以质量求发展，以服务铸品牌

护理学报 ›› 2021, Vol. 28 ›› Issue (6): 61-64.doi: 10.16460/j.issn1008-9969.2021.06.061

• 临床护理 • 上一篇    下一篇

移动管理方案在膀胱癌行回肠膀胱造口患者中的应用研究

奉琴, 冯先琼, 何其英, 范冬萍, 邓兰   

  1. 四川大学华西护理学院 四川大学华西医院泌尿外科 华西泌尿研究所,四川 成都 610041
  • 收稿日期:2020-09-22 出版日期:2021-03-25 发布日期:2021-04-08
  • 通讯作者: 冯先琼（1966-）,女,四川成都人,硕士学历,主任护师。E-mail:fengxianqiong66@126.com
  • 作者简介:奉琴（1987-）,女,四川遂宁人,本科学历,主管护师。
  • 基金资助:
    四川省科技计划资助（2020YFS0158）; 四川大学华西护理学科发展专项基金（HXHL20032）

Mobile Management Program in Bladder Cancer Patients Undergoing Ileum Cystostomy

FENG Qin, FENG Xian-qiong, HE Qi-ying, FAN Dong-ping, DENG Lan   

  1. West China School of Nursing, Sichuan University; Dept. of Urology Surgery/Institute of Urology, West China Hospital, Sichuan University, Chengdu 610041, China
  • Received:2020-09-22 Online:2021-03-25 Published:2021-04-08

PDF (PC)

353

赞

摘要： 目的 探讨移动管理方案在膀胱癌行回肠膀胱造口患者中的应用效果。方法 本研究为非同期对照试验,选取成都市某三级甲等综合医院泌尿外科病房63例膀胱癌行回肠膀胱造口患者为研究对象,将2019年3—9月收治的31例患者分入对照组,2019年10月—2020年4月收治的32例患者分入干预组。对照组患者住院期间接受常规护理措施,出院后第4周接受常规电话随访指导。干预组患者除接受常规护理措施外,同时在住院期间以及出院后4周内接受移动管理方案和电话随访。比较2组患者自我护理能力得分及并发症发生情况。结果 出院前1 d干预组与对照组自我护理能力得分组间比较,自我护理意愿、知识得分比较差异有统计学意义（P<0.01）;自我护理技能得分比较差异无统计学意义（P>0.05）。出院后4周,2组自我护理能力得分组间比较,自我护理意愿、知识及技能得分比较差异有统计学意义（P<0.01）。出院后4 周,干预组发生并发症8例,对照组17例,2组并发症发生率比较差异有统计学意义（P<0.05）。结论 移动管理方案的应用能有效提高膀胱癌行回肠膀胱造口患者出院后的自我护理能力,降低并发症的发生。

关键词: 膀胱癌, 回肠膀胱造口, 移动管理, 自我护理能力, 并发症

Abstract: Objective To explore the effect of mobile management program in bladder cancer patients undergoing ileum cystostomy. Methods In this study, non-contemporaneous controlled test was conducted. Sixty-three patients with bladder cancer who underwent ileostomy in the urological ward of a tertiary grade-A general hospital in Chengdu were selected as the study subjects. Patients who met the criteria for admission from March 2019 to September 2019 were assigned to the control group, and those from October 2019 to April 2020 to the intervention group. Patients in the control group had routine nursing measures during hospitalization, and received routine telephone guidance at the 4th week after discharge. In addition to conventional nursing measures, mobile management program was implemented in the intervention group during the hospitalization and 4 weeks after discharge,patients also received telephone guidance. Self-care ability and the incidence of complications of patients in two groups were collected. Results Comparison of self-care ability between the two groups one day before discharge showed statistical significance in terms of self-care intention and self-care knowledge (P<0.01) but there was no statistically significant difference in self-care skills (P>0.05). Comparison of self-care ability between the two groups 4 weeks after discharge showed statistical significance in terms of self-care willingness, knowledge and skill (P<0.01). Four weeks after discharge, complications occurred in 8 cases in the intervention group and 17 cases in the control group, indicating statistical significance (P<0.05). Conclusion Mobile management program is effective for improving self-care ability of patients with bladder cancer undergoing ileum cystostomy after discharge and reduce the incidence of complications.

Key words: bladder cancer, ileum cystostomy, mobile management regimen, self-care ability, complication

中图分类号: 

