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目的探讨改进导尿方法对老年膀胱癌术后行膀胱灌注治疗过程中膀胱刺激征、肿瘤复发情况及住院满意度的影响。方法选择老年膀胱癌术后行膀胱灌注治疗患者90例作为研究对象,随机分为观察组和对照组,每组45例。观察组采用消除心理顾虑、改进导尿方法、保证膀胱灌注后药物保留时间等治疗措施;对照组实施传统护理。比较两组患者行膀胱灌注治疗膀胱刺激征、肿瘤复发情况及住院满意度。结果观察组行膀胱灌注治疗膀胱刺激征及肿瘤复发情况低于对照组(P<0.01),住院满意度高于对照组(P<0.05),差异有显著性(P<0.01)。结论改进导尿方法行膀胱灌注减少了老年膀胱癌术后膀胱灌注患者膀胱刺激征,降低了肿瘤复发率,增加了患者的舒适度及满意度,提高了患者的依从性,保证了治疗的有效性。
Objective To explore the effect of improved catheterization on bladder irritation, tumor recurrence and hospital satisfaction during bladder irrigation in elderly patients with bladder cancer. Methods Ninety elderly patients with bladder cancer treated by intravesical instillation were selected as study subjects and randomly divided into observation group and control group with 45 cases in each group. The observation group used to eliminate psychological concerns, improve the catheterization method to ensure that the drug retention time after bladder irrigation and other treatment measures; the control group to implement traditional care. The bladder irritation, bladder tumor recurrence and hospital satisfaction were compared between the two groups. Results The urinary bladder irritation and tumor recurrence in the observation group were lower than those in the control group (P <0.01). The hospitalization satisfaction was higher in the observation group than in the control group (P <0.05). The difference was significant (P <0.01). Conclusion The improved urinary bladder catheterization method can reduce bladder irritation in bladder cancer patients with bladder cancer after operation and reduce tumor recurrence rate, increase patient comfort and satisfaction, improve patient compliance and ensure effective treatment Sex.