优质护理对钬激光治疗浅表性膀胱肿瘤的效果观察
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摘要
目的探讨优质护理在钬激光治疗浅表性膀胱肿瘤围术期中的临床效果。方法收集65例浅表性膀胱肿瘤患者按是否愿意接受优质护理分为实验组40例和对照组25例,对照组患者给予常规护理,实验组患者在常规护理的基础上加施优质护理,比较2组患者的围术期临床指标、并发症、复发与满意度评价等。结果实验组患者术中出血量、手术时间、导管滞留时间、住院时间与医疗费用显著低于对照组,差异有统计学意义(P<0.01);实验组患者尿路感染、膀胱痉挛与膀胱穿孔发生率显著低于对照组,差异有统计学意义(P<0.05);实验组患者尿路狭窄发生率与复发率略低于对照组,但差异无统计学意义(P>0.05);实验组患者护理满意度评价显著优于对照组,差异有统计学意义(P<0.05)。结论优质护理干预在钬激光治疗浅表性膀胱肿瘤围术期中的临床效果显著,具有深远的意义。
Objective To investigate clinical efficacy of the quality of care in the holmium laser treatment of superficial bladder cancer. Methods A total of 65 superficial bladder cancer patients willing to accept high- quality care were divided into experimental group with 40 patients and control group with 25 patients. The control group was treated with routine care while the experimental group was given quality care on the basis of routine care. Clinical parameters,complications,relapse and satisfaction of two groups were compared. Results The blood loss,operative time,catheter retention time,length of hospital stay and medical costs in the experimental group were significantly lower than that in the control group,there was a significant difference( P < 0. 01). Urinary tract infection bladder spasms and bladder perforation the experimental group was significantly lower than the control group( P < 0. 05). The incidence of urinary tract stenosis and the relapse rate in the experimental group was slightly lower than that in the control group,but there was no significant difference( P > 0. 05). Nursing satisfaction in the experimental group was better than that in the control group,there was a significant difference( P < 0. 05). Conclusion The effect of quality of nursing intervention in holmium laser treatment of superficial bladder cancer is significant,it is of far- reaching significance.
Objective To investigate clinical efficacy of the quality of care in the holmium laser treatment of superficial bladder cancer. Methods A total of 65 superficial bladder cancer patients willing to accept high- quality care were divided into experimental group with 40 patients and control group with 25 patients. The control group was treated with routine care while the experimental group was given quality care on the basis of routine care. Clinical parameters,complications,relapse and satisfaction of two groups were compared. Results The blood loss,operative time,catheter retention time,length of hospital stay and medical costs in the experimental group were significantly lower than that in the control group,there was a significant difference( P < 0. 01). Urinary tract infection bladder spasms and bladder perforation the experimental group was significantly lower than the control group( P < 0. 05). The incidence of urinary tract stenosis and the relapse rate in the experimental group was slightly lower than that in the control group,but there was no significant difference( P > 0. 05). Nursing satisfaction in the experimental group was better than that in the control group,there was a significant difference( P < 0. 05). Conclusion The effect of quality of nursing intervention in holmium laser treatment of superficial bladder cancer is significant,it is of far- reaching significance.
引文
[1]陈伟.经尿道钬激光膀胱肿瘤切除术与经尿道膀胱肿瘤电切术治疗表浅层膀胱癌的疗效和安全性:对比研究[J].中国全科医学,2014,17(2):223.
[2]滕立新.钬激光切除术治疗浅表性膀胱肿瘤的疗效观察[J].第三军医大学学报,2012,34(5):448.
[3]王振显,陈康宁,孙克俭.经尿道电切联合钬激光治疗近输尿管开口膀胱肿瘤[J].广东医学,2011,32(21):2814.
[4]KA Wong,G Zisengwe,T Athanasiou,et al.Outpatient laser ablation of non-muscle-invasive bladder cancer:is it safe,tolerable and cost-effective[J].Urologic Oncology:Seminars and Original Investigations,2013,112(5):561.
[5]Kramer M W,Wolters M,Abdelkawi I F,et al.Transurethral en bloc resection of non-muscle invasive bladder cancer:What is the state of the art[J].Der Urologe Section A,2012,51(6):798.
[6]陈伟,薄隽杰,张连华,等.经尿道钬激光治疗浅表性膀胱肿瘤的临床分析——附92例报告[J].中国癌症杂志,2009,23(3):214.
[7]王刚,龚晋迁.经尿道钬激光切除或电切治疗浅表性膀胱癌61例体会[J].重庆医学,2011,40(3):278.
[8]杨天,范志强,温世和.膀胱肿瘤汽化电切术联合吡柔比星膀胱灌注化疗在浅表性膀胱癌患者中的应用效果[J].中国医学创新,2015,12(10):24.
[9]邓鲲,刘焕军,王宇.经尿道汽化电切术联合膀胱灌注吡柔比星治疗浅表性膀胱癌的随机对照研究[J].齐齐哈尔医学院学报,2015,36(11):1647.
