Effects of continuing nursing on quality of life in patients with urology stoma
10.3760/cma.j.issn.1674-2907.2016.27.028
- VernacularTitle:延续性护理对泌尿造口患者生活质量的影响
- Author:
Lili ZHENG
1
;
Yingying SONG
;
Jinlei SONG
;
Guiying HOU
Author Information
1. 266003 青岛大学附属医院泌尿外科
- Keywords:
Continuing nursing;
Quality of life;
Urology stoma;
Complication
- From:
Chinese Journal of Modern Nursing
2016;22(27):3954-3957
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of continuing nursing on quality of life ( QOL) in patients with urology stoma. Methods Totally 61 patients from January 2014 to June 2015 with muscle invasive bladder cancer who underwent radical cystectomy and urinary colostomy surgery were selected randomly and divided into the experimental group ( n=30) and the control group ( n=31). Patients in the control group were given conventional urinary colostomy perioperative health education, while patients in the experimental group received continuing nursing on the basis of conventional urinary colostomy perioperative health education. The QOL of patients in two groups were compared by the rating scale of QOL, and the occurrence rate of complications in urinary colostomy surgery was compared in two groups. Results 3 months after surgery, the score of factors in QOL in the experimental group was higher than the control group:the score of sleep quality was (71.5±10.68);activities and feelings was (73.4±11.94);cognitive ability of disease was (71.33±13.52);work and adapt to the society was (68.00±16.83);life and entertainment was (68.3±13.42). The differences were significant (t=2.37, 2.02,2.06,2.88,2.04;P<0.05). 12 months after surgery, in the control group, there was 1 case of uric acid crystal, 5 cases of parastomal hernia, 3 cases of colostomy dermatitis, and the incidence rate of complications was higher than the experimental group (χ2=3.968,4.322,5.985;P<0.05).Conclusions Continuing nursing applied to the patients with urinary stoma can significantly improve the QOL and social sense of belonging, meet the needs of nursing, and decrease the readmission rate and the nursing stress of families.
