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目的探讨护理干预对减少膀胱肿瘤患者术后膀胱灌注并发症的效果。方法选取2015年3月至2015年6月间于中国医科大学附属盛京医院接受治疗的214例膀胱肿瘤患者,采用随机数字表法分为观察组和对照组,每组107例。所有患者于膀胱肿瘤术后行膀胱灌注,疗程为10个月,观察组患者行护理干预,即在常规护理基础上加强心理护理、灌注过程护理、增强健康教育护理,对照组患者采用常规护理。观察并比较两组患者的依从率、并发症发生情况和生活质量。结果观察组患者依从率为94.4%,显著高于对照组的83.2%,差异有统计学意义(P<0.05)。观察组患者并发症发生率为10.3%,对照组为24.3%,差异有统计学意义(P<0.05)。观察组患者护理干预后生活质量六项指标(身体功能、角色功能、情绪功能、认识功能、社会功能、总体健康状态)明显好于对照组,差异有统计学意义(P<0.05)。结论护理干预能够减少膀胱肿瘤术后膀胱灌注患者并发症发生率,提高患者依从率和生活质量。
Objective To investigate the effect of nursing intervention on the postoperative bladder perfusion complication in patients with bladder cancer. Methods A total of 214 patients with bladder cancer treated at Shengjing Hospital affiliated to China Medical University from March 2015 to June 2015 were randomly divided into observation group and control group with 107 cases in each group. All patients underwent bladder irrigation after bladder tumor. The course of treatment was 10 months. The patients in the observation group underwent nursing interventions, that is, psychological nursing and perfusion nursing were strengthened on the basis of routine nursing, and health education nursing was enhanced. Patients in the control group were treated with routine nursing care. Observe and compare the two groups of patients compliance rate, complications and quality of life. Results The compliance rate of patients in the observation group was 94.4%, which was significantly higher than that of the control group (83.2%), the difference was statistically significant (P <0.05). The incidence of complication in observation group was 10.3% and in control group was 24.3%, the difference was statistically significant (P <0.05). The six indicators of quality of life (physical function, role function, emotional function, cognitive function, social function, overall health status) in observation group were significantly better than those in control group after the intervention (P <0.05). Conclusion Nursing intervention can reduce the incidence of postoperative bladder in patients with bladder cancer complications and improve patient compliance and quality of life.