循环改进护理对膀胱癌患者尿道膀胱肿瘤电切术术后应激状态、心理状态以及生命质量的影响(1)
[摘要] 目的 分析循环改进护理模式对膀胱癌患者尿道膀胱肿瘤电切术(TURBt)术后应激状态、心理状态以及生命质量的影响。 方法 选择2013年8月～2014年8月在第二军医大学附属长海医院接受TURBt治疗的膀胱癌患者92例按照随机数字表法分为两组，每组各46例，对照组接受常规护理，观察组接受循环改进护理模式护理。比较两组患者护理后的应激状态、心理状态以及生命质量的差异。 结果 ①应激状态：观察组患者血清中皮质醇、肾上腺素、去甲肾上腺素的水平均低于对照组，差异有统计学意义(P < 0.05)；②心理状态：观察组患者的焦虑自评量表、抑郁自评量表评分均低于对照组，自尊量表评分值高于对照组患者，差异有统计学意义(P < 0.05)；③生命质量：观察组患者的躯体健康、心理健康、社会功能、物质条件评分均高于对照组患者，差异有统计学意义(P < 0.05)。 结论 循环改进护理模式有助于降低膀胱癌TURBt术后患者的应激水平，优化心理状态并提升生命质量。
[关键词] 膀胱癌；循环改进护理模式；应激状态；心理状态
[中图分类号] R737.14 [文献标识码] A [文章编号] 1673-7210(2015)08(a)-0153-04
Effect of loop improved nursing mode on stress state， psychological status and life quality of bladder cancer patients after transurethral resection of bladder tumor
CHENG Xin
The Second Ward， Department of Urology， Changhai Hospital Affiliated to the Second Military Medical University， Shanghai 200433， China
[Abstract] Objective To analyze the effect of loop improved nursing mode on stress state， psychological status and life quality of bladder cancer patients after transurethral resection of bladder tumor. Methods From August 2013 to August 2014， 92 bladder cancer patients received TURBt in Changhai Hospital Affiliated to the Second Military Medical University were selected， and divided into two groups by random number table， with 46 cases in each groyp. Control group received routine care， observation group received loop improved nursing mode. Then stress， psychological status and life quality of two groups were compared. Results ①Stress： serum Cor， E， NE levels of observation group were lower than those in control group， the differences were statistically significant (P < 0.05). ②psychological state： SAS and SDS scores of observation group were lower than those of control group， SES score value was higher than that of control group， the differences were statistically significant (P < 0.05). ③Life quality： physical health， mental health， social function and material conditions values of observation group were significantly higher than those of control group， the differences were statistically significant (P < 0.05). Conclusion Loop improved nursing mode help reduce stress level of patients with bladder cancer after TURBt， optimize psychological state and improve life quality.
[Key words] Bladder cancer； Loop improved nursing mode； Stress state； Mind state
膀胱癌为临床最常见泌尿系统恶性肿瘤性疾病，其中70%以上为非肌层浸润性膀胱癌，经尿道膀胱肿瘤电切术(transurethral resection of bladder tumor，TURBt)为最常见的治疗方式。TURBt术后膀胱癌患者存在较高的复发概率，术后辅助性治疗为必要手段[1-2]。处于对手术效果的担忧以及后续治疗的厌烦，膀胱癌TURBt术后患者可存在一定程度的焦虑不安情绪，严重者引发全身应激状态，不利于患者的术后躯体康复及后续治疗配合，最终影响整体治疗效果。在术后采取有效的护理干预措施有助于促进膀胱癌术后患者各项状态的康复[3]。循环改进护理模式是近年来发展起来的新型护理模式，其理论基础是PDCA循环理论，最终目标是改善护理效果、提高护理质量。本研究中，笔者分析了循环改进护理模式对膀胱癌患者TURBt术后应激状态、心理状态以及生命质量的影响，具体报道如下： (程欣)
[关键词] 膀胱癌；循环改进护理模式；应激状态；心理状态
[中图分类号] R737.14 [文献标识码] A [文章编号] 1673-7210(2015)08(a)-0153-04
Effect of loop improved nursing mode on stress state， psychological status and life quality of bladder cancer patients after transurethral resection of bladder tumor
CHENG Xin
The Second Ward， Department of Urology， Changhai Hospital Affiliated to the Second Military Medical University， Shanghai 200433， China
[Abstract] Objective To analyze the effect of loop improved nursing mode on stress state， psychological status and life quality of bladder cancer patients after transurethral resection of bladder tumor. Methods From August 2013 to August 2014， 92 bladder cancer patients received TURBt in Changhai Hospital Affiliated to the Second Military Medical University were selected， and divided into two groups by random number table， with 46 cases in each groyp. Control group received routine care， observation group received loop improved nursing mode. Then stress， psychological status and life quality of two groups were compared. Results ①Stress： serum Cor， E， NE levels of observation group were lower than those in control group， the differences were statistically significant (P < 0.05). ②psychological state： SAS and SDS scores of observation group were lower than those of control group， SES score value was higher than that of control group， the differences were statistically significant (P < 0.05). ③Life quality： physical health， mental health， social function and material conditions values of observation group were significantly higher than those of control group， the differences were statistically significant (P < 0.05). Conclusion Loop improved nursing mode help reduce stress level of patients with bladder cancer after TURBt， optimize psychological state and improve life quality.
[Key words] Bladder cancer； Loop improved nursing mode； Stress state； Mind state
膀胱癌为临床最常见泌尿系统恶性肿瘤性疾病，其中70%以上为非肌层浸润性膀胱癌，经尿道膀胱肿瘤电切术(transurethral resection of bladder tumor，TURBt)为最常见的治疗方式。TURBt术后膀胱癌患者存在较高的复发概率，术后辅助性治疗为必要手段[1-2]。处于对手术效果的担忧以及后续治疗的厌烦，膀胱癌TURBt术后患者可存在一定程度的焦虑不安情绪，严重者引发全身应激状态，不利于患者的术后躯体康复及后续治疗配合，最终影响整体治疗效果。在术后采取有效的护理干预措施有助于促进膀胱癌术后患者各项状态的康复[3]。循环改进护理模式是近年来发展起来的新型护理模式，其理论基础是PDCA循环理论，最终目标是改善护理效果、提高护理质量。本研究中，笔者分析了循环改进护理模式对膀胱癌患者TURBt术后应激状态、心理状态以及生命质量的影响，具体报道如下： (程欣)