个案管理对膀胱灌注化疗患者自我护理能力的影响

摘要

Abstract：Objective To observation the effect of case management on self-nursing ability of patients with urinary bladder irrigation chemotherapy. Methods A total of 50 bladder cancer patients undergoing surgical treatment were randomly divided into the treatment group and the control group, with 25 cases in each group. All patients received urinary bladder irrigation chemotherapy after surgery and routing nursing care, and the treatment group was given case management. The adverse reactions during chemotherapy were observed, and the self-nursing ability of patients was evaluated by self-made questionnaires before and after intervention. Results There were 23 cases in treatment and 22 cases in the control group available for analysis. The incidence of bladder irritation sign, hematuresis and gastrointestinal reaction were lower in the treatment than those of control group(P0.05). The score of self-nursing ability assessment was increased in both of two groups at 6 months after intervention compared with that before intervention, and was higher in the treatment group than that of controls, with a significant difference(P0.05). Conclusion The implementation of case management can reduce the risk of adverse reaction and improve the self-nursing ability of patients with urinary bladder irrigation chemotherapy.