摘要
目的探讨并分析围手术期护理干预在膀胱全切输尿管皮肤造口术的临床效果及满意度情况。方法选取100例2010年12月至2012年12月收治的膀胱癌术后患者,其中2010年12月至2011年12月收治的50例患者作为对照组,围手术期间采取常规护理措施;2011年12月至2012年12月年收治的50例患者作为试验组,在常规护理的基础上给予护理干预。观察并比较两组患者的护理效果及护理满意度情况。结果两组患者护理后焦虑自评量表(SAS)及抑郁自评量表(SDS)评分较护理前均明显降低,差异有统计学意义(P<0.05);试验组护理后SAS和SDS评分分别为(28.7±5.3)分和(32.8±5.1)分,均明显低于对照组,差异有统计学意义(P<0.05);试验组患者术后1个月的躯体功能、生理功能、社会功能指数与对照组比较,无显著差异(P>0.05);试验组患者术后3个月、6个月的躯体功能、生理功能、社会功能指数分别为(65.6±6.7)分和(70.9±7.7)分、(70.7±5.8)分和(78.3±7.5)分、(77.4±7.6)分和(85.3±8.7)分,均明显高于对照组(均P<0.05);试验组患者护理满意度为100%,明显高于对照组(78.0%),差异有统计学意义(P<0.05)。结论护理干预在膀胱全切输尿管皮肤造口术围手术期的护理效果显著,对患者的心理状态、生活质量均有明显改善,且护理满意度高,值得在临床上广泛应用。
Objective To explore and analyze the nursing interventions perioperative cystectomy ureter skin ostomy in clinical results and satisfaction circumstances. Methods 100 patients with bladder cancer were selected from December 2010- December 2012,50 patients were treated as control group who took the perioperative period routine care measures; 50 Patients were treated as the observation group who received extra nursing intervention. The effects of nursing and patient＇s satisfaction were observed and compared in two groups. Results The SAS,SDS score was significantly lower compared with before in both two groups（ P〈0. 05）; SAS,SDS scores of test group were（ 28. 7 ± 5. 3）,（ 32. 8 ± 5. 1）,which were significantly lower than the control group（ t = 6. 145,6. 856,P〈0. 05）; physical function,social function index of patients in two groups had no significant difference（ P〈0. 05）; while the patients in the test group had higher physical function and social function index（ 65. 6 ± 6. 7）,（ 70. 9 ± 7. 7）,（ 70. 7 ± 5. 8）,（ 78. 3 ± 7. 5）,（ 77. 4 ± 7. 6）,（ 85. 3 ± 8. 7） after three months and six months（ t = 3. 567,4. 798,3. 157,4. 014,3. 489,4. 025,P〈0. 05）; the patients nursing satisfaction is 100% in test group,which was higher than control group（ 78%）（ 2= 12. 36,P〈0. 05）. Conclusions Nursing intervention in perioperative cystectomy ureter skin ostomy had nursing effects which improved patient＇s quality of life,and nursing satisfaction is high,which could be widely used in clinical practice.
出处
《中国肿瘤临床与康复》
2015年第3期359-361,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
