Application effect of nursing based on knowledge, attitude and practice theory in the prevention of postoperative stoma infection in patients with bladder cancer
10.3760/cma.j.cn115682-20210518-02150
- VernacularTitle:基于知信行理论的护理在膀胱癌患者术后造口感染预防中的应用效果
- Author:
Nan LIU
1
;
Yu LIANG
;
Teng JIANG
;
Yunlu SUN
;
Juan WANG
Author Information
1. 徐州市中心医院泌尿外科，徐州 221009
- Keywords:
Urinary bladder neoplasms;
Cystostomy;
Stoma infection;
Knowledge, attitude and practice theory
- From:
Chinese Journal of Modern Nursing
2022;28(9):1212-1216
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of nursing based on knowledge, attitude and practice theory in the prevention of postoperative stoma infection in patients with bladder cancer.Methods:Using the convenient sampling method, a total of 78 patients with bladder cancer postoperative stoma who were hospitalized in Xuzhou Central Hospital from March 2016 to October 2020 were selected as the research objects. According to the random number table method, the patients were divided into the control group and the observation group, with 39 cases in each. The control group was given routine postoperative stoma nursing, while the observation group was given nursing based on knowledge, attitude and practice theory on the basis of the control group. After the intervention, the blood indexes (red blood cells, white blood cells, platelets and hemoglobin counts) related to stoma infection were compared between the two groups. Complications (hematuria, shock, urinary retention, wound rupture) were observed and recorded in the two groups; stoma infection during hospitalization and reinfection within 1, 3 and 6 months after surgery of the two groups were recorded.Results:After intervention, the red blood cell, hemoglobin and platelet counts in the observation group were higher than those in the control group, and the differences were statistically significant ( P<0.05) . The total incidence of postoperative complications of hematuria, shock, urinary retention and wound rupture in the observation group was 2.6% (1/39) , which was lower than 17.9% (7/39) in the control group, and the difference was statistically significant ( P<0.05) . There was 1 case (2.6%) of stoma infection in the observation group and6 cases (15.4%) in the control group, and the difference was statistically significant ( P<0.05) . Further follow-up showed that the proportions of reinfection in the observation group at 1, 3 and 6 months after surgery were lower than those in the control group, but there was no statistically significant difference between the two groups ( P>0.05) . Conclusions:Nursing based on the knowledge, attitude and practice theory can effectively improve the blood indexes related to infection after ostomy in bladder cancer patients and reduce the occurrences of complications and stoma reinfection.
