护理干预在老年男性更换膀胱造瘘管患者中的应用分析.docVIP

护理干预在老年男性更换膀胱造瘘管患者中的应用分析 　　[摘要] 目的 探讨分析护理干预措施在老年男性更换膀胱造瘘管患者中的应用效果。方法 整群选取2013年8月―2014年8月期间在该院进行定期更换膀胱造瘘管的老年男性患者，共计100例，随机分成两组即观察组和对照组，观察组50例，采用护理干预，对照组50例，采用常规治疗及护理，对两组老年男性患者护理干预前、护理干预后的效果进行观察比较。结果 观察组35例显效，13例好转，总有效率为96%，显著高于对照组（88%）（P0.05）；观察组治疗后临床症状积分显著低于对照组（P中国论文网 /6/view-7215328.htm 　　[关键词] 老年男性；长期更换膀胱造瘘管；护理干预 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2016）01（a）-0155-03 　　Effect of Nursing Intervention Applied to Elderly Male Patients with Replacement of the Bladder Fistula 　　DUAN Guang-lan， LI Meng 　　Urologic Surgery Clinic， Jinan Central Hospital Affiliated to Shandong University， Jinan， Shandong Province， 250013 China 　　[Abstract] Objective To investigate and analyze the effect of nursing intervention applied to elderly men with replacement of the bladder fistula. Methods A total of 100 elderly men replaced the bladder fistula regularly in our hospital from August 2013 to August 2014 were randomly divided into two groups， the observation group and the control group， 50 cases in each. The observation group were treated by the nursing intervention， while the control group were treated by the conventional treatment and nursing. And the effects of the two groups were observed and compared before and after nursing. Results In the observation group， the treatment effect was markedly effective in 35 cases， 13 cases were improved， the total effective rate was 96%， significantly higher than that（88%） in the control group（P0.05）； but after treatment， the clinical symptom scores of the observation group were significantly lower than those of the control group（P 　　[Key words] Elderly men； Long-term replacement of the bladder fistula； Nursing intervention 　　膀胱造瘘管术使泌尿科常见的尿流改道，通常在耻骨上膀胱切开造口尿流改道，有效解除尿路梗阻，保持了肾脏功能，维持了机体水电解质代谢和内环境平衡[1]。然而，长期留置膀胱造瘘管也给患者带来了不少并发症，患者的自尊心受到了影响、痛域值不同，患者的生活质量随之受到了影响[2]。整群选取2013年8月―2014年8月在该院泌尿外科门诊进行治疗的100例定期更换膀胱造瘘管的老年男性患者，随机分成两组，采用护理干预措施在老年更换旁观造瘘管患者中的应用效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　整群选取2013年8月―2014年8月在该院泌尿外科门诊进行定期更换膀胱造瘘管老年男性患者中，均建立了患者治疗信息表