Application of comprehensive nursing intervention in patients with non-muscle invasive bladder transitional cell carcinoma

Abstract

Objective To find out the efficacy of postoperative care of patients with non-muscle invasive bladder transitional cell carcinoma and to provide effective interventions for the treatment and rehabilitation of patients after surgery .Methods 109 patients with non-muscle invasive bladder transitional cell carcinoma were randomly divided into the observation group （59 cases） and the control group （50 cases）.The control group was cared with the measures included postoperative general nursing intervention , bladder irrigation, intravesical chemotherapy , postoperative complication nursing .Based on these nursing interventions , the observation group was treated with integrated care measures .Patients’ quality of life, mental state and depression were assessed by the Short Form 36 （ SF-36 ） , Self-rating Anxiety Scale （ SAS ） and Self-rating Depression Scale （ SDS）, respectively.Nursing satisfaction was investigated by self-made questionnaire. Results Two groups of patients were successfully operated .The postoperative follow-up period was （ 26 .1 ±7.8） months.Recurrence rate of the observation group and the control group were 20.3%（12/59） and 18.0%（9/50）, respectively, showed no significant difference （χ2 =1.237,P〉0.05）.Postoperative incidence of adverse events of observation group and the control group were 25.4% （15/59） and 30.0% （15/50）, respectively, showed no significant difference （χ2 =2.301,P〉0.05）.The SF-36 scores of TH, RP, MH, VT, RE, SF for the observation group were significantly higher （ t =4.596,5.028,5.137,5.918,7.009, 6.402, respectively;P〈0.05） than those in the control group .After integrated care measures , the SDS and SAS scores of both groups were significantly lower than before （t=5.891,4.013, respectively;P〈0.05）.And the SDS and SAS scores in the observation group were significantly lower than those in the control group （ t=3.815,4.202, respectively;P〈0.05）.Satisfaction with nursing for the observation group was 93.2%（55/59） and 72.0% （36/50） for the control group.There was a significant difference （U =4.716,P 〈0.05）. Conclusions Integrated care measures can effectively improve the quality of life , mental status, and nursing satisfaction of patients with non-muscle invasive bladder transitional cell carcinoma after surgery . Key words: Non-muscle invasive bladder cancer; Comprehensive nursing intervention; Quality of life; Nursing satisfaction