| 梁静,李萍.团体心理护理干预在尿道膀胱肿瘤电切术后行膀胱灌注化疗患者中对心理状态、依从性和不良反应的影响[J].上海护理,2019,19(4): |
| 团体心理护理干预在尿道膀胱肿瘤电切术后行膀胱灌注化疗患者中对心理状态、依从性和不良反应的影响 |
| Effect of group psychological nursing intervention on psychological status, compliance and adverse reactions in patients undergoing bladder irrigation chemotherapy after resection of urinary bladder tumor |
| DOI： |
| 中文关键词: 团体心理护理干预 尿道膀胱肿瘤电切术 膀胱灌注化疗 心理状态 依从性 不良反应 |
| 英文关键词:Group psychological nursing intervention Urethral bladder tumor resection Bladder infusion chemotherapy Psychological status Compliance Adverse reactions |
| 基金项目:2016年国家自然科学基金青年,81602221,课题人：庄君龙、梁静等 |
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| 中文摘要: |
| 目的 探讨团体心理护理干预在尿道膀胱肿瘤电切术后行膀胱灌注化疗患者中对心理状态、依从性和不良反应的影响。方法 将2017年1月至2017年12月我院门诊收治的行尿道膀胱肿瘤电切术后行膀胱灌注化疗患者104例作为研究对象,按数字随机表法分为两组,对照组51例,观察组53例。对照组行常规护理,观察组行团体心理护理干预。比较两组护理前后心理状态、治疗依从性变化,并统计两组不良反应发生率和护理满意度。结果 观察组护理6周后躯体化、人际关系敏感、强迫、焦虑、抑郁、敌对、偏执、恐怖、精神病性、心理状态总分均低于对照组,差异有统计学意义(P＜0.05)；观察组护理6周后治疗依从性优于对照组,差异有统计学意义(P＜0.05)；观察组护理6周后疼痛、血尿、膀胱刺激征、感染、胃肠道反应发生率低于对照组,差异有统计学意义(P＜0.05)；观察组护理满意度高于对照组,差异有统计学意义(P＜0.05)。结论 团体心理护理干预在尿道膀胱肿瘤电切术后行膀胱灌注化疗患者中效果显著,可有效改善心理状态,提高治疗依从性,降低不良反应发生率,提高护理满意度,值得推广。 |
| 英文摘要: |
| Objective To investigate the impact of group psychological nursing intervention on psychological status, compliance and adverse reactions in patients undergoing bladder irrigation chemotherapy after resection of bladder cancer.Methods From January 2017 to December 2017, 104 cases of bladder perfusion chemotherapy after transurethral resection of bladder tumor in our hospital were selected as the research subjects. They were divided into two groups according to the number random table method, 51 cases in the control group and 53 cases in the observation group. The control group was treated with routine nursing, and group psychological nursing intervention was performed in the observation group. The changes of psychological state and treatment compliance of the two groups were compared before and after nursing, and the incidence of adverse reactions and nursing satisfaction were statistically analyzed in the two groups. Results The scores of somatization, interpersonal sensitivity, anxiety, anxiety, depression, hostility, paranoid, terror, psychosis and mental status in observation group after 6 weeks of nursing were all lower than those in control group (P <0.05). The treatment compliance in observation group was superior to that in control group after 6 weeks of nursing (P <0.05) ;The incidence of pain, hematuria, bladder irritation, infection and gastrointestinal reaction in the observation group after 6 weeks of nursing were lower than those in the control group (P <0.05); The nursing satisfaction of the observation group was higher than that of the control group, the difference was statistically significant (P <0.05). Conclusion Group Psychological nursing intervention in urinary bladder cancer after transurethral resection of bladder chemotherapy in patients with significant effect, can effectively improve the mental state, improve treatment compliance and reduce the incidence of adverse reactions, improve nursing satisfaction, worthy of promotion. |
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