Application of case management mode led by specialist nurse in drug bladder perfusion for patients undergoing chemotherapy after bladder cancer surgery
10.3760/cma.j.cn115682-20201210-06638
- VernacularTitle:以专科护士为主导的个案管理模式在膀胱癌术后化疗患者药物膀胱灌注中的应用
- Author:
Xinli WANG
1
;
Qianqian LAN
;
Guiling ZHANG
;
Jing GUO
;
Feifei WANG
;
Lei WANG
Author Information
1. 河南省新乡市中心医院泌尿外科一 453000
- Keywords:
Bladder neoplasms;
Bladder perfusion;
Specialist nurses;
Case management;
Disease uncertainty
- From:
Chinese Journal of Modern Nursing
2021;27(23):3147-3152
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of case management mode led by specialist nurses in bladder perfusion for patients undergoing chemotherapy after bladder cancer surgery.Methods:A total of 96 patients receiving bladder perfusion treatment in Xinxiang Central Hospital from March 2018 to June 2019 were selected by the convenient sampling method and they were divided into the observation group and the control group according to random number table method, with 48 patients in each group. The control group adopted routine management, while the observation group adopted case management led by specialist nurses. Mishel Uncertainty in Illness Scale (MUIS) and Functional Assessment of Cancer Therapy-feneric Scale (FACT-G) were used to respectively evaluate the disease uncertainty and quality of life of patients of the two groups. The compliance rate and complication rate of bladder perfusion, MUIS and FACT-G scores were compared between the two groups.Results:All 48 patients in the observation group completed the entire course of chemotherapy. In the control group, 7 patients did not complete the entire course of chemotherapy, including 1 patient who withdrew from the study at the 10th month without complete data collected. Finally, 48 cases were collected in the observation group and 47 cases collected in the control group. The compliance rate of bladder perfusion in the observation group was higher than that in the control group (100.00% vs. 85.52%) , and the difference was statistically significant (χ 2=10.305, P=0.001) . The total incidence of bladder perfusion complications in the observation group was lower than that in the control group (14.58% vs. 55.32%) , and the difference was statistically significant (χ 2=17.382, P<0.001) . At the 8th and 12th months, the MUIS scores of the observation group were lower than those of the control group, and the differences were statistically significant ( P<0.05) . At 4, 8, and 12 months, the FACT-G scores of the observation group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . The differences in the interaction effects, intergroup effects and time effects of MUIS and FACT-G scores between the two groups were statistically significant ( P<0.05) . Conclusions:With the prolongation of bladder perfusion treatment time, the uncertainty of bladder cancer patients gradually increases and quality of life decreases. The case management mode led by specialized nurses can improve the compliance and quality of life of patients with bladder perfusion treatment, reduce the incidence of complications and disease uncertainty and improve management efficiency of bladder perfusion treatment.
