健康教育干预在根治性膀胱癌切除术围手术期的应用效果

目的：探讨健康教育干预在根治性膀胱癌切除术围手术期的应用效果。方法选取2006年6月～2013年6月我院收治的临床完整资料的膀胱癌患者52例作为观察对象，随机分为干预组和对照组各26例，对照组行常规对症护理，干预组于术前、术中、术后着重实施围术期健康教育干预，比较两组患者术前准备时间、手术相关知识掌握度、护理配合度、护理满意度的合格率、手术时间、术中出血量及术中SAS评分。结果干预组患者术前准备时间明显快于对照组[（2.1±0.2）d vs （4.2±0.9） d,P＜0.05]，干预组患者的手术相关知识掌握度、护理配合度、护理满意度合格率明显高于对照组，干预组患者术中出血量明显少于对照组，干预组患者术中SAS评分明显低于对照组（P＜0.05）。干预组患者手术结束时及出院时的生理、心理、社会关系、环境、尿流改造方面的生活质量各项评分均较入院前及对照组显著升高，组间比较，差异具有统计学意义（P＜0.05）。结论在根治性膀胱癌切除术围手术期实施系统的健康教育干预措施可以缩短术前准备时间、减少术中出血量及减轻患者的焦虑心理，从而提高护理配合度及满意度，进一步改善患者的生活质量。

Evaluation of applications value of health education in perioperative rad-ical resection of bladder cancer

Objective To investigate the effect of health education intervention in radical resection of bladder cancer perioperative. Methods From June 2006 to June 2013,52 cases bladder cancer patients were randomly assigned to the intervention group and the control group each of 26 patients ,the control group underwent routine symptomatic care,the intervention group preoperative, intraoperative and postoperative focus on the implementation of perioperative health ed-ucation intervention.And the preparation time, the passing rate of surgery-related knowledge to master degrees,the de-gree of care,nursing satisfaction,operative time,intraoperative blood loss ,SAS score were compared between two groups. Results The intervention group’s preoperative preparation time were significantly faster than the control group [（2.1＆#177; 0.2）d vs （4.2＆#177;0.9）d,P〈0.05）], the degree of surgical related knowledge, the degree of care,the nursing satisfaction,the passing rate of intervention group was significantly higher than the control group,the blood loss was significantly less control group,the SAS score was significantly lower than the control group（P〈0.05）. The intervention group were physi-cal, psychological, social relationships, environment, quality of life aspects of the urinary reconstruction scores were significantly higher than the control group, the difference was significant（P〈0.05）. Conclusion Health education inter-ventions for radical resection of bladder cancer can shorten preparation time, reduce blood loss and relieve patient anxi-ety, improve care and satisfaction,to further improve the patient＆#39;s quality of life.