延续护理在膀胱癌术后膀胱灌注化疗患者中的应用研究

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1、授予单位代码10089学号或申请号13946HebeiMedicalUniversity硕士学位论文在职科学学位延续护理在膀胱癌术后膀胱灌注化疗患者中的应用研究学位申请人：韩瑞霞导师：耿连霞副主任护师专业：护理学二级学院：第二医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺y>本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研宄所获得的研宄成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公幵和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北医科大学所有。否

2、则，承担相应法律责任。,八,....•研究生签名导师签章7^年并月:>日河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研宄工作及取得的研宄成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人己经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。目录中文摘要·············································································1英文摘要····························································

3、·················3英文缩写·············································································3研究论文延续护理在膀胱癌术后膀胱灌注患者中的应用研究前言·············································································6材料与方法····································································6结果·············

4、································································13附表·············································································15讨论·············································································19结论·································································

5、············23参考文献·······································································23综述膀胱癌术后膀胱灌注患者依从性现状及护理研究进展···········27致谢···················································································35个人简历···········································································

6、··36中文摘要延续护理在膀胱癌术后膀胱灌注化疗患者中的效果评价摘要膀胱癌是泌尿系统最常见恶性肿瘤，其发病率居恶性肿瘤的第11位，位于泌尿系肿瘤的首位。尽管TUR-BT可以完全切除肿瘤,但在临床治疗中发现仍有很高的复发率，术后辅助膀胱灌注药物治疗是目前降低膀胱癌复发率最有效的治疗方式，但膀胱灌注治疗因疗程长、需要反复回院插管、不良反应重、费用高加之患者对疾病相关知识掌握不足等原因导致患者往往不能坚持治疗。有研究表明对出院患者实施延续护理，可以帮助患者出院后积极治疗，提高患者的依从性和生活质量。目前国内外关于膀胱癌术后行膀胱灌注治疗患者的延续护理相关报道较少，缺乏临床应用的相关证据。目

7、的：探讨延续护理对TUR-BT术后膀胱灌注患者依从性、生活质量及对护理人员满意度的影响效果，使之成为膀胱癌规范化治疗的一部分。方法：选择2013年1月-2013年11月在某院泌尿外科行门诊膀胱灌注化疗的TUR-BT术后患者53例为对照组，2014年1月-11月在某院泌尿外科行门诊膀胱灌注化疗的TUR-BT术后患者53例为干预组，干预组1人因肿瘤复发脱落，1人随子女迁至外地脱落，最终有51例入组。对照组给予常规的护理方法，干预组患者在常规护理的基础上采用延续