摘要
目的 膀胱癌作为一种恶性肿瘤，其手术治疗往往对患者的身体造成较大创伤，因此本研究旨在探讨聚焦解决模式下的激励式护理干预对膀胱癌手术患者癌症复发恐惧及健康促进行为的干预效果。方法 对在我院行手术治疗的膀胱癌患者分别给予常规激励式护理和聚焦解决模式下的激励式护理干预，对比两组患者的应用效果。结果 与对照组相比，观察组显著降低患者癌症复发恐惧水平，全面提升健康促进行为（P＜0.05，具有统计学意义），且未增加并发症风险（P＞0.05，无显著差异）。结论 聚焦解决模式下的激励式护理干预在膀胱癌手术患者中的应用效果显著，能够有效减轻患者的癌症复发恐惧，促进健康行为的养成，对提高患者术后生活质量具有积极意义。
关键词： 膀胱癌；手术；聚焦解决模式；激励式护理；癌症复发恐惧；健康行为；并发症发生率
Abstract
Objective As a malignant tumor, bladder cancer surgery often causes significant trauma to patients. This study aims to explore the effects of solution-focused motivational nursing interventions on fear of cancer recurrence and health-promoting behaviors in patients undergoing surgery for bladder cancer. Methods Patients undergoing surgical treatment for bladder cancer at our hospital were given either routine motivational nursing care or solution-focused motivational nursing interventions, and the effects of the two approaches were compared. Results Compared with the control group, the observation group showed a significant reduction in fear of cancer recurrence and a comprehensive improvement in health-promoting behaviors (P < 0.05, statistically significant), without an increased risk of complications (P > 0.05, no significant difference). Conclusion Solution-focused motivational nursing interventions have a significant effect in patients undergoing surgery for bladder cancer. They can effectively alleviate fear of cancer recurrence and promote the development of health behaviors, which is positively significant for improving postoperative quality of life.
Key words： Bladder cancer; Surgery; Solution-focused approach; Motivational nursing; Fear of cancer recurrence; Health behavior; Incidence of complications
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