护理干预在老年男性更换膀胱造瘘管患者中的应用分析  

Effect of Nursing Intervention Applied to Elderly Male Patients with Replacement of the Bladder Fistula

作　　者：段光兰[1] 李萌[1] 

机构地区：[1]山东大学附属济南市中心医院泌尿外科门诊,山东济南250013

出　　处：《中外医疗》2016年第1期155-157,共3页China & Foreign Medical Treatment

摘　　要：目的探讨分析护理干预措施在老年男性更换膀胱造瘘管患者中的应用效果。方法整群选取2013年8月—2014年8月期间在该院进行定期更换膀胱造瘘管的老年男性患者,共计100例,随机分成两组即观察组和对照组,观察组50例,采用护理干预,对照组50例,采用常规治疗及护理,对两组老年男性患者护理干预前、护理干预后的效果进行观察比较。结果观察组35例显效,13例好转,总有效率为96%,显著高于对照组(88%)(P<0.05);观察组48例满意,满意率为96%,高于对照组(72%)(P<0.05);两组患者在护理干预前无明显差异,但患者在护理干预3个月、6个月后患者接收治疗时整体状况明显好于对照组(P<0.05);两组患者治疗前证候积分差异无统计学意义(P>0.05);观察组治疗后临床症状积分显著低于对照组(P<0.05);观察组临床证候差值显著高于对照组(P<0.05)。结论老年男性更换膀胱造瘘管患者中采用护理干预效果理想,值得推广应用。Objective To investigate and analyze the effect of nursing intervention applied to elderly men with replacement of the bladder fistula. Methods A total of 100 elderly men replaced the bladder fistula regularly in our hospital from August2013 to August 2014 were randomly divided into two groups, the observation group and the control group, 50 cases in each.The observation group were treated by the nursing intervention, while the control group were treated by the conventional treatment and nursing. And the effects of the two groups were observed and compared before and after nursing. Results In the observation group, the treatment effect was markedly effective in 35 cases, 13 cases were improved, the total effective rate was 96%, significantly higher than that（88%） in the control group（P〈0.05）. In the observation group, 48 cases were satisfied with the nursing, the satisfaction rate was 96%, which was higher than（72%） in the control group（P〈0.05）. There was no significant difference in the conditions of the patients between the two groups before nursing intervention, but the overall conditions of the experimental group 3 months, 6 months after treatment were significantly better than those of the control group（P〈0.05）. Before treatment, the difference in the symptom scores between the two groups was not significant（P〈0.05）;but after treatment, the clinical symptom scores of the observation group were significantly lower than those of the control group（P〈0.05）. The clinical syndrome differentiation of the observation group was significantly higher than that of the control group（P〈0.05）. Conclusion For elderly men with replacement of the bladder fistula, nursing intervention has ideal effect,which is worthy of application and promotion.

关 键 词：老年男性 长期更换膀胱造瘘管 护理干预 

分 类 号：R47[医药卫生—护理学]