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目的探讨优质护理在预防全膀胱切除术回肠代膀胱术后并发症中的应用价值。方法选取2012年1月至2014年2月沈阳市红十字会医院收治的55例膀胱肿瘤患者作为研究对象,按随机数字表法将其分为对照组(27例)与观察组(28例)。对照组患者给予常规护理,观察组患者在对照组基础上实施优质护理,比较两组患者的护理满意度及术后并发症发生情况。结果观察组患者的护理满意度明显高于对照组,差异有统计学意义(P<0.05);观察组患者术后出血、尿失禁、尿漏、阴茎勃起功能障碍、电解质紊乱的发生率均明显低于对照组,差异均有统计学意义(均P<0.05)。结论对行全膀胱切除术回肠代膀胱术的膀胱肿瘤患者实施优质护理,可有效降低患者术后并发症的发生率,提高护理满意度。
Objective To explore the value of quality nursing in the prevention of postoperative total ileal cystectomy complications. Methods Fifty-five patients with bladder cancer who were admitted to Shenyang Red Cross Hospital between January 2012 and February 2014 were enrolled in this study. According to the random number table, they were divided into control group (n = 27) and observation group (n = 28) . Patients in the control group were given routine nursing care. Patients in the observation group were given quality nursing care based on the control group. The nursing satisfaction and postoperative complications of the two groups were compared. Results The nursing satisfaction of the observation group was significantly higher than that of the control group (P <0.05). The incidence of postoperative bleeding, urinary incontinence, urinary leakage, erectile dysfunction and electrolyte disturbance were all significantly higher in the observation group Lower than the control group, the difference was statistically significant (P <0.05). Conclusion The implementation of high-quality nursing for patients with bladder cancer undergoing total cystectomy and ileal neobladder surgery can effectively reduce the incidence of postoperative complications and improve nursing satisfaction.