[1]王胜兰.延续性护理对全膀胱切除术后患者并发症预防和生活质量改善效果分析[J].新乡医学院学报,2016,33(7):636-638.[doi:10.7683/xxyxyxb.2016.07.024]
　WANG Sheng-lan.Effect of extended nursing on complication prevention and living quality of patients by cystectomy[J].Journal of Xinxiang Medical University,2016,33(7):636-638.[doi:10.7683/xxyxyxb.2016.07.024]
点击复制

延续性护理对全膀胱切除术后患者并发症预防和生活质量改善效果分析
分享到：

《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年7
页码:
636-638
栏目:
护理研究
出版日期:
2016-07-05

文章信息/Info

Title:
Effect of extended nursing on complication prevention and living quality of patients by cystectomy
作者:
王胜兰
（北京大学肿瘤医院泌尿外科，北京　100072）
Author(s):
WANG Sheng-lan
(Department of Urinary Surgery,Peking University Cancer Hospital,Beijing 100072,China)
关键词:
延续性护理; 全膀胱切除术; 并发症; 生活质量
Keywords:
extended nursing; patients by cystectomy; complication; living quality
分类号:
R473.6
DOI:
10.7683/xxyxyxb.2016.07.024
文献标志码:
A
摘要:
目的　探讨延续性护理对全膀胱切除术后患者并发症预防和生活质量的改善效果。方法　选取82例行全膀胱切除术的患者，随机分为观察组和对照组，每组41例。观察组患者给予延续性护理，对照组患者给予常规护理。比较2组患者术后6个月的并发症发生率及生活质量评分。结果　观察组患者术后6个月并发症发生率为39.02%，显著低于对照组的87.80%（P<0.01）；观察组患者术后6个月躯体功能状况评分、生理功能状况评分和社会功能状况评分分别为72.5±8.2、79.1±7.4和86.9±8.1，对照组分别为61.4±5.9、70.7±6.8和75.8±7.3，观察组患者术后6个月躯体功能状况评分、生理功能状况评分和社会功能状况评分均显著高于对照组（P<0.01）。结论　延续性护理服务能够显著减少行全膀胱切除术患者术后并发症的发生，提高患者生活质量。
Abstract:
Objective　To investigate the effect of extended nursing on complication prevention and living quality of patients after cystectomy.Methods　A total of 82 patients by cystectomy were randomly divided into observation group and control group，with 41 patients in each group.The patients in observation group were given extended nursing treatment while the patients in the control group were given routine care treatment.The complication incidence rate and quality of life score were compared at the 6 months after surgery.Results　The complication incidence rate in the observation group was 39.02%，which was significantly lower than that in the control group(P<0.01).The physical functional status score，physiological functional status score and social functional status score in the observation group were 72.5±8.2，79.1±7.4 and 86.9±8.1 respectively，which were significantly higher than those in the control group(61.4±5.9,70.7±6.8,75.8±7.3)(P<0.01).Conclusion　The extended nursing can significantly reduce the complication incidence rate and improve the quality of life of patients by cystectomy.

参考文献/References:

