摘要
目的探讨基于信息-动机-行为技巧(IMB)模型的护理干预对浸润性膀胱癌膀胱全切尿流改道腹壁造口患者并发症及生活质量的影响。方法选择2017年6月至2019年6月在本院行膀胱全切尿流改道腹壁造口手术的100例浸润性膀胱癌患者作为研究对象,采用随机抽签法将其分为对照组和研究组,各50例。对照组给予常规护理干预,研究组在对照组基础上给予基于IMB模型的护理干预。比较两组的造口自我护理能力、并发症发生情况和生活质量评分。结果干预后,两组造口认知、造口装置拆装、造口周围皮肤护理、尿袋排空、底盘修剪评分均高于干预前,且研究组高于对照组(P<0.05)。研究组并发症总发生率低于对照组(P<0.05)。干预后,两组功能领域、特异性条目评分均高于干预前,症状领域评分低于干预前,且研究组优于对照组(P<0.05)。结论基于IMB模型的护理干预可提高浸润性膀胱癌膀胱全切尿流改道腹壁造口患者造口自我护理能力,减少术后并发症,提高生活质量。
Objective To explore the effects of nursing intervention based on information motivation behavior(IMB)model on the complications and quality of life of patients with invasive bladder cancer undergoing total cystectomy and urinary diversion with abdominal stoma.Methods A total of 100 patients with invasive bladder cancer who underwent total cystectomy and urinary diversion with abdominal stoma in our hospital from June 2017 to June 2019 were selected as the research objects,and the patients were divided into control group and study group by random lottery,with 50 cases in each group.The control group was given routine nursing intervention,and the study group was given nursing intervention based on IMB model on the basis of the control group.The stoma self-care ability,complications and quality of life scores between the two groups were compared.Results After intervention,the scores of stoma cognition,stoma device disassembly,skin care around stoma,urine bag emptying and chassis pruning in the two groups were higher than those before intervention,and those in the study group were higher than the control group(P<0.05).The total incidence of complications in the study group was lower than that in the control group(P<0.05).After intervention,the scores of functional areas and specific items in the two groups were higher than those before intervention,and the scores of symptom areas in the two groups were lower than those before intervention,and those in the study group were better than the control group(P<0.05).Conclusion Nursing intervention based on IMB model can improve the stoma self-care ability reduce postoperative complications and improve the quality of life of patients with invasive bladder cancer undergoing total cystectomy and urinary diversion with abdominal stoma.
作者
罗全香
刘茜
LUO Quanxiang;LIU Qian(CT Room,Ankang Central Hospital,Ankang 725000,China;Urology Surgery Department,Ankang Central Hospital,Ankang 725000,China)
出处
《临床医学研究与实践》
2021年第7期153-155,共3页
Clinical Research and Practice
关键词
浸润性膀胱癌
尿流改道
腹壁造口
生活质量
invasive bladder cancer
urinary diversion
abdominal stoma
quality of life
