膀胱灌注化疗的延续护理干预效果研究

目的 对膀胱灌注化疗常规护理和延续护理效果进行研究，探讨延续护理对膀胱灌注化疗的干预效果。 方法 选择浙江中医药大学附属第二医院泌尿外科2009年1月—2012年6月膀胱癌术后膀胱灌注化疗常规护理患者104例作为对照组，2012年7月—2015年12月膀胱癌术后膀胱灌注化疗常规护理+延续护理患者110例作为延续护理组。观察延续护理组和对照组护理干预前后SF-36评分、满意度和依从性情况。 结果 延续护理组干预前躯体疼痛、躯体角色功能、躯体健康、总体健康、社会功能、心理健康、精力、情绪角色功能和健康转换评分和对照组比较差异无统计学意义(P＞0.05)。延续护理组干预后躯体疼痛、躯体角色功能、躯体健康、总体健康、社会功能、心理健康、精力、情绪角色功能和健康转换评分均高于对照组(P＜0.05)。延续护理组干预后躯体疼痛、躯体角色功能、躯体健康、总体健康、社会功能、心理健康、精力、情绪角色功能和健康转换评分均高于干预前(P＜0.05)。延续护理组的满意度评分高于对照组(P＜0.05)。延续护理组的依从性较对照组好(P＜0.05)。 结论 延续护理能够提高膀胱灌注化疗患者的生活质量，提高患者的满意度和依从性。 

Efficacy of extended care on patients with intravesical chemotherapy

Objective To compare the effectiveness of routine care and extended care on intravesical chemotherapy,and discuss the advantage of extended care for patients with intravesical chemotherapy. Methods The patients with bladder cancer undergoing postoperative intravesical chemotherapy in the Second Affiliated Hospital of Zhejiang Chinese Medical University between January,2009 and June,2012 were enrolled into this study.A total of 104 patients in the control group received the routine care,while 110 patients in the extended care group received routine care combined with extended care.The SF-36 scores,satisfaction and compliance situation before and after nursing intervention were compared between the two groups. Results Before the intervention,there was no significant difference in the bodily pain,role physical functioning,physical health,general health,social functioning,mental health,mental,emotional role functioning and healthy conversion rates between the extended care group and control group(P>0.05).After the intervention,the bodily pain,role physical functioning,physical health,general health,social functioning,mental health,mental,emotional role functioning and healthy conversion rates in the extended care group were all higher than those in the control group(P<0.05).In the extended care group,the bodily pain,role physical functioning,physical health,general health,social functioning,mental health,mental,emotional role functioning and healthy conversion rates increased obviously after the intervention(P<0.05).The satisfaction scores of the extended care group was higher than that of the control group(P<0.05).The compliance of the extended care group was better than that of the control group(P<0.05). Conclusion The extended care can improve the quality of life,satisfaction and compliance of patient undergoing intravesical chemotherapy.