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目的探究团队护理模式在膀胱癌患者围术期的临床应用效果,为临床膀胱癌手术患者提供护理依据。方法选取2014年5月—2015年8月收治的行膀胱癌手术患者160例作为研究对象,随机分为对照组和实验组各80例。对照组接受常规围术期护理,实验组给予团队护理模式干预。对比两组患者的住院时间、抑郁及焦虑得分、健康知识得分、治疗依从性得分、并发症发生情况及护理满意度得分。计量资料组间比较采用t检验,组内比较采用配对t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果实施护理干预后,实验组与对照组患者的抑郁得分、焦虑得分、疾病认知得分、治疗依从性得分、健康知识得分分别为(40.9±5)、(59.6±6.5)、(43.6±6.5)、(55.4±7.4)、(88.8±11.2)、(65.7±10.4)、(85.6±15.4)(65.7±12.5)、(88.8±11.2)、(68.7±11.7)分,均优于入院时的(68.8±8.6)、(67.6±8.9)、(61.4±9.4)、(62.1±9.8)、(48.8±8.6)、(47.6±8.9)、(42.6±9.2)、(44.6±8.8)、(58.8±9.6)、(57.6±10.9)分,差异均有统计学意义(均P<0.05)。实验组以上各得分均优于对照组,差异均有统计学意义(均P<0.05)。实验组的住院时间和护理满意度分别为(15.6±2.6)d、(92.5±7.5)%,均优于对照组的(21.9±3.7)d、(76±8.3)%,差异均有统计学意义(均P<0.05)。实验组并发症发生率为4.0%,显著优于对照组的18.0%,差异有统计学意义(P<0.05)。结论团队护理模式在膀胱癌围术期临床治疗中效果显著,可以使其更好地掌握健康知识及疾病认知,提高其治疗依从性,降低其并发症、抑郁及焦虑发生率,提高患者满意度,值得在临床上推广使用。
Objective To explore the clinical application of team nursing model in patients with bladder cancer during perioperative period and to provide the basis for clinical care of patients with bladder cancer. Methods Totally 160 patients with bladder cancer admitted to our hospital from May 2014 to August 2015 were selected and randomly divided into control group and experimental group of 80 cases. The control group received routine perioperative nursing, and the experimental group received the team nursing intervention. The length of hospital stay, depression and anxiety scores, health knowledge scores, treatment compliance scores, complications and nursing satisfaction scores were compared between the two groups. Measurement data were compared between groups using t test, the group was compared using paired t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results After nursing intervention, the scores of depression, anxiety, disease cognition, treatment compliance and health knowledge in the experimental group and the control group were (40.9 ± 5), (59.6 ± 6.5), (43.6 ± 6.5) (55.4 ± 7.4), (88.8 ± 11.2), (65.7 ± 10.4), (85.6 ± 15.4) (65.7 ± 12.5), (88.8 ± 11.2) and (68.7 ± 11.7) (68.8 ± 8.6), (67.6 ± 8.9), (61.4 ± 9.4), (62.1 ± 9.8), (48.8 ± 8.6), (47.6 ± 8.9), (42.6 ± 9.2), (44.6 ± 8.8) ± 9.6), (57.6 ± 10.9) points, the differences were statistically significant (all P <0.05). The above scores of the experimental group were superior to the control group, the differences were statistically significant (P <0.05). The hospital stay and nursing satisfaction in the experimental group were (15.6 ± 2.6) days and (92.5 ± 7.5)%, respectively, which were significantly higher than those in the control group (21.9 ± 3.7 days and 76 ± 8.3%, respectively) Significance (all P <0.05). The incidence of complications in the experimental group was 4.0%, which was significantly better than that in the control group (18.0%), the difference was statistically significant (P <0.05). Conclusion The team nursing model has a significant effect in the perioperative management of bladder cancer, which can make it better to grasp the health knowledge and disease cognition, improve the treatment compliance, reduce the incidence of complications, depression and anxiety, and improve patient satisfaction Degree, it is worth to promote the clinical use.