目的 分析快速康复外科(fast track surgery,FTS)理念在膀胱癌(bladder cancer,BC)患者根治性全膀胱切除术围术期护理中的应用效果.方法 回顾性收集我院147例BC患者,均接受根治性全膀胱切除术治疗,将2017年1月至2018年10月在围术期接受常规护理干预的73例作为对照组,将2020年10月至2021年10月在围术期接受FTS理念干预的74例作为观察组,比较两组围术期情况、不同时间点(术前1d及术后1 h、1 d)疼痛程度、并发症指标.结果 观察组术后首次下床活动时间、术后首次排气时间以及住院时间均短于对照组(P＜0.05);两组视觉模拟疼痛评分(visual analogue scale,VAS)比较,差异具有统计学意义(P＜0.05);观察组和对照组不同时间点的VAS评分比较,差异具有统计学意义(P＜0.05);两组VAS评分在时间和组间存在交互作用(P＜0.05);两组术后并发症率比较,观察组为31.08％(23/74),对照组为41.10％(30/73),组间比较差异无统计学意义(P＞0.05).结论 FTS理念护理应用于BC患者根治性全膀胱切除术围术期,能减轻疼痛程度,缩短术后首次下床活动、术后首次排气时间,促进术后恢复.

Objective To explore the impact of PERMA nursing mode on feeling of well-being and mental state of patients with urostomy. Methods A total of 150 patients with bladder cancer resection and urostomy admitted to our hospital from October 2018 to October 2021 were selected and randomly divided into two groups, with 75 cases in each group. The control group received routine nursing,and the observation group received PERMA nursing. The mental state and feeling of well-being were compared between the two groups.Results After intervention, the SAS and SDS scores of the observation group were significantly lower than those of the control group, and the scores of each dimension of GWB were significantly higher than those of the control group（P ＜0.05）. Conclusions PERMA nursing mode can relieve anxiety and depression of patients with urostomy, and improve their subjective feeling of well-being.

目的 探究回授法指导下视频宣教护理对泌尿系肿瘤合并结石留置双J管患者知信行水平的影响.方法 选择98例泌尿系肿瘤合并结石留置双J管患者98例为研究对象,按随机数表分为试验组和对照组各49例.对照组给予常规护理干预,试验组在对照组基础上进行回授法指导下视频宣教护理干预.比较干预前与干预1个月后,两组患者知信行水平(泌尿系结石留置双J管患者知信行量表)、自我护理能力[自我护理能力量表(ESCA)]、生活质量[生活质量综合评定问卷(GQOLI-74)]评分变化,分析两组干预1个月内并发症发生率差异.结果 干预1个月后,两组患者知信行水平评分、ESCA各维度评分及总分、GQOLI-74各维度评分较干预前均显著升高,且试验组明显高于同一时间对照组(P<0.05);干预1个月内,试验组并发症总发生率明显低于对照组(P<0.05).结论 回授法指导下视频宣教护理对泌尿系肿瘤合并结石留置双J管患者知信行水平具有良好促进作用,可改善患者自护能力与生活质量,有效避免并发症发生,对患者预后有利.