綜合性護理在膀胱黏膜電切聯(lián)合膀胱灌注治療腺性膀胱炎中的應(yīng)用

林春玲　魏秀玲　王巖

【摘要】 目的：探討綜合性護理在膀胱黏膜電切聯(lián)合膀胱灌注治療腺性膀胱炎中的應(yīng)用效果。方法：選擇2015年3月-2016年3月期間本院收治的86例行膀胱黏膜電切聯(lián)合膀胱灌注治療的腺性膀胱炎患者，按照隨機數(shù)字表法分為觀察組和對照組，每組各43例。對照組予以常規(guī)護理，觀察組給予綜合性護理干預(yù)。比較兩組療效、治療依從性及并發(fā)癥發(fā)生率。結(jié)果：觀察組臨床治療總有效率高于對照組，比較差異有統(tǒng)計學意義（P<0.05）。觀察組干預(yù)后治療總依從率為93.02%，顯著高于對照組67.44%，比較差異有統(tǒng)計學意義（P<0.05）。觀察組并發(fā)癥發(fā)生率為20.93%，對照組為46.51%，比較差異有統(tǒng)計學意義（P<0.05）。結(jié)論：綜合性護理在膀胱黏膜電切聯(lián)合膀胱灌注治療腺性膀胱炎可顯著提高患者治療依從性，降低術(shù)后并發(fā)癥發(fā)生率，對加速患者康復具有重要促進作用。

【關(guān)鍵詞】 綜合性護理； 膀胱黏膜電切； 膀胱灌注； 腺性膀胱炎

The Application of Comprehensive Nursing in Bladder Mucosal Electrocutting Combined with Bladder Perfusion for Adenocystitis/LIN Chun-ling，WEI Xiu-ling，WANG Yan.//Medical Innovation of China，2017，14（22）：109-111

【Abstract】 Objective：To explore the application of integrated nursing in bladder mucosal electrocutting combined with bladder perfusion for adenocystitis.Method：From March 2015 to March 2016 in our hospital，86 adenocystitis patients with bladder mucosal electrocutting combined with bladder perfusion were divided into observation group and control group according to random number table method，43 cases in each group.The control group was given routine nursing care，the observation group was given the comprehensive nursing intervention.Curative effect，treatment compliance and incidence of complication of two groups were compared.Result：The total effective rate of the observation group was higher than that of the control group，the difference was statistically significant（P<0.05）.After the intervention，the total compliance rate of the observation group was 93.02%，significantly higher than 67.44% of the control group，the difference was statistically significant（P<0.05）.The incidence rate of the observed group was 20.93%，the control group was 46.51%，the difference was statistically significant（P<0.05）.Conclusion：Comprehensive nursing care in bladder mucosa cutting joint bladder perfusion in treatment of glandular cystitis can significantly improve the patients compliance，reduce the incidence of postoperative complications and play an important role in accelerating recovery of patients.

【Key words】 Comprehensive care； Bladder mucosal electrocutting； Bladder perfusion； Glandular cystitis

First-authors address：Shenzhen Nanshan Peoples Hostipal，Shenzhen 518052，China

doi：10.3969/j.issn.1674-4985.2017.22.032

腺性膀胱炎由膀胱黏膜增生病變導致，其臨床主要表現(xiàn)為尿頻、尿痛、下腹及會陰部痛、排尿困難和鏡下血尿等癥狀[1-2]。研究表明，采取積極有效的護理干預(yù)可有效提高治療腺性膀胱炎患者的生活質(zhì)量[3-5]。本研究以2015年3月-2016年3月期間本院收治的86例行膀胱黏膜電切聯(lián)合膀胱灌注治療的腺性膀胱炎患者為研究對象，旨在探討綜合性護理在膀胱黏膜電切聯(lián)合膀胱灌注治療腺性膀胱炎中的應(yīng)用效果及對患者治療依從性的影響，現(xiàn)報道如下。endprint

1 資料與方法

1.1 一般資料 選擇2015年3月-2016年3月期間本院收治的86例行膀胱黏膜電切聯(lián)合吡柔比星膀胱灌注治療的腺性膀胱炎患者，術(shù)前均行膀胱鏡活檢病理證實，按照隨機數(shù)字表法分為對照組和觀察組，每組各43例。其中對照組男19例，女24例；平均年齡（45.7±5.7）歲，平均病程（2.4±1.3）年；病變位置：膀胱三角區(qū)18例，三角區(qū)及頸部17例，三角區(qū)及輸尿管口4例，散在4例。……