[10]邓兴誉.经尿道钬激光膀胱肿瘤切除术治疗表浅层膀胱癌的疗效分析[J].江西医药,2014,49(9):834.
[11]李俊勇,白进良.膀胱肿瘤的治疗研究进展及疗效分析[J].中国医药指南,2015,13(8):35.
[12]周正兴,陈红兵,程冬,等.经尿道膀胱肿瘤切除术结合髂动脉灌注化疗治疗复发浸润性膀胱肿瘤24例临床观察[J].安徽医药,2015,19(4):712.
[13]徐卫东,张建平,夏厚萍,等.浅表性膀胱移行细胞癌预后相关临床因素分析[J].实用临床医药杂志,2014,18(23):177.
[14]李挺.经尿道膀胱肿瘤电切术治疗浅表性膀胱肿瘤体会[J].甘肃医药,2015,34(1):61.
[15]杨卓.非麻醉下膀胱肿瘤电切治疗的护理体会[J].中国实用医药,2015,10(9):238.
[16]黄宝义,余金良.膀胱肿瘤电切术+吡柔比星灌注治疗浅表性膀胱肿瘤42例体会[J].中国医学工程,2015,23(2):48.
[17]鲁文龙,冯超,朱卫东,等.2μm连续式激光治疗初发非肌层浸润性膀胱肿瘤的前瞻性随机对照研究[J].临床泌尿外科杂志,2015,30(2):107.
[18]杨庆亚,谢天朋,许清泉,等.不同化疗方式预防浅表性膀胱癌术后复发的疗效和安全性[J].实用医学杂志,2015,31(5):795.
[2]滕立新.钬激光切除术治疗浅表性膀胱肿瘤的疗效观察[J].第三军医大学学报,2012,34(5):448.
[3]王振显,陈康宁,孙克俭.经尿道电切联合钬激光治疗近输尿管开口膀胱肿瘤[J].广东医学,2011,32(21):2814.
[4]KA Wong,G Zisengwe,T Athanasiou,et al.Outpatient laser ablation of non-muscle-invasive bladder cancer:is it safe,tolerable and cost-effective[J].Urologic Oncology:Seminars and Original Investigations,2013,112(5):561.
[5]Kramer M W,Wolters M,Abdelkawi I F,et al.Transurethral en bloc resection of non-muscle invasive bladder cancer:What is the state of the art[J].Der Urologe Section A,2012,51(6):798.
[6]陈伟,薄隽杰,张连华,等.经尿道钬激光治疗浅表性膀胱肿瘤的临床分析——附92例报告[J].中国癌症杂志,2009,23(3):214.
[7]王刚,龚晋迁.经尿道钬激光切除或电切治疗浅表性膀胱癌61例体会[J].重庆医学,2011,40(3):278.
[8]杨天,范志强,温世和.膀胱肿瘤汽化电切术联合吡柔比星膀胱灌注化疗在浅表性膀胱癌患者中的应用效果[J].中国医学创新,2015,12(10):24.
[9]邓鲲,刘焕军,王宇.经尿道汽化电切术联合膀胱灌注吡柔比星治疗浅表性膀胱癌的随机对照研究[J].齐齐哈尔医学院学报,2015,36(11):1647.
[10]邓兴誉.经尿道钬激光膀胱肿瘤切除术治疗表浅层膀胱癌的疗效分析[J].江西医药,2014,49(9):834.
[11]李俊勇,白进良.膀胱肿瘤的治疗研究进展及疗效分析[J].中国医药指南,2015,13(8):35.
[12]周正兴,陈红兵,程冬,等.经尿道膀胱肿瘤切除术结合髂动脉灌注化疗治疗复发浸润性膀胱肿瘤24例临床观察[J].安徽医药,2015,19(4):712.
[13]徐卫东,张建平,夏厚萍,等.浅表性膀胱移行细胞癌预后相关临床因素分析[J].实用临床医药杂志,2014,18(23):177.
[14]李挺.经尿道膀胱肿瘤电切术治疗浅表性膀胱肿瘤体会[J].甘肃医药,2015,34(1):61.
[15]杨卓.非麻醉下膀胱肿瘤电切治疗的护理体会[J].中国实用医药,2015,10(9):238.
[16]黄宝义,余金良.膀胱肿瘤电切术+吡柔比星灌注治疗浅表性膀胱肿瘤42例体会[J].中国医学工程,2015,23(2):48.
[17]鲁文龙,冯超,朱卫东,等.2μm连续式激光治疗初发非肌层浸润性膀胱肿瘤的前瞻性随机对照研究[J].临床泌尿外科杂志,2015,30(2):107.
[18]杨庆亚,谢天朋,许清泉,等.不同化疗方式预防浅表性膀胱癌术后复发的疗效和安全性[J].实用医学杂志,2015,31(5):795.