吴璇?郭巍?宋瑶?魏佳

[摘要] 目的 探討膀胱癌术后膀胱灌注化疗患者延续性护理的应用效果。方法 选择2015年1月～2016年6月在我院治疗的膀胱癌术后膀胱灌注化疗的患者60例为研究对象，随机分为干预组与对照组各30例。对照组给予膀胱癌术后膀胱灌注化疗常规护理，干预组在常规护理基础上给予延续性护理。比较两组干预前后患者SF-36评分，干预后治疗依从性以及护理满意度。结果 干预后，干预组SF-36各维度得分均显著高于干预前，差异有统计学意义（P<0.05）；干预后干预组SF-36各维度得分显著高于对照组，差异有统计学意义（P<0.05）；干预后对照组SF-36各维度得分与干预前比较差异无统计学意义（P>0.05）。干预组29例依从性好，占96.7%，对照组，20例依从性好，占66.7%，两组比较，差异有统计学意义（P<0.05）。干预组护理满意度各维度得分以及总分均显著高于对照组，差异有统计学意义（P<0.05）。结论 膀胱癌术后膀胱灌注化疗患者实施延续性护理能够显著提高患者生活质量、治疗依从性以及护理满意度。

[关键词] 延续性护理；膀胱癌；膀胱灌注化疗；生活质量；护理满意度

[中图分类号] R473.73 [文献标识码] A [文章编号] 2095-0616（2017）16-188-04

Effect analysis of continuity nursing for intravesical chemotherapypostoperativebladder cancer

WU Xuan1 GUO Wei2 SONG Yao1 WEI Jia3

1.Department of Surgery， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China； 2.Department of Ophthalmology， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China； 3.Hemodialysis Room， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China

[Abstract] Objective To discuss the efficacy of continuity nursing for intravesical chemotherapy postoperative bladder cancer. Methods 60 cases with intravesical chemotherapy rpostoperative bladder cancer from Jan 2015 to Jun 2016 were selected as subjects， and were randomly divided into the intervention group and the control group， each of 30 cases. The control group received routine nursing for intravesical chemotherapy postoperative bladder cancer， and the intervention group received continuity nursing based on routine nursing for intravesical chemotherapy postoperative bladder cancer. SF-36 score before and after intervention between two groups was compared. Treatment compliance and nursing satisfaction between two groups was compared. Results After intervention， each dimension scoreof SF-36 of the intervention group was higher than that before intervention， which showed significant difference（P<0.05）. After intervention， each dimension score of SF-36 of the intervention group was higher than that of the control group， which showed significant difference（P<0.05）. After intervention， each dimension score of SF-36 of the control group showed no significant difference with that before intervention（P>0.05）. The intervention group had 29 cases with good compliance， accounting for 96.7%； The control group had 20 cases with good compliance， accounting for66.7%. There was significant difference between two groups（P<0.05）. Each dimension score of nursing satisfaction of the intervention was higher than that of the control group， which showed significant difference（P<0.05）. Conclusion Continuity nursing for intravesical chemotherapy postoperative bladder cancer can improve the patient's quality of life， treatment compliance and nursing satisfaction.endprint

[Key words] Continuity nursing； bladder cancer； intravesical chemotherapy； Quality of life； nursing satisfaction

膀胱癌是泌尿系统最常见的恶性肿瘤，也是全身十大常见肿瘤之一。手术是根治膀胱癌的主要方法，术后常规膀胱灌注化疗是主要的预防复发的

方法[1]。术后24h内立即进行膀胱灌注化疗能够预防种植转移，降低复发率，术后早期膀胱灌注化疗及维持膀胱灌注化疗，消灭残留肿瘤，预防复发[2-3]。术后膀胱灌注化疗的周期可能比较长，加上化疗药物全身及局部的不良反应，增加患者痛苦，影响患者生活质量，影响患者膀胱灌注化疗的治疗依从性以及治疗效果[4]。我们对膀胱癌术后实施膀胱灌注化疗的患者实施延续性护理，取得了较好的效果。现将结果报道如下。

1 资料与方法

1.1 一般资料

选择2015年1月～2016年6月在我院治疗的膀胱癌术后膀胱灌注化疗的患者60例为研究对象。……