Evidence-based nursing on urinary fistula after total cystectomy with ileal orthotopic neobladder
10.3760/cma.j.issn.1674-2907.2012.02.008
- VernacularTitle:膀胱全切原位回肠代膀胱术后尿瘘的循证护理
- Author:
Xiu-Bin ZHOU
1
;
Na AN
;
Ying-Na HU
;
Ling ZHANG
;
Jing WANG
;
Nan ZHANG
;
Lin-Feng LI
;
Qian ZHAO
Author Information
1. 解放军总医院
- Keywords:
Tumor of bladder;
Urinary fistula;
Evidence-based nursing;
Ileal orthotopic neobladder
- From:
Chinese Journal of Modern Nursing
2012;18(2):147-149
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of evidence-based nursing on urinary fistula after total cystectomy with ileal orthotopic neobladder.Methods 60 patients were divided into observation and control group (30 in each group); control group was treated with regular nursing,and observation group was treated with evidence-based nursing: first establishing evidence-based nursing group; propose evidence-based problem according the experience of nursing; then literature searching and obtaining support of evidence; application on the clinical.Results No urinary fistula occurred in the observation group,and the occurring rate was 16.67％ in the control group,and the difference was significant (x2 =5.45,P ＜0.05 ) ; total life quality of EORTCQLQ-C30 and other factors in observation group were higher than those in the control group,including(74.13 ± 11.32)in observation group and (61.56 ± 11.24) in control group,and the difference was significant (t =19.548,P ＜0.05).Conclusions Evidence-based nursing could prevent the urinary fistula after total cystectomy with ileal orthotopic neobladder,and improve the life quality and worth application in clinic.
