Application of evidence-based nursing in reducing bladder spasm after resection of bladder tumors
循证护理在减轻膀胱肿瘤电切手术后膀胱痉挛中的应用

摘要

目的：探析在减轻膀胱肿瘤电切手术后膀胱痉挛中循证护理中的应用及效果。方法：本次研究对象均选取于我院泌尿外科收治的膀胱肿瘤电切术患者，方便选择70例，选择时间为2018年12月~2020年1月。采用随机双盲选法将患者分到对照组和观察组，对照组35例患者接受常规护理，观察组35例患者接受循证护理。两组接受不同方法护理后，对患者的临床状况进行全面的观察和分析，并记录相关数据，同时比较两组患者接受护理后膀胱痉挛发生情况及发生率、患者舒适程度。结果：通过研究不同护理方法在减轻膀胱肿瘤电切术后膀胱痉挛的护理效果中发现，采用循证护理的观察组膀胱痉挛的发生率明显低于对照组，差异显著有统计学意义（P＜0.05）；另外，两组患者舒适度相比，观察组优于对照组，相比之下，同样存在明显区别和统计学意义（P＜0.05）。结论：在减轻膀胱肿瘤电切术后膀胱痉挛中应用循证护理，不仅能够减轻患者的膀胱痉挛状况，还能够有效的提高患者的舒适度，临床应用和推广价值较高。

Abstract

Objective: To analyze the application and effect of evidence-based nursing in reducing bladder spasm after resection of bladder tumors.
Methods: The subjects of this study were all patients with bladder tumor resection who were treated in our hospital. 70 cases were selected conveniently. Patients were divided into a control group and an observation group by a random double-blind selection method. 35 patients in the control group received routine care and 35 patients in the observation group received evidence-based care. After the two groups received different methods of nursing, the clinical conditions of the patients were comprehensively observed and analyzed, and the relevant data were recorded. At the same time, the incidence and incidence rate of bladder spasms and the comfort of the patients were compared between the two groups.
Results: Through studying the nursing effects of different nursing methods in reducing bladder spasm after the resection of bladder tumors, it was found that the incidence of bladder spasm in the observation group using evidence-based nursing was significantly lower than that in the control group, and the difference was statistically significant (P <0.05). In addition, compared with the comfort of the two groups, the observation group was better than the control group. In contrast, there were also significant differences and statistical significance (P <0.05).
Conclusion  : The application of evidence-based nursing in reducing bladder spasm after electrotomy of bladder tumors can not only reduce the bladder spasm of patients, but also effectively improve the comfort of patients. It has higher clinical application and promotion value.