医学
造口(药)
护理部
康复
显著性差异
干预(咨询)
持续护理
护理
膀胱癌
腹部外科
精神状态
生活质量(医疗保健)
外科
癌症
物理疗法
内科学
精神科
出处
期刊:China Foreign Medical Treatment
日期:2015-01-01
摘要
Objective To observe and analyze the effect of continuing care on bladder cancer patients after abdominal stoma surgery.Methods 100 bladder cancer patients underwent abdominal stoma surgery in the Department of Urology of our hospital from April 2012 to April 2014 were selected as the subjects of this study.The patients were randomly and equally divided into two groups,the control group and the observation group in accordance with the postoperative nursing model given to them.50 cases in the control group were given the conventional postoperative nursing,while 50 cases in the observation group were given continuing care intervention based on the conventional nursing.And the nursing efficacy was observed and compared between the two groups.Results After surgery,compared with the patients in the control group,the 50 cases in the observation group were much better in grasping the health care knowledge about self-monitoring,prevention of complications,dietary knowledge,replacement of ostomy bag and so on with statistically significant difference(P0.05).After postoperative nursing,the observation group had much better ADL,mental state,and Spitzer QOL scores than the control group(P0.05).The nursing satisfaction of the observation group was obviously higher than that of the control group(100.00%vs 88.00%) with statistically significant difference(P0.05).Conclusion For bladder cancer patients underwent abdominal ostomy,conventional nursing combined with continuing care intervention can effectively ensure the postoperative quality of life,improve the postoperative self-care ability and self-protection ability after discharge,enhance the level of rehabilitation with high nursing satisfaction,so it has the value of clinical application.
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