无缝链接式护理模式对膀胱癌尿流改道腹壁造口术后出院患者心理状态及生活质量的影响  

The effect of seamLess-linked nursing model on the psychological status and quality of life of discharged patients after urinary diversion of bladder cancer and abdominal wall stoma

作　　者：李中惠 甄玉玲 王璐 LI Zhonghui;ZHEN Yuling;WANG Lu(Department of Urology,Henan Provincial People's Hospital,Zhengzhou University People's Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]河南省人民医院泌尿外科,郑州大学人民医院,河南郑州450000

出　　处：《临床研究》2021年第12期195-198,共4页Clinical Research

摘　　要：目的探讨无缝链接式护理对膀胱癌尿流改道腹壁造口术患者生活质量及心理状态的影响。方法选择河南省人民医院2018年11月至2021年11月于行尿流改道腹壁造口的95例符合纳入、排除标准的膀胱癌患者,随机分为干预组(49例)与常规组(46例),常规组采用常规护理模式,干预组在常规组基础上采用无缝链接式护理模式,对比两组患者护理前后的焦虑自评量表(SAS)与抑郁量表(SDS)评分、生存质量(WHOQOL-BREF)评分、护理满意度及感染等不良事件发生情况。结果护理后,两组患者各项指标评分均较前有所改善,干预组患者焦虑、抑郁评分均低于常规组,差异有统计学意义(P<0.05),且干预组患者生存质量及护理满意度高于常规组,差异有统计学意义(P<0.05)。干预组术后不良事件发生率低于常规组,差异有统计学意义(P<0.05)。结论无缝链接式模式可以降低膀胱癌尿流改道腹壁造口术后出院患者的焦虑及抑郁程度,改善其生活质量,提高患者对护理工作的满意度,避免或降低术后造口感染风险。Objective To explore the effect of seamLess-linked nursing model on the psychological status and quality of life of discharged patients after urinary diversion of bladder cancer after abdominal wall stoma.Methods From November 2018 to November 2021,95 bladder cancer patients who underwent urinary diversion and abdominal wall stoma in our hospital were selected and were randomLy divided into intervention group(49 cases)and control group(46 cases).The control group adopts the conventional nursing model,and the study group adopts the seamLess link nursing model on the basis of the control group.The self-rating anxiety scale(SAS)and depression scale(SDS)scores of the two groups of patients before and after care are compared,and the World Health Organization survival The quality measurement scale summary(WHOQOL-BREF scale)scores,nursing satisfaction,infection and other adverse events.Results After nursing,all index scores of the two groups of patients were improved compared with before,the anxiety and depression scores of the intervention group were lower than those of the control group,and the difference was statistically significant(P<0.05),and the quality of life and nursing satisfaction of the intervention group were Higher than the control group,the difference was statistically significant(P<0.05).The incidence of postoperative adverse events in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The seamLessly linked nursing model is applied to patients discharged from the hospital after bladder cancer urinary diversion and abdominal wall stoma can reduce the patient’s anxiety and depression,improve their quality of life,improve patient satisfaction with nursing work,and avoid or reduce postoperative stoma Risk of infection.

关 键 词：无缝链接式护理模式 膀胱癌 尿流改道腹壁造口术 心理状态 护理满意度 

分 类 号：R473[医药卫生—护理学]