摘要
目的探讨自我护理干预对膀胱癌尿流改道腹壁造口术患者预后及心理调节的影响。方法选取2016年6月至2018年6月本院泌尿外科的40例膀胱癌患者为研究对象,将其随机分为观察组与对照组,各20例。对照组给予常规护理,观察组给予自我护理干预。比较两组患者护理干预前、出院当天及出院6个月后对尿路造口相关知识的认知度、实践技能的掌握程度、心理接受程度及造口术并发症发生情况。结果出院6个月后,观察组尿路造口相关知识的认知度及实践技能的掌握程度均高于对照组,差异有统计学意义(P<0.05);出院后6个月,观察组患者心理接受程度优于干预前,且观察组优于对照组(P<0.05);观察组并发症的发生率为0.00%,低于对照组的35.00%(P<0.05)。结论自我护理干预采用理论结合实际操作的模式,不仅能提高膀胱癌尿流改道腹壁造口术患者对尿路造口相关知识的认知度、实践技能的掌握程度及心理接受程度,还能有效降低造口术并发症的发生率。
Objective To explore the effect of self-nursing intervention on prognosis and psychological adjustment of patients with bladder cancer undergoing urinary diversion abdominal wall ostomy. Methods Forty patients with bladder cancer from June 2016 to June 2018 were selected as the study objects and divided into observation group and control group randomly, with 20 cases in each group. The control group was given routine nursing, while the observation group was given self-nursing intervention. The awareness of knowledge about urostomy, mastery of practical skills, psychological acceptance and occurrence of complications of urostomy were compared between the two groups before nursing intervention,at discharge day and 6 months after discharge. Results Six months after discharge, the awareness of knowledge and practical skills related to urostomy in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). Six months after discharge, the psychological acceptance of the observation group was better than that before intervention, and that of the observation group was better than the control group( P < 0.05). The incidence of complications in the observation group was 0.00%, which was lower than 35.00% in the control group(P <0.05). Conclusion The mode of combining theory with practice in self-nursing intervention can not only improve the awareness of urinary tract stoma related knowledge, mastery of practical skills and psychological acceptance of patients with bladder cancer undergoing urinary diversion abdominal wall stoma, but also effectively reduce the incidence of complications of urinary diversion abdominal wall stoma.
作者
尹淑婷
叶珍妮
王俊
杨明莹
YIN Shu-ting;YE Zhen-ni;WANG Jun;YANG Ming-ying(No.3 Ward of Urinary Surgery Department, Second Affiliated Hospital of Kunming Medical University, Kunming 650000, China;No.1 Ward of Urinary Surgery Department, Second Affiliated Hospital of Kunming Medical University, Kunming 650000, China;Nursing Department, Second Affiliated Hospital of Kunming Medical University, Kunming 650000, China)
出处
《临床医学研究与实践》
2019年第17期167-169,共3页
Clinical Research and Practice
关键词
膀胱癌
尿流改道
腹壁造口术
自我护理
bladder cancer
urinary diversion
abdominal wall stoma
self-nursing
