微信群对膀胱全切腹壁造口患者生活质量的影响

发布时间：2018-01-01 00:01

本文关键词：微信群对膀胱全切腹壁造口患者生活质量的影响　出处：《齐鲁护理杂志》2017年06期 　论文类型：期刊论文

更多相关文章： 膀胱癌 腹壁造口 微信群 生活质量

【摘要】：目的:探讨微信群对膀胱全切腹壁造口患者生活质量的影响。方法:将60例根治性膀胱全切除腹壁造口患者随机分为对照组和观察组各30例,两组患者住院时均接受常规护理及出院指导,并在住院期间讲解、示范造口袋的更换要点,并发症预防;观察组在此基础上加入腹壁造口微信群,由造口护士进行系统健康教育,包括造口自我护理要点、并发症预防指导、心理护理等。在患者术后6个月来院复查时发放腹壁造口知识问卷、Spitzer生活质量表、焦虑自评量表(SAS)对干预效果进行评价。结果:6个月后,观察组腹壁造口知识掌握情况优于对照组(P0.05);观察组患者术后日常生活、活动、健康等Spitzer生存质量评分高于对照组(P0.05);观察组SAS评分显著低于对照组(P0.05)。结论:通过微信群实施健康教育能够提高膀胱全切腹壁造口患者的生活质量,缓解其焦虑情绪。
[Abstract]:Objective: to investigate the effect of WeChin group on the quality of life of patients with total cystectomy of abdominal wall. Methods: 60 patients with radical total cystectomy were randomly divided into two groups: control group (n = 30) and observation group (n = 30). The patients in both groups received routine nursing care and discharge guidance, and explained during hospitalization, demonstrating the key points of pocket replacement and prevention of complications. On this basis, the observation group added the abdominal wall stomatal WeChat group, by the stomatal nurses to carry out systematic health education, including the main points of self-care, complications prevention guidance. Psychological nursing and so on. The questionnaire of knowledge of abdominal wall stomatostomy and Spitzer quality of life (QOL) was issued when the patient came back to hospital 6 months after operation. Results: after 6 months, the knowledge of abdominal wall stomatostomy in the observation group was better than that in the control group (P 0.05). The scores of daily life, activity and health of Spitzer in the observation group were higher than those in the control group (P 0.05). The SAS score of the observation group was significantly lower than that of the control group (P 0.05). Conclusion: the health education in WeChat group can improve the quality of life and relieve the anxiety of patients with total incision of abdominal wall of bladder.
【作者单位】：宁夏医科大学总医院;
【分类号】：R473.73
【正文快照】： 膀胱癌是泌尿系统常见的恶性肿瘤,根治性全膀胱切除、尿流改道是浸润性膀胱癌治疗的金标准[1]。由于术后改变了患者排尿的正常出口,需要佩戴永久造口袋收集尿液,排尿方式的改变,更换造口袋的手法生疏困难,造成术后患者和家属心理压力较大。尤其从医院回归家庭后,各种健康需求

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