Effect of continuous nursing after ureterostomy for bladder cancer to reduce postoperative complications
膀胱癌输尿管造口术后进行延续性护理降低其术后并发症的效果

摘要

目的 探讨膀胱癌输尿管造口术后进行延续性护理降低其术后并发症的效果。方法 选取2023年2月～2024年2月本院收治的膀胱癌患者30例,随机分组（各15例），对照组术后常规护理，观察组术后延续性护理，对比效果。结果 观察组清洗保持皮肤干燥、选择及裁剪合适造口袋、评估造口及周围皮肤、外固定方法评分，均高于对照组（P<0.05）；而并发症发生率低于对照组（P<0.05）；观察组干预后躯体、角色、情绪、认知及社会功能评分，医护态度、健康宣教、医护技能及情感体验，均高于对照组（P<0.05）。结论 膀胱癌输尿管造口术后，开展延续性护理，能增强患者的自护能力，有效减少并发症，改善生存质量及护理满意度。

Abstract

Objective To investigate the effect of continuous nursing after ureterostomy for bladder cancer in reducing postoperative complications.
Methods Thirty patients with bladder cancer admitted to our hospital from February 2023 to February 2024 were randomly assigned (15 in each case) to the control group for postoperative routine care and the observation group for postoperative continuity care.
Results The scores of the observation group were higher than those of the control group (P<0.05) in cleaning and keeping the skin dry, selecting and cutting the appropriate stoma bag, evaluating the stoma and surrounding skin, and external fixation method. The complication rate was lower than that of control group (P<0.05). After intervention, the scores of body, role, emotion, cognitive and social function, medical attitude, health education, medical skills and emotional experience in the observation group were higher than those in the control group (P<0.05).
Conclusion   After ureterostomy for bladder cancer, continuous nursing can enhance patients' self-care ability, effectively reduce complications, improve quality of life and nursing satisfaction.