Application value of routine nursing combined with evidence-based nursing in nursing care of patients with bladder cancer after abdominal stoma

Objective To explore the application value of evidence-based nursing in nursing care of patients with bladder cancer after abdominal stoma. Methods A total of 170 cases of bladder cancer who were treated in our hospital from November, 2015 to November, 2017 were randomly divided into two groups with 85 cases in the combined nursing group and the conventional nursing group respectively and the two groups were treated with abdominal wall stoma. The patients in the routine nursing group received routine nursing care, and the combined nursing group used evidence-based nursing on the basis of the routine nursing group. The expression of Bax protein and Bcl-2 protein were detected, SAS and SDS were scored before and after nursing in the two groups, and the knowledge familiarity and quality of life of the abdominal stoma before and after the nursing of the two groups were evaluated. The time of hospitalization, the quality of nursing and the satisfaction of the family members were compared. Results After nursing, the level of Bcl-2 in the combined nursing group was lower than that of the conventional nursing group (P=0.001), and the level of Bax was higher than that of the conventional nursing group (P=0.003); the SAS and SDS scores of the patients in the combined nursing group after nursing were lower than those of the conventional nursing group (P=0.004), and the degree of knowledge of abdominal stoma related knowledge in the patients after nursing was better than that of the conventional nursing group (P=0.016). The quality of life of the combined nursing group was higher than that of the conventional nursing group (P=0.004), the hospitalization time of the combined nursing group was lower than that of the conventional nursing group (P=0.012), and the nursing quality of the combined nursing group was better than that of the conventional nursing group (P=0.002), and the family satisfaction of the patients with the joint nursing group was higher than that of the conventional nursing group (P=0.039). Conclusion Evidence-based nursing can significantly improve the quality of life of patients with bladder cancer after abdominal stoma, and promote the recovery of patients' body, which has a high clinical value.