摘要
目的：探讨延续性护理干预对膀胱癌术后膀胱造口患者生活质量的影响。方法：将我院2014年1月-2015年12月收治的膀胱全切术患者60例等分为观察组和对照组,对照组出院后进行常规护理,观察组出院后在常规护理的基础上进行延续性护理。比较两组患者出院后饮食知识、并发症预防、造口袋更换、自我检测及活动方案等膀胱造口相关健康知识的掌握情况,于出院时及出院6,12个月采用生活质量综合评定表调查两组患者的生活质量,并采用社会支持评定量表分别评定两组患者的社会支持。结果：观察组饮食知识、并发症预防及造口袋更换等膀胱造口的相关健康知识掌握情况均好于对照组（P〈0.05）;两组患者出院6个月和出院12个月时,生活质量综合评定表中的功能量表各项评分均升高（P〈0.05）,而症状量表各项评分均降低（P〈0.05）,且观察组的功能量表各项评分在两个时间点均高于对照组（P〈0.05）,而症状量表各项评分均低于对照组（P〈0.05）;观察组社会支持总分均高于对照组（P〈0.05）。结论：延续性护理能提高膀胱癌术后膀胱造口患者的自护能力,以及改善其心理、生理、躯体等状况,提高社会支持和生活质量,对膀胱癌术后膀胱造口患者的康复治疗具有重要的价值。
Objective： To explore the effect of continuous nursing intervention on the quality of life of patients with bladder stoma after bladder cancer surgery.Methods： Selected 60 patients with total cystectomy operation in our hospital from January 2014 to December 2015 and divided them into observation group and control group. The patients in the control group were followed up by routine nursing,and the patients in the observation group were treated with continuous nursing intervention on the basis of routine nursing. The knowledge of bladder stoma related to health,such as dietary knowledge,complication prevention,pouch replacement,self- test and activity program were compared between the two groups. At the time of discharge and 6 and 12 months after the discharge,the quality of life of the two groups were assessed by the comprehensive quality of life scale,and the social support of the two groups of patients were assessed by social support rating scale. Results： The master of health knowledge of related to bladder stoma such as diet knowledge,prevention of complications and ostomy bag replacement in the observation group was better than that in the control group（ P〈0.05）. At the 6th month and 12 th month after discharge,scores of function in the questionnaire of the two groups increase（ P〈0.05）. The scores of the symptom scale of the two groups decreased（ P〈0.05）. The functional scale of the observation group was significantly higher than that of the control group（ P〈0.05）. The scores of symptom scale of the observation group were lower than those of control group（ P〈0.05）. The total score of social support in the observation group was higher than that in the control group（ P〈0.05）. Conclusion： Continual nursing can improve the self- care ability of patients with bladder stoma after bladder cancer operation and their psychological and physical conditions. It can improve the social support and quality of life of the patients. Therefore it has a crucial value to the rehabilit
出处
《护理实践与研究》
2016年第22期11-14,共4页
Nursing Practice and Research
关键词
延续性护理
膀胱造口
生活质量综合评定表
生活质量
Continual nursing
Bladder stoma
Comprehensive quality of life scale
Quality of life
