循证护理在膀胱癌患者腹壁造口术后护理中的应用价值

张伟丽; 张杰; 朱铮; 俞飞霞

doi:10.16766/j.cnki.issn.1674-4152.000478

循证护理在膀胱癌患者腹壁造口术后护理中的应用价值

doi: 10.16766/j.cnki.issn.1674-4152.000478

张伟丽¹,
张杰²,
朱铮^2, ,,
俞飞霞¹

1. 丽水市人民医院泌尿外科, 浙江丽水 323000;
2. 浙江大学医学院附属第二医院泌尿外科, 浙江杭州 310003

基金项目:

浙江省2014年医药卫生科技计划项目(2015KYB275)

详细信息

通讯作者:
朱铮,E-mail:20671350030@qq.com

中图分类号: R473.6;R737.14
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- 文章访问数: 127
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- 被引次数: 0
出版历程
- 收稿日期: 2018-02-16
- 网络出版日期: 2022-08-06

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

Department of Urology, Lishui People's Hospital, Lishui, Zhejiang 323000, China

摘要

摘要: 目的针对膀胱癌患者生活质量下降的问题,探究循证护理在膀胱癌患者腹壁造口术后护理中的应用价值。方法选取2015年11月-2017年11月在丽水市人民医院接受治疗的膀胱癌患者170例,按随机数字表法随机分为联合护理组和常规护理组,每组各85例,2组患者均采用腹壁造口术进行治疗。常规性护理组患者采取常规护理手段进行护理,联合护理组在常规护理组的护理基础上使用循证护理。检测Bax蛋白和Bcl-2蛋白表达;对2组患者护理前后进行SAS、SDS评分;对2组患者护理前后腹壁造口相关知识熟悉程度、生活质量进行评价;统计对比2组患者住院时间、护理质量及家属满意度。结果护理后联合护理组Bcl-2水平低于常规护理组(P=0.001),Bax水平高于常规护理组(P=0.003);护理后联合护理组患者SAS、SDS评分低于常规护理组(P=0.004);护理后联合护理组患者腹壁造口相关知识掌握程度优于常规护理组(P=0.016);护理后联合护理组患者生活质量评分高于常规护理组(P=0.004);联合护理组患者住院时间低于常规护理组(P=0.012);联合护理组护理质量优于常规护理组(P=0.002),联合护理组患者家属满意度高于常规护理组(P=0.039)。结论循证护理能够明显改善膀胱癌患者腹壁造口术后生活质量,促进患者身体恢复,具有较高的临床应用价值。
- 膀胱癌 /
- 腹壁造口术 /
- 循证护理 /
- 生活质量
Abstract: 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.
- Bladder cancer /
- Abdominal stoma /
- Evidence-based nursing /
- Quality of life