延续性护理在膀胱癌术后膀胱灌注化疗中应用研究.docVIP

延续性护理在膀胱癌术后膀胱灌注化疗中应用研究 　　[摘要] 目的 探讨延续性护理在膀胱癌术后膀胱灌注化疗中的应用效果。 方法 选择2013年1月～2015年10月在我院手术治疗的60例膀胱癌患者为研究对象，按照入院单双号分为干预组和对照组，每组30例。对照组给予常规护理，干预组在常规护理基础上给予延续性护理。比较两组干预后的治疗依从性、护理满意度、SF-36生活质量得分。 结果 干预组干预后SF-36生活质量评分各维度得分均显著提高，与干预前比较，差异有统计学意义（P0.01或P0.05）。干预后，干预组SF-36生活质量评分各维度得分显著高于对照组，差异有统计学意义（P0.01或P0.05）。干预后，干预组“依从性好”的比例显著高于对照组，差异有统计学意义（P0.05）；干预组护理满意度得分显著高于对照组，差异有高度统计学意义（P0.01）。 结论 膀胱癌术后膀胱灌注化疗中实施延续性护理能够显著提高患者的治疗依从性，改善患者的生活质量，提高护理满意度。 　　[关键词] 延续性护理；膀胱癌；膀胱灌注；化疗 　　[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2016）23-0135-03 　　[Abstract] Objective To discuss the application of continuous nursing in patients with bladder perfusion chemotherapy after bladder cancer operation. Methods A total of 60 cases with surgical treatment of bladder cancer from Jan 2013 to Oct 2015 were divided into intervention group and control group（each of 30 cases） according to admission number. Control group was nursed with routine nursing， and intervention group was nursed with continuity nursing bases on routine nursing. Treatment compliance， nursing satisfaction， SF-36 quality of life score of two groups were compared. Results After intervention， SF-36 quality of life scores of intervention group were higher than those before intervention（P0.01 or P0.05）； SF-36 quality of life scores of intervention group after intervention were higher than those of control group（P0.01 or P0.05）. Good compliance rate of intervention group after intervention was higher than the control group（P0.05）； Nursing satisfaction score of intervention group was higher than the control group（P0.01）. Conclusion Continuous nursing in patients with bladder perfusion chemotherapy after bladder cancer operation can improve the treatment compliance of patients，improve the quality of life of patients， and improve nursing satisfaction. 　　[Key words] Continuous nursing； Bladder cancer； Bladder instillation； Chemotherapy 　　膀胱癌在泌尿系统疾病的发病率中居首位，且发病率有上升的趋势。经尿道膀胱肿瘤切除术是治疗膀胱癌首选的有效治疗方法，但复发率较高，且复发后部分病例会发展为浸润性膀胱癌。因此术后辅助治疗成为预防患者复发的重要方法[1]。