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目的:研究根治性膀胱全切除回肠原位膀胱术后新膀胱功能锻炼护理分析。方法:随机选取2015年11月至2016年11月我院进行腹腔镜下根治性膀胱全切除回肠膀胱术后新膀胱功能锻炼患者40例作为研究对象,并随机分成观察组与对照组(n=20),对照组给予常规护理干预,观察组在常规护理基础上给予循证护理措施,以此对比两组患者护理状况。结果:所有患者手术全部成功,平均住院时间(24.79±3.96)d,6-36个月随访后,1例患者出现尿失禁,程度较轻,其余19例排尿正常;护理满意度方面,观察组95.00%显著高于对照组60.00%,数据差异有统计学意义(P<0.05)。结论:对腹腔镜下根治性膀胱全切除回肠膀胱术后新膀胱功能锻炼的患者通过进行循证护理措施,可促使患者尿流恢复正常生理状态,保障排尿功能恢复正常及提高生活质量。
Objective: To study the nursing of neo-bladder after total cystectomy and radical ileal bladder surgery. Methods: Forty patients with neobladder bladder function after laparoscopic radical cystectomy of ileal bladder in our hospital were randomly selected from November 2015 to November 2016. The patients were randomly divided into observation group and control group (n = 20). The control group was given routine nursing intervention. The observation group gave evidence-based nursing measures on the basis of routine nursing, so as to compare the nursing status of the two groups. Results: All the patients were operated successfully, the average length of hospital stay was (24.79 ± 3.96) d. After 6-36 months of follow-up, one patient had urinary incontinence to a lesser degree and the remaining 19 patients were normal urination. In terms of nursing satisfaction, 95.00% was significantly higher than the control group 60.00%, the difference was statistically significant (P <0.05). CONCLUSIONS: Evidence-based nursing interventions in patients with neo-bladder function after laparoscopic radical cystectomy for ileal bladder surgery can promote urinary flow in patients with normal physiological conditions and return to normal urination and quality of life.