  • R473.6
[1] Tariq A, Khan SR, Vela I,et al.Assessment of the Use of the Internet and social Media among PeoPle with Bladder Cancer and Their Carers,and the Quality of Available Patient-centric Online Resources: A Systematic Review[J].BJU International,2019,123(S5):10-18. DOI:10.1111/bju.14720.
[2] Hauk,Lisa.Radical cystectomy[J].AORN Journal,2018,107(2):10-12. DOI:10.1002/aorn.12133.
[3] Saum GhodoussiPour, Hooman Djaladat.An Update in Enhanced Recovery Following Radical Cystectomy[J].Current Urology RePorts,2018, 19(12):98. DOI:10.1007/s11934-018-0855-3.
[4] 张俊娥,黄金月,尤黎明,等.电话干预对结肠造口患者自我护理的影响[J].中华护理杂,2010,45(12):1073-1077. DOI: 10.3761/j.issn.0254-1769.2010.12.004.
[5] 王卫红,费素定,杨金儿,等.全程护理干预对膀胱癌尿流改道腹壁造口患者生活质量的影响[J].护士进修杂志,2011,26(15):1352-1354. DOI:10.3969/j.issn.1002-6975.2011.15.003.
[6] 徐一格.微信远程移动教育对回肠膀胱造口患者自我护理能力及适应水平的影响[D].郑州:郑州大学,2018.
[7] 屈清荣,张宽新,徐一格,等.基于微信平台的延续性护理对回肠膀胱造口患者自我护理能力的影响[J].中国实用护理杂志,2019,35(24):1883-1887. DOI:10.3760/cma.j.issn.1672-7088.2019.24.009.
[8] 林亚妹,朱美娟,洪曼,等.互联网+自我管理模式在动静脉内瘘患者中的应用[J].重庆医学,2018,47(23):3100-3101. DOI:10.3969/j.issn.1671-8348.2018.23.027.
[9] 鞠昊.延伸护理对直肠癌Miles术后造口患者生存质量的影响[J].中华结直肠疾病电子杂志,2016, 5(3):275-277. DOI:10.3877/cma.j.issn.2095-3224.2016.03.017.
[10] 苏玉玲.结肠造口患者之生活品质[J].台湾医学,2001,5(2):164-171.
[11] 文梅,康双玲,康丹丹.微信在预防性回肠造口患者延续性健康教育中的应用[J].齐鲁护理杂志,2016,22(21):35-36. DOI:10.3969/j.Issn.1006-7256.2016.21.016.
[12] 魏曾曾,吴丹,吴德全等.自我管理在永久性肠造口病人自我护理能力中的应用[J].护理研究,2013, 27(7):2113-2114. DOI:10.3969/j.issn.1009-6493.2013.20.027.
[13] 程茹,付丽,张金英.个体化肠道快速康复外科措施在回肠膀胱术病人中的应用[J].护理研究, 2019,33(12):2164-2166. DOI:10.12102/J.issn.1009-6493.2019.12.043.
[14] 陈婷.移动教育对永久性肠造口患者自护能力和生活质量的影响[J].护理实践与研究,2016,13(21):18-20. DOI:10.3969/j.Issn.1672-9676.2016.21.007.
[15] Boettcher J.Adding a Smartphone app to Internet-Based Self-help for Social Anxiety: A Randomized Controlled Trial[J].Computers in Human Behavior, 2018, 87:98e108. DOI:10.1016/j.chb.2018.04.052.
[1] 张璐, 李杰, 廖瑶姬, 郭金花, 何海林, 黄晓琴. 46例经心尖经导管主动脉瓣置换术后患者并发症观察与护理[J]. 护理学报, 2024, 31(17): 66-68.
[2] 黄丽华, 翟巾帼, 刘益君, 张莉, 孔淦霞, 刘轩田. 妊娠期孕妇腕管综合征管理的最佳证据总结[J]. 护理学报, 2023, 30(22): 50-55.
[3] 张萍, 徒文静, 韩娟. 对成人初显期炎症性肠病患者基于LEARNS模式健康教育的效果观察[J]. 护理学报, 2022, 29(4): 74-76.
[4] 吴文婧, 顾楠楠, 于丹, 宫润琦.
格林模式在初产妇产褥期护理中的应用研究
[J]. 护理学报, 2022, 29(4): 76-79.
[5] 曹洁, 顾婕, 吕春, 黄建业, 李冬梅, 陆小英, 钱火红. 2021年第8版《输液治疗实践标准》的解读及启示[J]. 护理学报, 2022, 29(22): 74-78.
[6] 卜娜分, 蔡海云, 黄涛, 薛道金, 赵昌勇. 46例脑出血患者神经内镜下颅内血肿清除术的并发症观察及护理[J]. 护理学报, 2022, 29(2): 73-74.
[7] 孙娟, 李岩, 郑蔚, 王丹丹, 杨展. 基于时机理论的赋能教育在PCI手术患者中的应用[J]. 护理学报, 2022, 29(2): 74-78.
[8] 洪丽微, 侯春怡, 沈香香, 张会锦, 张清, 巨春蓉, 黄丹霞. 肺移植术后出院患者并发症预防与管理的最佳证据总结[J]. 护理学报, 2022, 29(18): 47-52.
[9] 叶俏, 陈艺丹, 曾帆, 孙烯辉, 陈晓莹, 颜海萍, 李琳. 中心静脉通路装置维护核查清单的设计及应用效果[J]. 护理学报, 2022, 29(12): 70-74.
[10] 刘鑫, 江锦芳, 覃彦珠, 周帅, 施洁, 刘彦君. 215例结直肠癌造口患者家庭主要照顾者照顾能力现状及影响因素分析[J]. 护理学报, 2021, 28(7): 53-58.
[11] 严佳丽, 裘慧颖, 贾芸, 刘倩静, 富晶晶, 金云秋. 模拟体验并发症健康教育在中青年初发2型糖尿病患者中的应用[J]. 护理学报, 2021, 28(5): 75-78.
[12] 都菁, 邓海波, 刘磊, 李琳凤, 孙建华. 主动呼吸循环技术对非小细胞肺癌手术患者心肺功能影响研究[J]. 护理学报, 2021, 28(21): 71-74.
[13] 张洁, 姚洁, 费海平, 王宁, 徐燕. 气囊加压装置在永久起搏器植入术后伤口护理中的应用[J]. 护理学报, 2021, 28(20): 64-67.
[14] 鲍丽超, 韩慧, 邹晓月. 基于AGREE II造口旁疝护理预防与管理的指南评价[J]. 护理学报, 2021, 28(19): 48-51.
[15] 田文杰, 吕毅, 王凯玲, 杨勤玲, 肖奇贵. 胆道闭锁患儿肝移植术后并发症的观察及护理[J]. 护理学报, 2021, 28(18): 50-52.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!