Nursing Experience of Bladder Tumor Patients during Perioperative Period
膀胱肿瘤患者围手术期的护理体会

摘要

目的 评价临床护理路径在膀胱肿瘤病人围术期的应用价值。方法 选择132名接受膀胱切除术的膀胱肿瘤病人，按随机数表分成两组，研究组和对照组各66例。研究组病人采取了临床护理路径，而对照组则采取了常规的护理措施。观察术后各项指标、并发症发生率、护理效果、肿瘤复发率和生活质量得分。结果 与对照组比较，研究组住院时间、住院费用、下床活动时间都明显降低，差异有显著性（P<0.05）。研究组术后并发症发生率为3.03%，与对照组15.15%相比有显著性差异（P<0.05）。研究组病人的护理满意度、健康知识的知晓率都明显高于对照组，两者间有显著性差异（P<0.05）。术后1年，研究组肿瘤复发率为1.52%，卡氏评分为83.99±6.85，对照组分别为13.64%,79.68±5.02，差异有显著性（P<0.05）。结论 在膀胱肿瘤病人的围术期进行临床护理路径干预，可以提高病人的恢复速度，降低并发症的发生率；提高患者的护理满意度，减少肿瘤的复发率，改善患者的生活质量，是一种值得推广的方法。

Abstract

Objective: To evaluate the application value of clinical nursing pathway in patients with bladder tumor during perioperative period.
Methods: A Total of 132 Patients With Bladder Tumor Who Underwent Cystectomy were randomly divided into two groups, 66 cases in the study group and 66 cases in the control group. The patients in the study group received clinical nursing pathway, while the patients in the control group received routine nursing measures. The postoperative indicators, complication rate, nursing effect, tumor recurrence rate and quality of life score were observed.
Results: Compared with the control group, the length of hospital stay, hospitalization cost and time of getting out of bed were significantly reduced in the study group (P<0.05). The incidence of postoperative complications in the study group was 3.03%, which was significantly different from 15.15% in the control group (P<0.05). The nursing satisfaction and awareness rate of health knowledge of patients in the study group were significantly higher than those in the control group, and there were significant differences between the two groups (P<0.05). At 1 year after operation, the recurrence rate of tumor in the study group was 1.52%, and the Carlisle score was 83.99±6.85, and the control group was 13.64% and 79.68±5.02, respectively, and the differences were significant (P<0.05).
Conclusion  : Clinical nursing pathway intervention in the perioperative period of bladder tumor patients can improve the recovery speed of patients and reduce the incidence of complications; It is a method worthy of promotion to improve the nursing satisfaction of patients, reduce the recurrence rate of tumor and improve the quality of life of patients.