［1］　METCALFE M，ESTEY E，JACOBSEN N E，et al.Association between urinary diversion and quality of life after radical cystectomy［J］.CJU，2013，20(1)：6626-6631.
［2］　苏健，朱清毅，袁琳，等.尿道途径辅助下经脐单孔腹腔镜根治性全膀胱切除术［J］.南京医科大学学报 (自然科学版)，2015，15(2)：38-41.
［3］　PAREKH D J，MESSER J，FITZGERALD J，et al.Perioperative outcomes and oncologic efficacy from a pilot prospective randomized clinical trial of open versus robotic assisted radical cystectomy［J］.J Urol，2013，189(2)：474-479.
［4］　王有志，孙斌，罗光辉，等.经尿道膀胱肿瘤电切术与膀胱部分切除术治疗浅表性膀胱癌［J］.新乡医学院学报，2013，30(12)：975-976.
［5］　BURGER M，CATTO J W F，DALBAGNI G，et al.Epidemiology and risk factors of urothelial bladder cancer［J］.Eur Urol，2013，63(2)：234-241.
［6］　李炳坤，徐啊白，陈玢屾，等.腹腔镜下全膀胱切除术加全去带乙状结肠原位新膀胱术治疗高龄膀胱癌的临床研究［J］.中华泌尿外科杂志，2014，35(11)：358-362.
［7］　HAUTMANN R E，DE PETRICONI R C，PFEIFFER C，et al.Radical cystectomy for urothelial carcinoma of the bladder without neoadjuvant or adjuvant therapy：long-term results in 1 100 patients［J］.Eur Urol，2012，61(5)：1039-1047.
［8］　HOUNSOME L S，VERNE J，MCGRATH J S，et al.Trends in operative caseload and mortality rates after radical cystectomy for bladder cancer in england for 1998-2010［J］.Eur Urol，2015，67(6)：1056-1062.
［9］　许传亮，曾蜀雄，张振声，等.腹腔镜下全膀胱切除术疗效及早期并发症的临床分析［J］.中华泌尿外科杂志，2014，35(7)：539-542.
［10］　刘春霞，路潜，郑杨，等.微创治疗尿石症术后实施延续性护理对患者疾病相关知识认知情况的影响［J］.中国微创外科杂志，2015，12(3)：22-26.
［11］　郭存霞，张建伟，陈小永，等.肾病综合征患儿家长对延续性护理需求的调查与对策［J］.新乡医学院学报，2014，31(7)：577-578.
［12］　余利娜，赵丽芹，夏腊梅，等.连续性护理在膀胱癌腹壁造口术后病人护理中的应用［J］.中国实用护理杂志，2014，28(9)：3284-3285.
［13］　GOOSSENS-LAAN C A，KIL P J M，BOSCH J L H R，et al.Pre-diagnosis quality of life (QoL) in patients with hematuria：comparison of bladder cancer with other causes［J］.Qual Life Res，2013，22(2)：309-315.
［14］　GAKIS G，EFSTATHIOU J，LERNER S P，et al.ICUD-EAU International Consultation on Bladder Cancer 2012：radical cystectomy and bladder preservation for muscle-invasive urothelial carcinoma of the bladder［J］.Eur Urol，2013，63(1)：45-57.
［15］　郭存霞，张建伟，陈小永，等.肾病综合征患儿家长对延续性护理需求的调查与对策［J］.新乡医学院学报，2014，31(7)：577-578.

相似文献/References:

[1]严明珠,张　婷,赵艳秋,等.延续性护理对广泛期小细胞肺癌患者化学治疗依从性及生存状况的影响[J].新乡医学院学报,2018,35(5):435.[doi:10.7683/xxyxyxb.2018.05.021]
　YAN Ming-zhu,ZHANG Ting,ZHAO Yan-qiu,et al.Effects of continuous nursing on the chemotherapy compliance and survival status of patients with extensive-stage small cell lung cancer[J].Journal of Xinxiang Medical University,2018,35(7):435.[doi:10.7683/xxyxyxb.2018.05.021]
[2]王丽娜,王承云,张会敏,等.延续性护理干预对脑性瘫痪患儿出院后康复的影响[J].新乡医学院学报,2018,35(6):548.[doi:10.7683/xxyxyxb.2018.06.026]
　WANG Li-na,WANG Cheng-yun,ZHANG Hui-min,et al.Effect of continuous nursing intervention on post-hospital rehabilitation of children with cerebral palsy[J].Journal of Xinxiang Medical University,2018,35(7):548.[doi:10.7683/xxyxyxb.2018.06.026]
[3]徐秋红,许广亮,张金华.延续性护理对低位直肠癌患者行Miles术后心理状态及生活质量的影响[J].新乡医学院学报,2017,34(9):854.[doi:10.7683/xxyxyxb.2017.09.020]
　XU Qiu-hong,XU Guang-liang,ZHANG Jin-hua.Effect of continuous nursing on the psychological status and quality of life in patients with low rectal cancer after Miles operation[J].Journal of Xinxiang Medical University,2017,34(7):854.[doi:10.7683/xxyxyxb.2017.09.020]
[4]王丽娜,冯红燕,赵　佳,等.基于三维质量结构模式理论为框架的院外延续性护理干预对过敏性紫癜患儿遵医行为及护理满意度的影响[J].新乡医学院学报,2017,34(10):949.[doi:10.7683/xxyxyxb.2017.10.022]
　WANG Li-na,FENG Hong-yan,ZHAO Jia,et al.Effect of outside hospital continuing nursing intervention based on three-dimensional quality structure on compliance behavior and nursing satisfaction of children with henoch-schonlein purpura[J].Journal of Xinxiang Medical University,2017,34(7):949.[doi:10.7683/xxyxyxb.2017.10.022]
[5]闫泽雨,单胜华,薛松梅,等.初产妇产褥期延续性护理需求调查研究[J].新乡医学院学报,2016,33(3):224.[doi:10.7683/xxyxyxb.2016.03.018]
　YAN Ze-yu,SHAN Sheng-hua,XUE Song-mei,et al.Investigation on the puerperium continue care needs in primipara[J].Journal of Xinxiang Medical University,2016,33(7):224.[doi:10.7683/xxyxyxb.2016.03.018]

更新日期/Last Update: 2016-07-05