延续护理对膀胱癌术后化疗患者治疗依从性的影响

目的：探讨经尿道膀胱肿瘤切除术（TUR-BT）后膀胱灌注患者治疗依从性的影响因素以及延续护理对依从性的影响。方法将60例膀胱灌注患者按随机数字表法分为观察组30例和对照组30例，观察组给予常规护理＋延续护理，对照组仅给予常规护理，观察患者生活质量、依从性、满意度、不良反应和复发情况。结果观察组生活质量和满意度明显提高，且优于对照组（P ＜0.05）；不良反应发生率及治疗依从性优于对照组（P ＜0.05）；此外，生活质量、满意度较高和无不良反应发生的患者治疗的依从性较好，而治疗依从性好的患者复发率也明显优于依从性一般及差的患者（P ＜0.05）。结论生活质量、满意度和不良反应发生情况是影响治疗依从性的重要因素，延续护理可改善膀胱灌注患者生活质量、满意度，降低不良反应发生率，提高治疗的依从性。

Continuing nursing on treatment compliance in patients for bladder chemotherapy after bladder cancer surgery

Objective To explore the influencing factors of treatment compliance in patients for bladder irrigation after TUR-BT,and the effect of continuing nursing on the compliance. Methods A total of 60 patients for bladder ir-rigation were randomized into the observation group and the control group with 30 cases in each group. The patients in the observation group were given the routine nursing and continuing nursing,while the patients in the control group were only given the routine nursing. The living qualities,compliance,satisfaction degree,adverse reactions,and recur-rence in the two groups were observed. Results The living quality and satisfaction degree in the observation group were significantly enhanced and higher than those in the control group(P < 0. 05),the occurrence rate of adverse re-actions was significantly reduced,the treatment compliance was significantly higher than that in the control group(P <0. 05). The treatment compliance in patients with higher living quality and satisfaction degree,and no occurrence of adverse reactions was preferable. The recurrence rate in patients with preferable treatment compliance was also signifi-cantly reduced(P < 0. 05). Conclusion Living quality,satisfaction degree,and the occurrence of adverse reactions are the important factors affecting the treatment compliance. The continuing nursing for the patients with bladder irriga-tion can improve the living quality and satisfaction degree,reduce the occurrence rate of adverse reactions,and en-hance the treatment compliance.