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整合护理干预对非肌肉浸润性膀胱癌术后膀胱内灌注患者结局的影响:一项比较研究。

Effectiveness of integrated nursing interventions in enhancing patient outcomes during postoperative intravesical instillation for non-muscle invasive bladder cancer: A comparative study.

机构信息

Department of Urology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Medicine (Baltimore). 2024 Mar 15;103(11):e36871. doi: 10.1097/MD.0000000000036871.

DOI:10.1097/MD.0000000000036871
PMID:38489732
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10939697/
Abstract

This study aimed to investigate nursing strategies for patients with non-muscle invasive bladder cancer (NMIBC) undergoing postoperative intravesical instillation. We recruited 100 NMIBC patients from January 2017 to January 2022. Participants were randomly assigned to either the research group or the control group (n = 50 each) using random number tables. The control group received routine nursing interventions, while the research group received integrated nursing interventions. We compared and analyzed various parameters, including patient satisfaction, treatment compliance, General Self-Efficacy Scale (GSES) scores, core quality of life scale scores, bladder carcinoma specificity scale scores, disease coping scores, and the incidence of complications among patients undergoing instillation treatment. The research group exhibited significantly higher satisfaction scores and treatment compliance (P < .05). Additionally, GSES, Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) scores were significantly improved in the research group (P < .05). Scores on each dimension of the EORTC QLQ-C30 were higher (P < .05). The research group also had lower scores for post-nursing urinary system diseases, treatment problems, future worries, and intestinal symptoms in the QLQ-BLS24 score (P < .05). Furthermore, the research group experienced fewer postoperative complications (P < .05). Nursing interventions significantly enhance the outcomes of NMIBC patients undergoing intravesical instillation treatment. These interventions effectively improve treatment compliance, alleviate negative emotions, modify coping strategies, reduce the incidence of complications, and enhance overall nursing satisfaction.

摘要

本研究旨在探讨接受术后膀胱内灌注治疗的非肌层浸润性膀胱癌(NMIBC)患者的护理策略。我们招募了 2017 年 1 月至 2022 年 1 月的 100 例 NMIBC 患者。采用随机数字表法将参与者随机分为研究组和对照组(n = 50)。对照组接受常规护理干预,研究组接受综合护理干预。我们比较和分析了各种参数,包括患者满意度、治疗依从性、一般自我效能感量表(GSES)评分、核心生活质量量表评分、膀胱癌特异性量表评分、疾病应对评分以及灌注治疗患者的并发症发生率。研究组患者的满意度和治疗依从性明显更高(P <.05)。此外,研究组的 GSES、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均显著改善(P <.05)。EORTC QLQ-C30 各维度评分均较高(P <.05)。研究组 QLQ-BLS24 评分中护理后泌尿系统疾病、治疗问题、未来担忧和肠道症状评分也较低(P <.05)。此外,研究组术后并发症较少(P <.05)。护理干预显著改善了接受膀胱内灌注治疗的 NMIBC 患者的预后。这些干预措施有效地提高了治疗依从性,减轻了负面情绪,改变了应对策略,降低了并发症的发生率,并提高了整体护理满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35bc/10939697/e67d0ef0cb49/medi-103-e36871-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35bc/10939697/ee49e99917a0/medi-103-e36871-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35bc/10939697/e67d0ef0cb49/medi-103-e36871-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35bc/10939697/ee49e99917a0/medi-103-e36871-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35bc/10939697/e67d0ef0cb49/medi-103-e36871-g002.jpg

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