摘要
目的探讨临床护理路径在规范膀胱癌患者术后膀胱灌注化疗中的应用效果。方法选择于2022年1月至2023年12月入住江苏省太仓市第一人民医院的非肌层浸润性膀胱癌术后行膀胱灌注化疗的60例患者作为研究对象,采用随机数字表法将患者分为常规组和路径组,每组30例。常规组予以常规护理,路径组在常规组基础上采用临床护理路径,责任护士根据临床护理路径对患者进行灌注前、灌注中、灌注后宣教,指导患者参与到灌注自我安全管理中。比较两组患者的灌注知识掌握情况、依从性、化疗药物保留时间以及灌注后不良反应的发生率。结果路径组患者灌注前、灌注中、灌注后知识掌握率分别为46.67%(14/30)、63.33%(19/30)、86.67%(26/30),均高于常规组的13.33%(4/30)、33.33%(10/30)、63.33%(19/30),差异有统计学意义(P<0.05)。路径组患者的依从性高于常规组(P<0.05)。路径组患者化疗药物保留时间达标率85.33%(25/30),高于常规组的60.00%(18/30),差异有统计学意义(P<0.05)。护理后,常规组不良反应发生率为30.00%(9/30),路径组为10.00%(3/30),两组比较差异无统计学意义(P>0.05)。结论采用临床护理路径对膀胱癌术后行膀胱灌注患者进行护理干预,能规范临床操作,提高患者对灌注知识的掌握度、提升依从性以延长化疗药物保留时间,减少灌注后不良反应的发生。
Objective To evaluate the application effects of clinical nursing pathways in standardizing postoperative bladder instillation of intravesical chemotherapy for bladder cancer patients.Methods Sixty patients who underwent bladder intravesical chemotherapy after non-muscle invasive bladder cancer surgery at the First People's Hospital of Taicang City,Jiangsu Province,from January 2022 to December 2023were selected as study subjects.The patients were randomly divided into a routine group and a pathway group using a random number table method,with 30 patients in each group.The routine group received standard care,while the pathway group utilized clinical nursing pathways based on the routine group's regimen.Responsible nurses used these pathways to educate patients before,during,and after the instillation,guiding them in self-management of safety during the treatment.The study compared the two groups in terms of their knowledge of instillation procedures,compliance,retention time of chemotherapy drugs,and the incidence of adverse reactions post-instillation.Results The pathway group showed higher rates of knowledge acquisition before,during,and after the instillation at 46.67%(14/30),63.33%(19/30)and 86.67%(26/30),respectively,compared to 13.33%(4/30),33.33%(10/30),63.33%(19/30)in the routine group,with statistically significant differences(P<0.05).The compliance of the pathway group was significantly higher than that of the routine group.The standard achievement rate for chemotherapy drug retention time in the pathway group was 85.33%(25/30),higher than60.00%(18/30)in the routine group,with significant differences(P<0.05).The incidence of adverse reactions post-treatment was 30.00%(9/30)in the routine group,and it was 10.00%(3/30)in the pathway group,while the difference between the two groups was not statistically significant(P>0.05).Conclusions Utilizing clinical nursing pathways for nursing interventions in patients undergoing bladder instillation after bladder cancer surgery can standardize clinical operations,i
作者
秦琳
吴静
袁慧婷
马俊杰
Qin Lin;Wu Jing;Yuan Huiting;Ma Junjie(Department of Urology,the First People's Hospital of Taicang,Jiangsu Province,Suzhou,Jiangsu 215400 China)
出处
《泌尿外科杂志（电子版）》
2024年第4期75-78,共4页
Journal of Urology for Clinicians(Electronic Version)
基金
苏州市科教兴卫青年科技项目(KJXW2023071)。
关键词
临床护理路径
膀胱癌
膀胱灌注化疗
依从性
不良反应
Clinical nursing pathways
Bladder cancer
Bladder instilation chemotherapy
Compliance
Adverse reactions
