摘要
目的探讨个体化家庭访视护理对回肠代膀胱腹部造口患者自我效能和生活质量的影响。方法选择2000年1月—2014年1月在该院接受根治性全膀胱切除回肠代膀胱腹壁造口术的浸润性膀胱癌患者共40例,随机分为对照组及观察组各20例。对照组接受常规护理,观察组除了常规护理外,于患者出院后第二周,接受为期8周的个体化家庭访视护理干预。二组患者均于术后第十二周接受一般自我效能量表和SF-36生活质量调查表评估。结果观察组患者的自我效能总分明显高于对照组(7.42±1.29vs 6.68±1.08,P<0.05)。生活质量评估结果显示,观察组患者SF-36生活质量调查表各维度评分中,除了躯体疼痛外,其余各维度评分均显著高于对照组(P均<0.05)。结论个体化家庭访视护理可有效提高回肠代膀胱腹部造口患者自我效能,改善患者的生活质量。
Objective To explore the influence of individualized home visiting nursing on self-efficacy and quality of life in patients with bladder cancer receiving ileal neobladder and abdominal neostomy.MethodsFrom January 2000 to January 2014,a total of 40 patients with invasive bladder cancer receiving radical cystectomy with bricker ileal conduit in author＇s hospital were included and randomized into the control group and the observation group（n=20 both）.The patients in the control group received usual care,while the patients in the observation group received both usual care and individualized home visiting nursing with aperiod of 8 weeks from the second week after discharge.All patients from both groups were evaluated with the general self-efficacy scale and the SF-36 questionnaire.Results The self-efficacy scores of the patients in the observation group were significantly higher than those of the control group（7.42±1.29 vs 6.68±1.08,P 〈0.05）.Most of the scores of SF-36 questionnaire of the patients in the observation group were significantly higher than those of the control group（P 〈0.05）.Conclusion Individualized home visiting nursing can improve the self-efficacy and quality of life in patients with bladder cancer receiving bricker ileal conduit.
出处
《中国煤炭工业医学杂志》
2015年第11期1945-1948,共4页
Chinese Journal of Coal Industry Medicine
