持续心理护理在腹腔镜膀胱全切术患者围手术期中的应用  

Application of Continuous Psychological Care to Patients Undergoing Laparoscopic Radical Cystectomy during the Perioperative Phase

作　　者：杜丽英[1] 李鑫[1] 倪银娥[2] 苏灵芝[3] 冯艳慧[4] 

机构地区：[1]包头市肿瘤医院,内蒙古包头014030 [2]包头市中心医院 [3]包头医学院第一附属医院 [4]内蒙古包钢医院

出　　处：《西部中医药》2016年第12期120-122,共3页Western Journal of Traditional Chinese Medicine

摘　　要：目的:探讨持续心理护理在腹腔镜膀胱全切术患者围手术期中的应用方法与效果。方法:将72例患者随机分为观察组与对照组各36例,2组都给予腹腔镜膀胱全切术,对照组在围手术期给予常规护理,观察组除常规护理外,再给予持续心理护理,观察2组预后恢复情况。结果:2组肛门排气时间及术后卧床时间比较,差异有统计学意义(P<0.05)。并发症发生率观察组为5.56%,对照组为27.78%,2组比较差异有统计学意义(P<0.05)。护理总满意率观察组为97.2%,对照组为83.2%,2组比较差异有统计学意义(P<0.05)。生理功能、生理职能、躯体疼痛、总体健康等生活质量维度评分2组比较,差异有统计学意义(P<0.05)。结论:持续心理护理在腹腔镜膀胱全切术患者围手术期中的应用能减少术后并发症的发生,改善护患关系,促进患者的康复与生活质量的提高。Objective： To explore the application methods and effects of continuous psychological care in pa- tients undergoing laparoscopic radical cystectomy during the perioperative phase. Methods： 72 patients were ran- domly divided into the observation group and the control group, each group 36 cases, both groups were given laparo- scopic radical cystectomy, the control group was given regular care during the perioperative phase, the control group was given continuous psychological care on the treatment of regular care, prognosis recovery was observed in both groups. Results： Compared with two groups of anus exhaust time and postoperative bed time, there were statistical differences （P〈0.05）. The occurrence rate of complication was 5.56% in the observation group, the control group was 27.78%, there was statistical difference between two groups（P〈0.05）. The total satisfaction rate of nursing was 97.2% in the observation group, the control group was 83.2%, there was statistical difference（P〈0.05）. Score in life quality dimensions of physical function（PF）, role physical（RP）, body pain（BP）, general health was compared, there were statistical differences between two groups （P〈0.05）. Conclusion： The application of continuous psychological care in patients undergoing laparoscopic radical cystectomy during the perioperative phase can reduce postoperative complication, improve nurse-patient relationship, promote recovery of patients and improve life quality.

关 键 词：膀胱癌 持续心理护理 腹腔镜膀胱全切术 并发症 生活质量 

分 类 号：R473.6[医药卫生—护理学]