摘要
Abstract
Objective:To explore the composition,types and dynamic changes of perioperative symptom clusters in patients with urinary diversion due to bladder cancer,to construct a perioperative symptom cluster intervention program for patients with bladder cancer,and to evaluate its application effect.Methods:Firstly,a longitudinal survey was conducted.The Chinese version of the Memorial Symptom Assessment Scale(MSAS)was used to investigate the recruited patients with bladder cancer during the admission and surgical period(T1),2-7 days after surgery(T2),and 1 month after surgery(T3).The predictive factors of symptom clusters were explored.On the basis of referring to relevant guidelines,literatures and consulting experts,a perioperative symptom cluster intervention program for patients with bladder cancer was constructed.From September 2022 to September 2023,120 patients with bladder cancer in a tertiary grade A hospital in Wuhan city were selected and randomly divided into control group and observation group,60 patients each.The control group received routine nursing care,and the observation group received the nursing intervention program for symptom clusters of bladder cancer on the basis of routine nursing care.The Chinese version of the Memorial Symptom Assessment Scale(MSAS),the Generic Quality of Life Inventory(GQOLI),the Functional Status Scale,and the General Self-Efficacy Scale(GSES)were used to evaluate the patients during the admission and surgical period(T1),2-7 days after surgery(T2),and 1 month after surgery(T3),respectively.Results:Compared with the control group,after the intervention,the severity scores of emotion-related symptom clusters,urinary tract-related symptom clusters,gastrointestinal tract-related symptom clusters,and energy deficiency-related symptom clusters in the observation group at the three time points decreased(P<0.05).The quality of life,functional status,and self-efficacy of the patients in the observation group were all improved(P<0.05).Conclusions:Patients with bladder cancer will face changes in their condition and different subjective symptoms during the perioperative period.Medical staff could adopt targeted nursing interventions according to the symptom clusters of patients at different time periods,which is beneficial to reducing the occurrence of symptoms of patients.It could improve the quality of life of patients as well.关键词
膀胱癌/围术期/症状群/生活质量/不良反应/纵向研究Key words
bladder cancer/perioperative period/symptom cluster/quality of life/adverse reaction/longitudinal study
