膀胱癌尿流改道病人围术期症状群干预方案的构建及实证研究

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AbstractObjective：Toexplorethecomposition，typesanddynamicchangesofperioperativesymptomclustersipatientswithuriary diversionduetobladdercancer，toconstructaperioperativesymptomclusterinterventionprogramforpatientswithbladdercanerand toevaluateitsapplicationefectMethods：Firstly，alongitudinalsurveywasconducted.TheChineseversionoftheMemorialSyptom AssessmentScale（MSAS）wasusedtoinvestigatetherecruitedpatientswithbladdercancerduringtheadmissionandsurgicalperiod （T1），2-7daysaftersurgery（T2）ndmonthaftersurgery（T3）.Thepredictivefactorofsymptomcusters wereexplored.Onthebasis f referrng toelevantgidelines，iteraturesndonsultingexperts，aperioperativesymptomclusterinterventionprogramforpatiets with bladdercancerwasconstructed.From September 2O22 to September 2O23，12Opatients with bladdercancerinatertiary gradeAhospitalinWuhancitywereselectedandrandomlydividedintocontrolgroupandobservationgroup，6Opatientseach.Tecotol groupreceivedroutinenursingcare，andtheobservationgroupreceivedthenursing interventionprogramforsymptomclustersofbladder canceronthebasisofroutinenursingcare.TheChineseversionoftheMemorial SymptomAssessmentScale（MSAS），theGeneric QualityofLifeInventory（GQOLI），theunctionalStatusScaleandtheGeneralSelf-EficacyScale（GSES）wereusedtoevaluate thepatientduingdsiodialprod，7eury）dteer3）spiell： Comparedwiththecontrolgroup，fterthentervention，theseverityscoresofemotion-relatedsymptomclusters，urinarytractrelated symptomclusters，gastrointestinal tract-relatedsymptomclusters，andenergydeficiency-relatedsymptomclustersinthebservation group at the three time points decreased （P<0.05） .The quality of life，functional status，and self-eficacy of the patients in the observation group were all improved （P<0.05） .Conclusions：Patients with bladder cancer willface changes in their condition and diferent subjective symptomsduringtheperioperativeperiod.Medicaltaffcouldadopttargetedursinginterventionsaccordingtothesymptomclustersof patientsatdiferentimeperids，whichisbeneficialtoeducing theoccurenceofsymptomsofpatients.Itcouldimprovetequality of life of patients as well.

Keywordsbladder cancer;perioperative period;symptom cluster;qualityoflife;adverse reaction; longitudinal study摘要目的：探索膀胱癌尿流改道病人围术期症状群构成、类型及动态变化，构建膀胱癌病人围术期症状群干预方案并评价其应用效果。（剩余8531字）