必须声明标量变量 "@Script_ID"。 腹腔镜全膀胱切除+回肠原位新膀胱术集束化护理对泌尿道功能恢复的效果-《赣南医学院学报》

[1]刘艳艳,廖 斌.腹腔镜全膀胱切除+回肠原位新膀胱术集束化护理对泌尿道功能恢复的效果[J].赣南医学院学报,2019,39(10):1037-1039+1042.[doi:10.3969/j.issn.1001-5779.2019.10.017]
 LIU Yan-yan,LIAO Bin.Effect of laparoscopic radical cystectomy with orthotopic ileal neobladderin cluster nursing on recovery of urinary tract function[J].,2019,39(10):1037-1039+1042.[doi:10.3969/j.issn.1001-5779.2019.10.017]
点击复制

腹腔镜全膀胱切除+回肠原位新膀胱术集束化护理对泌尿道功能恢复的效果()
分享到:

《赣南医学院学报》[ISSN:1001-5779/CN:36-1154/R]

卷:
39
期数:
2019年10期
页码:
1037-1039+1042
栏目:
护理研究
出版日期:
2019-11-24

文章信息/Info

Title:
Effect of laparoscopic radical cystectomy with orthotopic ileal neobladderin cluster nursing on recovery of urinary tract function
文章编号:
1001-5779(2019)10-1037-04
作者:
刘艳艳1廖 斌2
1.赣州市人民医院泌尿外科; 2.赣州市立医院消化内科,江西 赣州 341000
Author(s):
LIU Yan-yan1 LIAO Bin2
1.Ganzhou People's Hospital; 2.Ganzhou Municipal Hospital, Ganzhou, Jiangxi 341000
关键词:
集束化护理 腹腔镜全膀胱切除+回肠原位新膀胱术 泌尿道功能
Keywords:
Cluster nursing Laparoscopic total cystectomy + ileal neobladder surgery Urinary function
分类号:
R473.6
DOI:
10.3969/j.issn.1001-5779.2019.10.017
文献标志码:
A
摘要:
目的:探讨集束化护理对腹腔镜全膀胱切除+回肠原位新膀胱术患者泌尿道功能恢复的应用效果。方法:选自2017年1月-2019年3月在我院择期行腹腔镜全膀胱切除+回肠原位新膀胱术患者59例,根据护理方案不同分为观察组(n=27)以及对照组(n=32)。对照组实施常规护理,观察组在基础护理上实施集束化护理, 比较两组患者的泌尿道功能恢复效果。结果:观察组患者术前焦虑、抑郁评分低于对照组(P<0.05),术后观察组反映患者泌尿道康复情况的肉眼血尿消失时间、膀胱冲洗时间、自控排尿恢复时间均较对照组更短(P<0.05),2组患者泌尿道近期和远期泌尿道并发症发生率无明显差别(P>0.05)。结论:集束化护理在膀胱全切除+回肠原位新膀胱术护理中的应用,能有效缓解患者术前焦虑、抑郁心理,更有效促进患者术后泌尿道功能康复,缩短住院时间,加快病床周转,减少医疗费用。
Abstract:
Objective: To investigate the effect of clustering nursing on urinary tract function recovery in patients undergoing laparoscopic radical cystectomy with orthotopic ileal neobladderin.Methods: From January 2017 to March 2019, 59 patients who underwent elective laparoscopic radical cystectomy with orthotopic ileal neobladderin surgery in our hospital were divided into observation group(n=27)and control group(n=32)according to different nursing plans.The control group was given routine care, and the observation group implemented cluster nursing on the basic nursing.The urinary tract function recovery effect of the two groups was compared.Results: The preoperative anxiety and depression scores of the patients in the observation group were lower than those in the control group(P<0.05).The postoperative observation group reflected the disappearance of gross hematuria, bladder irrigation time, and self-controlled urinary recovery time of patients with urinary tract recovery compared with the control group(P<0.05).There was no significant difference in the incidence of recent and long-term urinary tract complications between the two groups(P>0.05).Conclusions: The application of cluster nursing in B nursing can effectively alleviate preoperative anxiety and depression, promote postoperative rehabilitation, shorten hospital stay, speed up bed turnover and reduce medical expenses.

参考文献/References:

[1] Mateo E,Garcia-Tello A,Ramon D F F,et al.A comparative study between open and laparoscopic approach in radical cystectomy with orthotopic ileal neobladder[J].Actas Urologicas Espanolas(English Edition), 2015,39(2):92-97.
[2] Shao P,Li P,Ju X,et al.Laparoscopic cystectomy with intracorporeal orthotopic ileal neobladder:technique and clinical outcomes[J].Urology, 2015,85(2):368-373.
[3] 范朝刚,陈军.结直肠手术肠道准备作用评估[J].中国实用外科杂志,2016,36(2):178-181.
[4] 张珊,温贤秀, 雷花, 等.腹腔镜根治性膀胱切除原位回肠新膀胱术病人的围术期护理进展[J].全科护理,2016,14(17):538-540.
[5] 黄应龙,王剑松,于跃平,等.膀胱全切原位尿流改道术后早期并发症及危险因素分析[J].广东医学,2017,38(3):378 -382.
[6] 杨丽君,余洋.循证护理在膀胱全切原位回肠代膀胱术治疗患者中的应用研究[J].检验医学与临床,2016,13(20):2951-2952.
[7] 谭燕勤.探讨完全腹腔镜下根治性膀胱全切除回肠原位膀胱术后新膀胱功能锻炼的循证护理体会[J].当代临床医刊,2019,32(1):37-38.
[8] 李霞,杨爱凤,杜娟,等.宫颈癌患者术后尿路感染的相关因素分析及膀胱功能训练对尿潴留预防效果探究[J].中华医院感染学杂志,2017,27(7):1612-1615.
[9] 郭肖霞.全膀胱切除原位回肠新膀胱术后并发症的护理[J].护理学报, 2006, 13(11): 30-31.

备注/Memo

备注/Memo:
作者简介: 刘艳艳,女,本科,主管护师,研究方向:临床护理。E-mail:962440813@qq.com
更新日期/Last Update: 2019-11-20