ABSTRACT
Objective To study the effect of improved path education in patients undergoing urostomy. Methods A total of 96 cases of bladder cancer patients in Heze Municiple hospital of Shandong Province from August 2016 to October 2017 were selected. All patients underwent radical cystectomy and urinary diversion, randomly divided patients into the observation group and the routine group with 48 cases in each group. Patients in the observation group were provided with improved path education on the basis of the routine nursing, while patients in the routine group provided traditional pathway education flow in departments. The quality of life score, the mastery degree of stoma, satisfaction degree and the occurrence of complications were evaluated in the two groups. Results The incidence of stoma complications in the observation group was 6.25% (3/48) after 3-month operation, which was lower than 25.00% (12/48) in the conventional group ( χ2=7.157, P<0.05). The average score of stoma related knowledge in the observation group was 54.63 ± 4.10, which was higher than 40.38 ± 3.40 in the conventional group (t=18.536, P<0.05). The satisfaction rate of patients in the observation group was 95.83% (46/48), which was higher than 72.92% (35/48) in the routine group ( χ2=9.561, P<0.05). Conclusions The application of improved path education can effectively improve patient satisfaction and knowledge of stoma nursing knowledge, and reduce the incidence of stoma complications, which is feasible.
ABSTRACT
Objective To explore the effect of accelerated rehabilitation surgical nursing on perioperative period of laparoscopic radical nephrectomy. Methods A total of 78 patients with laparoscopic radical nephrectomy in Heze City Hospital in Shandong Province from December 2015 to December 2017 were divided into research group and control group with 39 cases each by random digits table method. The control group was received traditional perioperative nursing intervention, the research group was given accelerate rehabilitation surgical nursing in addition to the traditional perioperative nursing. The indicators related to the operation, postoperative complications and postoperative Visual Analogue Scale (VAS) score were compared. In addition, the scores of Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS) before and after nursing in the two groups were compared, and the nursing satisfaction rates of the two groups were compared. Results The first time to go out of bed, anus exhaust time, eating time, length of hospital stay, postoperative hospitalization expenses respectively was (4.82±0.43) h, (6.45±1.93) h, (2.53±0.41) h, (3.59±0.23) d, (3.12±0.15) ten thousand yuan in the research group, and (7.57±0.62) h, (32.67±14.59) h, (27.63±10.64) h, (8.54±0.52) d, (4.57±0.26) ten thousand yuan in the control group, with statistically significant differences between the two groups (t=-54.367--11.126, all P<0.01). The VAS score was (3.63 ± 0.29) points in the research group, and (7.52 ± 0.34) points in the control group, with statistically significant differences between the two groups (t=-54.362, P<0.01). The incidence of postoperative complications was 2.56％ (1/39) in the research group, and 10.26％ (4/39) in the control group, with statistically significant differences between the two groups (χ2=4.942, P<0.05). Before and after nursing, SAS and SDS scores was respectively (56.37±5.59), (42.35±2.89), (57.30±5.74), (43.09±3.25) points in the research group, and (56.49±5.70), (50.46±4.25), (57.23±5.68), (50.71±5.20) points in the control group, with statistically significant differences between the two groups (t=-9.854,-7.760, all P<0.01). The satisfaction rate of patients was 97.44％(38/39) in the research group, and 84.62％(33/39) in the control group, with statistically significant differences between the two groups (χ2=10.064, P<0.01). Conclusions For patients with laparoscopic radical renal resection, accelerate rehabilitation the use of surgical nursing is of great significance, to reduce the incidence of complications, shorten patients with postoperative hospital stay, reduce pain, eliminate the adverse psychological aspects and so on all play a positive role, further improve nursing satisfaction, promote the postoperative rehabilitation, clinical significance and application value.