杨聪玉　阮爱梅　黄秀芬

【摘要】 目的：探究综合护理干预对膀胱癌患者术后膀胱灌注化疗依从性及生存质量影响。方法：选取2015年3月-2017年3月在笔者所在医院接受膀胱癌术后灌注化疗的患者72例作为研究对象，知情同意后随机分为研究组和对照组，各36例。对照组采用常规护理干预，研究组采用综合护理干预，对比两组患者的护理效果。结果：研究组患者的灌注化疗依从性明显优于对照组，差异有统计学意义（P<0.05）；研究组患者的总生活质量评分明显高于对照组患者，差异有统计学意义（P<0.05）。结论：综合护理干预对膀胱癌术后灌注化疗的患者有积极的意义，不仅可以增加患者的治疗依从性，对提高患者的生活质量方面作用也非常显著，值得在临床工作中借鉴使用。

【关键词】 膀胱癌； 膀胱灌注化疗； 依从性； 生活质量； 综合护理

doi：10.14033/j.cnki.cfmr.2017.30.044 文献标识码 B 文章编号 1674-6805（2017）30-0088-02

Effect of Comprehensive Nursing on the Compliance and Quality of Life of Bladder Cancer after Bladder Cancer/YANG Cong-yu，RUAN Ai-mei，HUANG Xiu-fen.//Chinese and Foreign Medical Research，2017，15（30）：88-89

【Abstract】 Objective：To investigate the effect of comprehensive nursing intervention on the compliance and quality of life of bladder cancer after bladder cancer.Method：72 patients with bladder cancer who underwent postoperative perfusion chemotherapy in our hospital from March 2015 to March 2017 were selected as the subjects.Informed consent，the patients were randomly divided into study group and control group.In the control group，routine nursing intervention was used.The study group adopted comprehensive nursing intervention to compare the nursing effect of the two groups.Result：The adherence of chemotherapy in the study group was significantly better than that in the control group，the difference was statistically significant（P<0.05）；the total quality of life of the study group was significantly higher than that of the control group（P <0.05）.Conclusion：Comprehensive nursing intervention has a positive effect on patients with postoperative perfusion chemotherapy of bladder cancer.It can not only increase the compliance of patients，but also have a significant effect on improving the quality of life of patients.It is worth using in clinical work.

【Key words】 Bladder cancer； Intravesical instillation chemotherapy； Compliance； Quality of life； Comprehensive nursing

First-authors address：First Affiliated Hospital of Fujian Medical University，Fuzhou 350000，China

膀胱癌是發生在膀胱黏膜的常见恶性肿瘤，近年来随着生活质量的提升及生活习惯的改变，膀胱癌的发病率呈现逐年升高的趋势，男性的发病率也是女性的3～4倍[1-3]。给患者的生命健康造成了严重的威胁，现对笔者所在医院72例膀胱癌术后灌注化疗的患者进行研究分析，探究综合护理干预对膀胱癌患者术后膀胱灌注化疗依从性及生存质量影响，现将研究资料总结如下。

1 资料与方法

1.1 一般资料

选取2015年3月-2017年3月在笔者所在医院接受膀胱癌术后灌注化疗的患者72例作为研究对象，所有患者均符合膀胱灌注化疗指征。征得患者及家属同意后，随机分为研究组和对照组，每组36例。研究组中，男25例，女11例；年龄54～76岁，平均（64.58±3.29）岁；病程为6个月～4年，平均（1.35±0.58）年；膀胱癌类型：移行细胞癌25例，腺癌8例，其他3例。对照组中，男26例，女10例；年龄55～76岁，平均（64.45±3.26）岁；病程为7个月～4年，平均（1.42±0.36）年；膀胱癌类型：移行细胞癌24例，腺癌9例，其他3例。……