The value of bundle nursing strategy in intervening bladder spasms after TURBT surgery for bladder tumors
集束化护理策略干预膀胱肿瘤TURBT术后膀胱痉挛的作用价值

摘要

目的 分析经尿道膀胱肿瘤电切术（TURBT）患者实施集束化护理策略干预的价值。方法 择取2022年9月至2023年9月本院行TURBT患者，入组共90例将其随机划分2组，即对照组（45例，常规护理）、观察组（45例，集束化护理策略干预）。观察两组膀胱痉挛情况、术后恢复情况及护理满意度。结果 观察组干预后24h、48h、7d膀胱痉挛症状评分表（BSSS）与对照组比较均显著降低（P＜0.05）。观察组术后膀胱冲洗天数、首次下床活动时间、住院时间与对照组比较均显著降低（P＜0.05）。护理满意度调查可知，观察组总满意率与对照组比较显著提高（P＜0.05）。结论 TURBT患者实施集束化护理策略干预可有效减轻膀胱痉挛症状，加快术后恢复，患者满意度更高。

Abstract

Objective To analyze the value of cluster nursing intervention in patients with transurethral resection of bladder tumor (TURBT).
Methods A total of 90 patients with TURBT from September 2022 to September 2023 were enrolled and randomly divided into 2 groups: control group (45 cases, routine care) and observation group (45 cases, cluster care strategy intervention). Bladder spasm, postoperative recovery and nursing satisfaction of the two groups were observed.
Results The symptom rating scale of bladder spasm (BSSS) in the observation group was significantly lower than that in the control group at 24h, 48h and 7d after intervention (P < 0.05). The days of bladder irrigation, the first time of getting out of bed and the length of stay in the observation group were significantly reduced compared with the control group (P < 0.05). The nursing satisfaction survey showed that the total satisfaction rate of the observation group was significantly higher than that of the control group (P < 0.05).
Conclusion   The intervention of cluster nursing strategy in patients with TURBT can effectively reduce the symptoms of bladder spasm, accelerate postoperative recovery, and improve patient satisfaction.