摘要
目的探究奥马哈系统在非肌层浸润性膀胱癌术后灌注化疗患者护理中的应用效果。方法选择2017年1月至2018年5月在本院泌尿外科接受膀胱癌术后灌注化疗的100例非肌层浸润性膀胱癌患者作为研究对象,采用随机数字表法将其分为对照组(50例,常规护理干预)和观察组(50例,常规护理干预+基于奥马哈系统的护理干预)。比较两组的自我护理能力、生活质量、不良反应、灌注化疗间断、复发情况。结果干预后,两组健康知识认知水平、自主概念、自我护理技能、自我责任感评分均升高,且观察组明显高于对照组(P<0.05)。干预后,两组环境、生理功能、心理功能、社会关系评分均升高,且观察组明显高于对照组(P<0.05)。干预期间,观察组化学性膀胱炎、胃肠道反应、灌注化疗间断发生率和肿瘤复发率均低于对照组(P<0.05)。结论奥马哈系统在非肌层浸润性膀胱癌术后灌注化疗患者护理中的应用效果显著,可提高患者的自我护理能力,预防化疗中断和肿瘤复发,进而改善生活质量。
Objective To explore the application effect of Omaha system in nursing of patients with non-muscle invasive bladder cancer undergoing postoperative perfusion chemotherapy.Methods A total of 100 patients with non-muscle invasive bladder cancer who received postoperative perfusion chemotherapy for bladder cancer in urology surgery department of our hospital from January 2017 to May 2018 were selected as the research objects,and the patients were divided into control group(50 cases,routine nursing intervention)and observation group(50 cases,routine nursing intervention+nursing intervention based on the Omaha system)by random number table method.The self-care ability,quality of life,adverse reactions,interruption of perfusion chemotherapy,recurrence were compared between the two groups.Results After the intervention,the scores of health knowledge cognition level,self-concept,self-care skills and self responsibility of the two groups increased,and those in the observation group were significantly higher than the control group(P<0.05).After the intervention,the scores of environment,physical function,psychological function and social relationship in the two groups increased,and those in the observation group were significantly higher than the control group(P<0.05).During the intervention,the incidences of chemical cystitis,gastrointestinal reaction,interruption of perfusion chemotherapy and tumor recurrence rate in the observation group were lower than those in the control group(P<0.05).Conclusion Omaha system in nursing of patients with non-muscle invasive bladder cancer undergoing postoperative perfusion chemotherapy has a significant application effect,it can improve the self-care ability,prevent chemotherapy interruption and tumor recurrence,and improve the quality of life of patients.
作者
刘茜
罗全香
LIU Qian;LUO Quanxiang(Urology Surgery Department,Ankang Central Hospital,Ankang 725000,China;CT Room,Ankang Central Hospital,Ankang 725000,China)
出处
《临床医学研究与实践》
2021年第6期152-155,共4页
Clinical Research and Practice
关键词
非肌层浸润性膀胱癌
灌注化疗
奥马哈系统
non-muscle invasive bladder cancer
perfusion chemotherapy
Omaha system
