基于互动达标理论的出院准备服务在膀胱癌手术患者中的应用  

Effectiveness of discharge preparation service based on interactive attainment theory in patients undergoing bladder cancer surgery

作　　者：程喜字[1] 唐钊[1] Cheng Xizi;Tang Zhao(Department of Urology Surgery,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China)

机构地区：[1]新乡医学院第一附属医院泌尿外科,新乡453100

出　　处：《中华现代护理杂志》2025年第5期645-650,共6页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划项目(LHGJ20220606)。

摘　　要：目的探讨基于互动达标理论构建的出院准备服务在膀胱癌经尿道膀胱肿瘤电切术(TURBT)患者中的应用效果。方法采用便利抽样法,选择2022年1—12月在新乡医学院第一附属医院行TURBT的158例膀胱癌患者为研究对象,根据随机数字表法分为观察组和对照组,各79例。对照组实施常规TURBT术后管理和出院指导,观察组在对照组基础上实施基于互动达标理论构建的出院准备服务。比较两组患者中文版出院准备度量表(RHDS-C)评分、出院后膀胱灌注依从率、30 d非计划再入院率和肿瘤首年复发率。结果最终共154例患者完成干预,对照组76例,观察组78例。观察组RHDS-C总分和4个维度得分均高于对照组,差异均有统计学意义(均P<0.05);观察组和对照组膀胱灌注依从率分别为99.60%(1476/1482)、98.41%(1421/1444),差异有统计学意义(χ^(2)=10.518,P<0.01);对照组30 d非计划再入院率和肿瘤首年复发率分别为15.79%(12/76)、42.11%(32/76),观察组分别为3.85%(3/78)、17.95%(14/78),差异均有统计学意义(χ^(2)值分别为6.246、10.723;均P<0.05)。结论基于互动达标理论的出院准备服务可以有效提高膀胱癌TURBT患者的出院准备度和膀胱灌注依从率,且能降低30 d非计划再入院率和肿瘤首年复发率。ObjectiveTo explore the effectiveness of a discharge preparation service based on interaction attainment theory in bladder cancer patients undergoing transurethral resection of bladder tumors(TURBT).MethodsConvenience sampling was used to select 158 bladder cancer patients who underwent TURBT from January to December 2022 in the First Affiliated Hospital of Xinxiang Medical University as the study subjects.The subjects were divided into observation group and control group of 79 cases each according to the random number table method.Control group implemented routine TURBT postoperative management and discharge guidance,and observation group implemented a discharge preparation service based on interaction attainment theory on the basis of control group.Readiness for Hospital Discharge Scale-Chinese version(RHDS-C)scores,post-discharge bladder perfusion adherence,30-day unplanned readmission rates,and first-year tumor recurrence rates were compared between the two groups.ResultsA total of 154 patients eventually completed the intervention,76 in control group and 78 in observation group.The total RHDS-C score and the four dimensions scores of observation group were all higher than those of control group,and the differences were statistically significant(all P<0.05).Bladder perfusion adherence in observation and control groups were 99.60%(1476/1482)and 98.41%(1421/1444),respectively,and the difference was statistically significant(χ^(2)=10.518,P<0.01).The 30-day unplanned readmission rate and tumor recurrence rate in the first year were 15.79%(12/76)and 42.11%(32/76)in control group,3.85%(3/78)and 17.95%(14/78)in observation group,respectively,and the differences were statistically significant(χ^(2)=6.246,10.723;all P<0.05).ConclusionsA discharge preparation service based on the interaction attainment theory is effective in improving discharge readiness and bladder perfusion adherence in patients with TURBT for bladder cancer,and it reduces the 30-day unplanned readmission rate and the first-year tumor recurrence ra

关 键 词：膀胱癌 经尿道膀胱肿瘤电切术 互动达标理论 出院准备度 再入院 

分 类 号：R73[医药卫生—肿瘤]