摘要
目的探讨社会支持度对膀胱癌尿流改道腹壁造口患者术后生活质量的影响。方法选取2015年12月至2016年8月间天津医科大学第二医院收治的42例膀胱癌尿流改道腹壁造口患者为观察组,在常规护理基础上加强社会支持度。选取2015年3月至2015年11月间天津医科大学第二医院收治40例膀胱癌尿流改道腹壁造口患者为对照组,给予常规护理。比较两组患者出院后3个月的社会支持度及生活质量。结果观察组患者出院后3个月的主观支持、客观支持、支持利用度评分和社会支持度总分分别为(19.35±2.21)分、(9.54±1.23)分、(9.49±11.36)分和(37.22±4.36)分,高于对照组患者的(16.12±3.57)分、(7.25±1.56)分、(6.47±2.11)分和(31.86±5.85)分,差异均有统计学意义(均P<0.05)。观察组患者出院后3个月的生理状况、社会/家庭、情感状况、功能状况和生活质量总分等生活质量评分分别为(24.36±3.28)分、(26.45±3.75)分、(23.22±3.16)分、(23.25±3.47)分和(96.25±12.85)分,高于对照组患者的(20.44±6.29)分、(21.36±4.03)分、(19.47±3.09)分、(19.84±3.55)分和(81.25±0.89)分,差异均有统计学意义(均P<0.05)。结论加强社会支持度的护理不仅能增强膀胱癌尿流改道腹壁造口患者的社会支持度,而且可改善患者出院后的生活质量。
Objective To investigate the effect of social support on postoperative quality of life in patients undergoing urinary diversion urostomy for bladder cancer. Methods Forty-two patients undergoing urinary diversion urostomy for bladder cancer at The Second Hospital of Tianjin Medical University from December 2015 to August 2016 were selected as the observation group,and they were given social support nursing on the basis of the routine nursing. Another 40 patients undergoing urinary diversion urostomy for bladder cancer at The Second Hospital of Tianjin Medical University from March 2015 to November 2015 were selected as the control group,and they were given routine nursing. Social support and quality of life were compared between the two groups at 3 months after discharge. Results Scores of subjective support,objective support,utilization of support and the overall score was 19. 35 ± 2. 21,9. 54 ± 1. 23,9. 49 ±11. 36 and 37. 22 ± 4. 36,respectively in the observation group was higher than 16. 12 ± 3. 57,7. 25 ±1. 56,6. 47 ± 2. 11 and 31. 86 ± 5. 85,respectively in the control group at 3 months after discharge（P〈0. 05）. Score of quality of life including physical condition,social/family,emotional status,functional status at 3 months after discharge was 24. 36 ± 3. 28,26. 45 ± 3. 75,23. 22 ± 3. 16,23. 25 ± 3. 47 and96. 25 ± 12. 85,respectively in the observation group which was higher than 20. 44 ± 6. 29,21. 36 ± 4. 03,19. 47 ± 3. 09,19. 84 ± 3. 55 and 81. 25 ± 0. 89 respectively of the control group（all P〈0. 05）.Conclusion Social support nursing not only improves social support but also improves quality of life in patients undergoing urinary diversion urostomy for bladder cancer.
出处
《中国肿瘤临床与康复》
2017年第6期761-764,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
基金
天津市卫生局科教基金(2014KZ110)
