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中国癌症防治杂志 ›› 2012, Vol. 4 ›› Issue (4): 359-361.doi: 10.3969/j.issn.1674-5671.2012.04.17

• 护理研讨 • 上一篇    下一篇

序贯治疗告知单联合电话随访对膀胱肿瘤患者术后治疗依从性的影响

  

  1. 广西贵港市人民医院
  • 出版日期:2012-12-25 发布日期:2013-01-11

Influence of sequential treatment notification with telephone follow-up on treatment compliance of patients with bladder tumors

  • Online:2012-12-25 Published:2013-01-11

摘要: 目的 探讨应用序贯治疗告知单联合电话随访对膀胱肿瘤患者术后膀胱灌注化疗依从性的影响。方法 将78例膀胱肿瘤患者按查随机数字表法分为观察组和对照组,两组各39例。观察组给予发放序贯治疗告知单及电话随访进行干预,对照组给予口头健康教育。观察两组患者按时返院行膀胱灌注化疗和遵嘱饮水的依从性,以及膀胱刺激征的发生情况等。结果 观察组第1阶段遵嘱饮水及第2阶段、第3阶段按时返院行膀胱灌注化疗的依从性均高于对照组(P<0.05),观察组第1阶段膀胱刺激征的发生率明显低于对照组(P<0.05)。结论 序贯治疗告知单联合电话随访可提高膀胱肿瘤患者术后膀胱灌注化疗及遵嘱饮水的依从性,降低膀胱刺激征的发生率。

关键词: 膀胱肿瘤, 膀胱灌注, 化疗, 序贯治疗告知单, 随访, 依从性, 护理

Abstract: Objective To investigate the influence of sequential treatment notification and telephone follow-up on compliance of patients undergoing intravesical instillation chemotherapy after bladder tumor surgery. Methods Seventy-eight patients with bladder tumors were allocated equally into an observation group and a control group using a random number table.Patients in the observation group received sequential treatment notification and a follow-up telephone interview,while patients in the control group received generic oral health education. Compliance with intravesical instillation chemotherapy,use of the prescribed drinking water,and occurrence of bladder irritation were measured in both groups. Results The observation group showed greater compliance than the control group in using the prescribed drinking water in the first stage,and greater compliance with intravesical instillation chemotherapy in the second and third stages(all P<0.05).Furthermore,the rate of bladder irritation was lower in the observation group than in the control group(P<0.05). Conclusions Sequential treatment notification combined with telephone follow-up can improve patient compliance with postoperative intravesical instillation chemotherapy and use of prescribed drinking water,which may reduce the occurrence of bladder irritation.

Key words: Bladder neoplasms, Intravesical instillation, Chemotherapy, Sequential treatment notification, Follow-up, Compliance, Nurse