护理干预对膀胱全切腹壁造口患者生活质量的影响  

Nursing Interventions Affect Quality of Life of Bladder Carcinoma Patients after Radical Cystectomy and Abdominal Stoma

作　　者：熊柱凤[1] 陈炤[1] 汤利萍[1] 吴重阳[1] 罗艳萍[1] 傅斌[1] 易继群[1] 黄娇[1] 傅龙龙[1] 

机构地区：[1]南昌大学第一附属医院泌尿外科三病区,江西省南昌市330006

出　　处：《中国全科医学》2013年第7期767-769,共3页Chinese General Practice

基　　金：江西省卫生厅科技计划项目(20123020)

摘　　要：目的研究护理干预对膀胱全切腹壁造口患者生活质量及社会支持状况的影响。方法将膀胱全切腹壁造口术患者54例随机分为对照组和观察组各27例。对照组采用膀胱全切腹壁造口患者术后常规专业护理措施;观察组在膀胱全切腹壁造口患者术后常规专业护理措施的基础上,进行健康教育、心理干预、循证护理及出院指导等护理干预措施。结果观察组术后6个月及12个月躯体功能指数、生理功能指数、社会功能指数均优于对照组,差异有统计学意义(P<0.05)。观察组社会支持总分、客观支持总分、主观支持总分优于对照组,差异有统计学意义(P<0.01)。结论护理干预能够改善膀胱全切腹壁造口患者的生活质量,促进其生理和心理的舒适,并有效地改善患者的社会支持状况。Objective To assess the effect of nursing interventions on quality of life （QOL） and social support of bladder carcinoma patients after radical cystectomy and abdominal stoma. Methods Fifty - four bladder carcinoma patients who had undergone radical cystectomy and abdominal stoma were divided into the observation group and the control group. The control group was given routine nursing care after the operation. The observation group was given routing nursing care plus health education, psychological intervention, evidence - based nursing care and hospital discharge guide. Results Six and twelve months after the operation, the somatic, physiological, and social function indices of the observation group were higher than that of the control group （P 〈 0. 05） ; total scores of social support, objective support, and subjective support of the observation group were higher than that of the control group （P 〈 0. 01 ） . Conclusion Nursing interventions can improve the QOL of patients after radical cystectomy and abdominal stoma, promote their physical and psychological comfort and social support.

关 键 词：护理干预 膀胱切除术 腹壁造口 生活质量 社会支持 

分 类 号：R473[医药卫生—护理学]