膀胱癌术后双侧腹壁造口患者的延续护理
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摘要
目的提高膀胱癌全膀胱切除双侧腹壁造口患者的自护技能与效果,以提高其生活质量。方法将46例膀胱癌行全膀胱切除并双侧腹壁造口患者随机分为两组各23例,对照组行常规治疗护理、健康教育、出院指导及随访;观察组建立"造口护理服务"微信平台并应用于上述护理中。术后6个月评价效果。结果干预后观察组造口知识及生活质量得分显著高于对照组,术后并发症发生率显著低于对照组(均P<0.01)。结论基于微信平台的延续护理,可有效提高患者的造口知识,从而降低造口并发症发生率,提高生活质量。
引文
[1]Jacobs B L,Lee C T,Montie J E,et al.Bladder cancer in2010:how far have we come?[J].CA Cancer J Clin,2010,60(4):244-272.
[2]Wu M C,Chang Y C,Wang T G,et al.Evaluating swallowing dysfunction using a 100 m L water swallowing test[J].Dysphagia,2014,29(1):43-47.
[3]杨荆艳,张娈晖,薛峻岭,等.输尿管腹壁造口患者的连续性照护管理[J].护理学杂志,2014,29(10):26-28.
[4]夏舜尧,张鑫,姚大勇,等.对浸润性膀胱癌膀胱全切双侧输尿管腹壁移植造口术的评价[J].哈尔滨医科大学学报,2016,50(5):467-470.
[5]Huang J H,Lu J Y,Yao X D,et al.Comparison of two kinds of cutaneous ureterostomy using in radical cystectomy[J].Int J Clin Exp Med,2015,8(8):14371-14375.
[6]梁梅香.膀胱癌术后尿路造口并发症的护理措施分析[J].医学理论与实践,2017,30(2):289-290.
[7]Braunwarth H,Brill F H,Steinmann J,et al.Migration speed of uropathogens:determination in the ureteral Splint in a practice-like in vitro model[J].Urologe A,2017,56(2):180-185.
[8]Force G D T.WOCN society clinical guideline:management of the adult patient with a fecal or urinary ostomy-An executive summary[J].J Wound Ostomy Continence Nurs,2018,45(1):50-58.
[9]Haugen V,Ratliff C R.Tools for assessing peristomal skin complications[J].J Wound Ostomy Continence Nurs,2013,40(2):131-134.
[10]李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.
[11]王少玲,黄金月,周家仪.建立慢性阻塞性肺疾病延续性护理的循证实践[J].中华护理杂志,2009,44(5):431-434.
[12]Diament R H.Clinical nurse specialist stoma care[D].London:Royal College of Nursing,2009.
[13]Balducci L,William B.Comprehensive geriatric oncology[R].London:Informa Healthcare Ltd,2005.
[14]马倩红,梁志翔.家庭随访对肠造口患者生活质量的影响[J].当代护士,2011(2):163-165.
[2]Wu M C,Chang Y C,Wang T G,et al.Evaluating swallowing dysfunction using a 100 m L water swallowing test[J].Dysphagia,2014,29(1):43-47.
[3]杨荆艳,张娈晖,薛峻岭,等.输尿管腹壁造口患者的连续性照护管理[J].护理学杂志,2014,29(10):26-28.
[4]夏舜尧,张鑫,姚大勇,等.对浸润性膀胱癌膀胱全切双侧输尿管腹壁移植造口术的评价[J].哈尔滨医科大学学报,2016,50(5):467-470.
[5]Huang J H,Lu J Y,Yao X D,et al.Comparison of two kinds of cutaneous ureterostomy using in radical cystectomy[J].Int J Clin Exp Med,2015,8(8):14371-14375.
[6]梁梅香.膀胱癌术后尿路造口并发症的护理措施分析[J].医学理论与实践,2017,30(2):289-290.
[7]Braunwarth H,Brill F H,Steinmann J,et al.Migration speed of uropathogens:determination in the ureteral Splint in a practice-like in vitro model[J].Urologe A,2017,56(2):180-185.
[8]Force G D T.WOCN society clinical guideline:management of the adult patient with a fecal or urinary ostomy-An executive summary[J].J Wound Ostomy Continence Nurs,2018,45(1):50-58.
[9]Haugen V,Ratliff C R.Tools for assessing peristomal skin complications[J].J Wound Ostomy Continence Nurs,2013,40(2):131-134.
[10]李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.
[11]王少玲,黄金月,周家仪.建立慢性阻塞性肺疾病延续性护理的循证实践[J].中华护理杂志,2009,44(5):431-434.
[12]Diament R H.Clinical nurse specialist stoma care[D].London:Royal College of Nursing,2009.
[13]Balducci L,William B.Comprehensive geriatric oncology[R].London:Informa Healthcare Ltd,2005.
[14]马倩红,梁志翔.家庭随访对肠造口患者生活质量的影响[J].当代护士,2011(2):163-165.