摘要
目的探讨加速康复外科理念在膀胱癌术后患者中的应用效果。方法依据干预方法的不同将92例膀胱癌患者分为对照组(n=45)和观察组(n=47),对照组患者给予常规护理干预,观察组患者给予加速康复外科理念干预。比较两组患者的术后恢复情况、负性情绪[修订焦虑自评量表中文版(SAS-CR)、抑郁自评量表(SDS)]、生活质量[癌症患者生命质量测定量表共性模块(FACT-G)]、护理满意度和并发症发生情况。结果观察组患者术后切口愈合、造口敷料干燥、生命体征平稳、排尿通畅率均高于对照组,差异均有统计学意义(P<0.05)。干预后,两组患者SAS-CR、SDS评分均低于本组干预前,且观察组患者SAS-CR、SDS评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组患者FACT-G量表各维度评分均高于本组干预前,且观察组患者FACT-G量表各维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者对护理人员的服务态度、健康宣教、操作技能、出院指导满意度评分均明显高于对照组,差异均有统计学意义(P<0.01)。观察组患者术后尿瘘、血块蓄积、尿路感染、尿失禁发生率均低于对照组,差异均有统计学意义(P<0.05)。结论加速康复外科理念可促进膀胱癌患者的术后康复,减少术后并发症,改善负性情绪,提高生活质量和护理满意度。
Objective To explore the application effect of enhanced recovery after surgery(ERAS)concept in postoperative patients with bladder cancer.Method A total of 92 patients with bladder cancer were divided into control group(n=45)and observation group(n=47)according to different intervention methods.Patients in the control group were given routine nursing intervention,and patients in the observation group were given intervention based on the idea of ERAS.The postoperative recovery,negative emotion[Chinese revised edition self-rating anxiety scale(SAS-CR),self-rating depression scale(SDS)],quality of life[functional assessment of cancer therapy-general(FACT-G)],nursing satisfaction,and complications were compared between the two groups.Result The postoperative incision healing,stoma dressing dryness,stable vital signs,and unobstructed urination rate in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the SAS-CR and SDS scores of the two groups were lower than those before the intervention,the scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of each dimension of the FACT-G scale in the two groups were higher than those before the intervention,and the scores of each dimension of the FACT-G scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The service attitude,health education,operation skills,and discharge guidance satisfaction scores in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.01).The incidences of postoperative urinary fistula,blood clot accumulation,urinary tract infection,and urinary incontinence in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclus
作者
陈海燕
黄炳琴
张庆
CHEN Haiyan;HUANG Bingqin;ZHANG Qing(Department of Urology Surgery,Zhumadian Central Hospital,Zhumadian 463000,He’nan,China)
出处
《癌症进展》
2023年第4期446-450,共5页
Oncology Progress
关键词
膀胱癌
加速康复外科
生活质量
bladder cancer
enhanced recovery after surgery
quality of life
