膀胱内化疗药物灌注联合护理干预在膀胱癌患者术后的应用研究  

Application of nursing intervention after intravesical chemotherapy perfusion in the postoperative patients with bladder cancer

作　　者：刘俏[1] 冯云碧 江曼[1] LIU Qiao;FENG Yun-bi;JIANG Man(Department of Surgery, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China)

机构地区：[1]温州医科大学附属第二医院外科,浙江温州325000

出　　处：《中国生化药物杂志》2017年第11期253-254,共2页Chinese Journal of Biochemical Pharmaceutics

摘　　要：目的分析膀胱内化疗药物灌注联合护理干预在膀胱癌患者术后的应用。方法选取温州医科大学附属第二医院收治的100例膀胱癌术后患者，随机分为2组，每组各50例。试验组与对照组患者均进行膀胱内化疗药物灌注，对照组给予常规护理，试验组给予相应的护理干预措施，积极与患者进行交流与沟通，为患者提供安静舒适的治疗环境，关注患者心理状态，消除患者负面情绪，避免对患者尿道黏膜伤害。结果对照组生活质量评分为（60.30±9.20）分，显著低于试验组的（76.88±10.90）分，差异具有统计学意义（P＜0.05）。护理后，试验组SAS评分为（26.50±7.21）分，显著低于对照组的（36.90±8.20）分，差异具有统计学意义（P＜0.05）。对照组护理满意度为80.0%，试验组护理满意度为90.0%，差异具有统计学意义（P＜0.05）。结论护理干预联合膀胱内化疗药物灌注应用于膀胱癌患者术后的应用效果较为理想，能够显著提高患者生活质量，改善负面情绪，建立和谐医患关系。Objective To analyze the application of nursing intervention after intravesical chemotherapy perfusion in the postoperative patients with bladder cancer.Methods100patients with bladder cancer were selected and divided into experimental group(n=50)and control group(n=50).The experimental group and the control group patients were all treated with intravesical perfusion chemotherapy,the control group was given conventional nursing,the experimental group were given corresponding nursing measures,actively communicate with patients,to provide a quiet and comfortable environment for the treatment of patients,the psychological state of patients with attention,eliminate the negative emotions of patients,to avoid patients with urethral mucosa injury.Results The quality of life score in the control group was(60.30±9.20)points,which was significantly lower than that in the experimental group(76.88±10.90)points,the difference has statistically significant(P<0.05).After nursing,the score of SAS in the experimental group was(26.50±7.21)points,which was significantly lower than(36.90±8.20)points in the control group,the difference has statistically significant(P<0.05).The satisfaction rate of nursing in the control group was80%,90%in the experimental group,the difference wasstatistically significant(P<0.05).Conclusion The application effect of nursing intervention combined with intravesical perfusion chemotherapy in patients with bladder cancer after surgery is ideal,which can significantly improve the quality of life of patients,improve the negative emotions,establishing a harmonious doctor-patient relationship.

关 键 词：化疗药物 膀胱灌注 护理干预 膀胱癌 

分 类 号：R473.6[医药卫生—护理学]