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Open Access Article

Contemporary Nursing. 2022; 3: (8) ; 1-4 ; DOI: 10.12208/j.cn.20220326.

The effect of humanized nursing in operating room nursing of laparoscopic radical resectionof bladder cancer
人性化护理在腹腔镜膀胱癌根治性切除术手术室护理中的效果

作者: 余丹 *

华中科技大学同济医学院附属同济医院 湖北武汉

*通讯作者: 余丹,单位:华中科技大学同济医学院附属同济医院 湖北武汉;

发布时间: 2022-09-11 总浏览量: 393

摘要

目的 分析在腹腔镜膀胱癌(Bladder Cancer,BC)根治性切除术手术室护理中人性化护理的效果。方法 本次总共抽取90例病例展开研究,年限截止为2018.01~2021.10,均实施BC根治性切除术,对比研究以随机法展开,分为对比组(45例)与分析组(45例)。对比组接受常规手术室护理,在此方案上分析组加强人性化护理。研究结束后对比2组汉密尔顿抑郁量表(HAMD)、焦虑自评量表评分(SAS)、手术情况、满意率及生活质量(SF-36量表)等数据,以评定效果。结果 研究结束后,2组对比干预后HAMD、SAS等评分数据,分析组分别为(33.26±2.15)分、(34.11±2.84)分均低于对比组(45.41±6.22)分、(44.72±5.21)分(P<0.05)。2组对比术中出血量、手术及住院等耗时数据,分析组分别为(43.55±5.03)mL、(62.36±10.04)min、(7.78±1.26)d均低于对比组(65.33±6.32)mL、(77.12±12.52)min、(10.53±2.56)d(P<0.05)。2组对比总满意率数据,分析组95.56%(43/45)高于对比组80.00%(36/45)(P<0.05)。2组对比SF-36量表各项数据,分析组均高于对比组(P<0.05)。结论 在腹腔镜BC根治性切除术手术室护理中人性化护理的效果显著,即可有效消除患者负性心理,且可减少出血量和手术耗时,还可改善其生活质量,促进其术后快速恢复,且患者普遍满意,可进一步借鉴推广。

关键词: 腹腔镜;膀胱癌;根治性切除术;手术室护理;人性化护理

Abstract

Objective To analyze the effect of humanized nursing in operating room nursing of laparoscopic radical resection of bladder cancer (BC).
Methods A total of 90 cases were selected for the study, and the years were cut off from 2018.01 to 2021.10. All patients underwent BC radical resection. The comparative study was carried out by random method and divided into a comparison group (45 cases) and an analysis group (45 cases). The control group received routine operating room nursing, and the analysis group strengthened humanized nursing on this program. After the study, the data of Hamilton Depression Rating Scale (HAMD), Self-Rating Anxiety Scale (SAS), surgical conditions, satisfaction rate and quality of life (SF-36 scale) were compared between the two groups to evaluate the effect.
Results After the study, the scores of HAMD and SAS were compared between the two groups after the intervention. The scores of the analysis group were (33.26±2.15) and (34.11±2.84), which were lower than those of the control group (45.41±6.22) and (44.72±5.21). ) points (P<0.05). Intraoperative blood loss, operation and hospitalization time-consuming data were compared between the two groups. mL, (77.12±12.52) min, (10.53±2.56) d (P<0.05). Comparing the total satisfaction rate data between the two groups, the analysis group was 95.56% (43/45) higher than the comparison group 80.00% (36/45) (P<0.05). The data of SF-36 scale were compared between the two groups, and the analysis group was higher than the comparison group (P<0.05).
Conclusion   The effect of humanized nursing in operating room nursing of laparoscopic BC radical resection is significant, which can effectively eliminate the negative psychology of patients, reduce the amount of blood loss and operation time, improve their quality of life, and promote their postoperative Rapid recovery, and patients are generally satisfied, can be further promoted.

Key words: laparoscopy; bladder cancer; radical resection; operating room nursing; humanized nursing

参考文献 References

[1] 潘锋. 慢性肾病矿物质及骨代谢紊乱是一种全身疾病——访华中科技大学同济医学院附属同济医院余学锋教授[J]. 中国当代医药, 2021, 28(23):3.

[2] 王妮. 围术期人性化护理对膀胱癌患者治疗依从性及生活质量的影响研究[J]. 养生保健指南,2021,04(1):233.

[3] Ford Charles R, Katzman Ju Hee, Greene John. 282. Epidemiological Evaluation of Methicillin-Resistant Staphylococcus aureus (MRSA) and Methicillin-Susceptible Staphylococcus aureus (MSSA) Bacteremia: A Comprehensive Cancer Center’s 10-Year Experience[J]. Open Forum Infectious Diseases, 2020, 7(Supplement1):S141-S142. 

[4] 孙秀英,张文娟,陈子娇,等. 综合护理对膀胱癌灌注吉西他滨患者依从性及并发症的影响[J]. 国际护理学杂志,2021,40(4):724-726. 

[5] 张晓琳,田洁,惠静,等. 膀胱癌尿流改道腹壁造口患者护理依赖现状及相关因素研究[J]. 护理学杂志,2021,36(21):24-27. 

[6] 刘忠梅,王海燕. IMB模型护理干预在膀胱癌根治术患者中的应用价值[J]. 皖南医学院学报,2021,40(2):198-201. 

[7] 何茫茫,洪敏,张琼,等. 精益护理在机器人辅助高龄膀胱癌根治术中的应用效果[J]. 浙江临床医学,2021,23(1):124-126.

[8] 李艳春,黄秀铭. 分级心理护理联合健康教育对膀胱癌患者围术期心理状态、生活质量及疾病认知水平影响[J]. 国际护理学杂志,2021,40(11):1983-1987. 

[9] 于文雁. 系统护理对膀胱癌泌尿造口老年患者生活质量及焦虑抑郁情绪的影响[J]. 中国医药指南,2021,19(3):204-205.

[10] 贾丽. 信息化延续性护理对膀胱癌术后双侧腹壁造口患者自护能力及并发症的影响[J]. 护理实践与研究,2020,17(11):93-95. 

[11] Hashem Abdelwahab, Mosbah Ahmed, El Tabey Nasr A., et al. Holmium Laser En-bloc Resection Versus Conventional Transurethral Resection of Bladder Tumors for Treatment of Non–muscle-invasive Bladder Cancer: A Randomized Clinical Trial[J]. European Urology Focus, 2020, 7(5):1142-1152.

[12] 潘晓玲,陈芳,麦扬,等. 膀胱癌膀胱切除回肠代膀胱腹壁造口术护理探讨[J]. 中国城乡企业卫生,2017,32(8):77-79.

[13] 尤宁宁,初苗苗,尹丽达. 延续护理在膀胱癌尿流改道腹壁造口术患者中的应用[J]. 齐鲁护理杂志,2020,26(10):68-70.

引用本文

余丹, 人性化护理在腹腔镜膀胱癌根治性切除术手术室护理中的效果[J]. 当代护理, 2022; 3: (8) : 1-4.