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目的探讨人性化护理模式在膀胱癌膀胱切除回肠代膀胱腹壁造口术患者中的应用效果。方法将2014年1月-2016年8月广州市第十二人民医院和中山大学附属第一医院收治的86例膀胱癌膀胱切除回肠代膀胱腹壁造口术患者根据就诊顺序分成两组,即观察组和对照组各43例。对照组实行常规护理,观察组采用人性化护理模式。比较两组患者并发症发生率及护理前、后的心理状况、生活质量。结果观察组并发症发生率为4.66%,明显低于对照组的18.60%,差异有统计学意义(P<0.05);观察组护理前焦虑和抑郁得分分别为(59.12±7.82)分和(57.35±6.84)分,与对照组(58.97±8.19)分和(57.05±6.22)分比较,差异无统计学意义(P>0.05);观察组护理后焦虑和抑郁得分分别为(50.28±6.05)分和(48.12±6.55)分,明显低于对照组的(54.76±6.81)分和(53.08±6.43)分,差异有统计学意义(P<0.05);观察组护理前生活质量得分(68.79±10.38)分,对照组为(69.15±10.56)分,差异无统计学意义(P>0.05);观察组护理后生活质量得分(78.69±11.27)分,明显高于对照组的(70.22±10.84)分,差异有统计学意义(P<0.05)。结论人性化护理模式能有效降低膀胱癌膀胱切除回肠代膀胱腹壁造口术患者并发症的发生率,并改善其心理状况和生活质量。
Objective To explore the application of humanized nursing model in patients with bladder cancer undergone bladder cystectomy. Methods From January 2014 to August 2016, 86 patients with bladder cancer with bladder resection and ileal bladder incision admitted to the Twelfth People’s Hospital of Guangzhou and the First Affiliated Hospital of Sun Yat-sen University were divided into two groups according to the order of treatment: observation Group and control group of 43 cases. The control group received routine nursing, and the observation group adopted the humanized nursing model. The incidence of complications and the psychological status and quality of life before and after nursing were compared between the two groups. Results The incidence of complications in the observation group was 4.66%, which was significantly lower than that in the control group (18.60%, P <0.05). The anxiety and depression scores in the observation group were (59.12 ± 7.82) and (57.35 ± 6.84), there was no significant difference between the control group (58.97 ± 8.19) and (57.05 ± 6.22) points (P> 0.05). The anxiety and depression scores of the observation group were (50.28 ± 6.05) And (48.12 ± 6.55) points respectively, which were significantly lower than those in the control group (54.76 ± 6.81) and (53.08 ± 6.43) points (P <0.05). The pre-care quality of life scores in the observation group were 68.79 ± 10.38 ) In the control group was (69.15 ± 10.56) points, the difference was not statistically significant (P> 0.05). The scores of quality of life after nursing in the observation group (78.69 ± 11.27) points were significantly higher than those in the control group (70.22 ± 10.84) points , The difference was statistically significant (P <0.05). Conclusion The humanized nursing model can effectively reduce the incidence of bladder cancer patients undergone bladder cystectomy in patients with bladder cancer and improve their psychological status and quality of life.