Nursing care of patients on bladder cancer.doc

Nursing care of patients on bladder cancer [Abstract] urinary bladder cancer is the most common tumors, and most of malignant tumors. Β-naphthylamine, benzidine and other chemical carcinogens and its effect on urinary metabolites and endogenous tryptophan metabolism, is Bladder cancer occurs two main reasons. smoking, excessive drinking of coffee, chronic bladder infections and bladder tumor formation. bladder tumors, including epithelial and non-epithelial tissue from two tumors, 98% of the tumors derived from epithelial tissue, which accounted for 95% of transitional cell carcinoma. male incidence of 3 to 4 times higher than women, 51 to 70 years the highest incidence of 58%. Painless gross hematuria is the most common clinical symptoms, the tumor near the bladder neck can cause difficulty urinating and urinary retention, ureteral tumors around the mouth can cause ipsilateral hydronephrosis. Cystoscopy can identify the nature of the tumor, size, location and quantity. CT, B provides extra fine .15% of the initial diagnostic data from the upper urinary bladder tumor is transitional cell swelling due to metastasis, it must be for the bladder tumor patients intravenous urography to rule out the urinary tract. surgical treatment is the preferred method of bladder cancer, including transurethral resection of bladder tumor, partial cystectomy and total cystectomy. Recurrence of bladder tumor is easily, so keep the bladder in patients after 2 consecutive years-line intravesical therapy, every 3 months, cystoscopy 1. Urinary diversion after cystectomy with ureteral or intestinal skin fistula alternative in two ways. patients with advanced unresectable consider radiotherapy, chemotherapy or interventional therapy, efficacy is poor. [Keywords:] bladder cancer patient care 1. Preoperative care ① cancer patients have different levels of preoperative fear and anxiety, nurses should relieve the tension of patients, encourage patients to establish the confide