDS평분결과비교차이유통계학의의（<0.05），술후3개월생활질량평개통계학의의현저（<0.05）。결론채용계통신방광훈련방법대행원위을상결장대방광수술치료적환자진행훈련，가이유효제고공뇨화배뇨능력，개선환자적심리상태，제고환자생활질량。
Objective To explore the influence of new system bladder function training on the life quality and psychological status for the patients after in situ sigmoid generation bladder operation. Methods 60 patients after bladder ful cut in situ sigmoid generation bladder operation were randomly divided into test group and control group. Test group trained by new system bladder function training methods while control group trained by general methods. to evaluate the quality of life and psychological status of the two groups by quality of life scale, self rating Anxiety Scale (SAS) and self rating Depression Scale (SDS).Results After 3 months of nursing intervention,the incidence of day and night accused of urine of test group was bet er than those of control group, the urinary incontinence were lower than that of control group. There was significant dif erent between the two groups on the score of SAS and SDS ( <0.05), the same to the result of quality of life ( <0.05). Conclusion The new system bladder training method of orthotopic sigmoid colon bladder surgery patients can ef ectively improve the continence and micturition ability, improve the psychological status and the quality of life of the patients.