基于奥马哈系统的延续性护理在浅表性膀胱癌术后膀胱灌注化疗中的应用效果分析  

Analysis of the Effect of Continuing Care Based on the Omaha System in Bladder Perfusion Chemotherapy after Superficial Bladder Cancer

作　　者：仲立群 秦小燕[1] 刘静媚 Zhong Liqun;Qin Xiaoyan;Liu Jingmei(North Guangdong People’s Hospital,Shaoguan,Guangdong,512026,China)

机构地区：[1]粤北人民医院,广东韶关512026

出　　处：《黑龙江医学》2023年第24期3044-3046,共3页Heilongjiang Medical Journal

基　　金：2021年度韶关市卫生健康科研项目立项(Y21259)。

摘　　要：目的:探讨浅表性膀胱癌患者术后膀胱灌注化疗中应用基于奥马哈系统的延续性护理的效果,为临床护理提供依据。方法:选取2020年1月—2021年6月粤北人民医院收治的70例浅表性膀胱癌术后灌注化疗患者作为研究对象,采用随机数表法将其分为对照组和研究组,每组各35例。对照组采用常规护理干预,观察组在常规护理基础上实施基于奥马哈系统的延续性护理干预。比较两组患者护理效果[奥马哈系统护理调查表评分]、心理状况[焦虑自评量表(SAS)与抑郁自评量表(SDS)评分]、生活质量[健康调查简表(SF-36)评分]、自我护理能力[自我护理能力量表(ESCA)评分]、并发症发生情况。结果:护理后,研究组患者护理效果评分、SF-36评分均高于对照组,SAS评分、SDS评分均低于对照组,差异有统计学意义(t=46.166、11.841、11.714、12.756,P<0.05)。护理后,研究组患者ESCA中各维度评分均高于对照组,差异有统计学意义(t=6.096、5.807、8.577、11.847,P<0.05)。研究组患者并发症发生率均明显低于对照组,差异有统计学意义(χ^(2)=4.089、7.721、4.480,P<0.05)。结论:在浅表性膀胱癌患者术后膀胱灌注化疗中应用基于奥马哈系统的延续性护理,能够改善患者心理状况,提高患者的自我护理能力及生活质量,降低并发症发生率。Objective:To investigate the effectiveness of applying based on continuity of care the Omaha system in postoperative bladder perfusion chemotherapy in patients with superficial bladder cancer to provide a basis for clinical care.Methods:70 patients admitted to the hospital from January 2020 to June 2021 with superficial bladder cancer treated with postoperative perfusion chemotherapy were selected for the study,and they were divided into control group and study group using the random number table method,with 35 cases in each group.The control group used conventional nursing interventions,and the observation group implemented Omaha system-based continuity of care interventions based on conventional care.The effectiveness of care(Omaha System Nursing Questionnaire scores),psychological status(Self-Assessment Scale for Anxiety[SAS]and Self-Rating Scale for Depression[SDS]scores),quality of life(Short Form of Health Survey[SF-36]scores),self-care ability(Self-Care Capability Scale[ESCA]scores),and complications were compared between the two groups.Results:After care,patients in the study group had higher nursing outcome scores and SF-36 scores and lower SAS scores and SDS scores than the control group,with statistically significant differences(t=46.166,11.841,11.714,12.756,P<0.05).After care,all dimensions in the ESCA scale were higher in both groups than before care,and the study group was higher than the control group,with statistically significant differences(t=6.096,5.807,8.577,11.847,P<0.05).The incidence of complications was significantly lower in the study group than in the control group,with statistically significant differences(χ^(2)=4.089,7.721,4.480,P<0.05).Conclusion:The application of Omaha System-based continuity of care in postoperative bladder perfusion chemotherapy for patients with superficial bladder cancer can improve patients’psychological status,improve their self-care ability and quality of life,and reduce the incidence of complications.

关 键 词：奥马哈系统 延续性护理 浅表性膀胱癌 术后 膀胱灌注化疗 

分 类 号：R473.73[医药卫生—护理学]