The impact of group psychological nursing on the quality of life of patients undergoing bladder instillation chemotherapy after transurethral resection of bladder tumors
团体心理护理对尿道膀胱肿瘤电切术后行膀胱灌注化疗患者生活质量的影响

摘要

目的 观察团体心理护理在尿道膀胱肿瘤电切术患者术后行膀胱灌注化疗中的应用效果以及对其生活质量的影响。方法 此次研究对象选取2023年7月至2024年7月期间我医院收治的42例尿道膀胱肿瘤电切术治疗后进行膀胱灌注化疗患者，根据电脑随机选取方式将患者分成两组开展护理研究,共分成观察组与对照组各有21例患者，治疗期间对照组患者接受常规护理，观察组患者加强团体心理护理干预,将两组护理效果进行对比分析。结果 组间各项指标结果比较后显示，观察组的护理服务品质以及患者遵从医嘱行为同对照组比较已得到显著提高，患者治疗期间的焦虑情绪改善效果与对照组相比占据优势，化疗期间发生的不良事件以及化疗反应均少于对照组,最终患者的生活质量同对照组相比明显提高,（P＜0.05)。结论 通过开展团体心理护理可有效提升临床对尿道膀胱肿瘤术后膀胱灌注化疗患者的护理质量，可进一步提升临床护理服务质量，改善患者的负性情绪，增强患者的遵医行为，从而能够减轻临床护理工作难度,降低护理不良事件以及化疗不良反应发生率，提高患者的疾病控制效果及生活质量。

Abstract

Objective To observe the application effect of group psychological nursing in postoperative bladder instillation chemotherapy for patients undergoing urethral bladder tumor resection, and its impact on their quality of life.
Methods The study selected 42 patients with urethral and bladder tumors who underwent bladder instillation chemotherapy after electric resection treatment in our hospital from July 2023 to July 2024. The patients were randomly divided into two groups according to the computer selection method for nursing research, with 21 patients in the observation group and 21 patients in the control group. During the treatment period, the control group received routine nursing care, while the observation group received strengthened group psychological nursing intervention. The nursing effects of the two groups were compared and analyzed.
Results After comparing the results of various indicators between groups, it was found that the quality of nursing services and patient compliance with medical advice in the observation group had significantly improved compared to the control group. The improvement effect of anxiety during treatment was superior to that of the control group, and the incidence of adverse events and chemotherapy reactions during chemotherapy was lower than that of the control group. Ultimately, the quality of life of patients was significantly improved compared to the control group, (P＜0.05).
Conclusion   The implementation of group psychological nursing can effectively improve the quality of clinical nursing care for patients with urethral bladder tumors undergoing postoperative bladder perfusion chemotherapy. This can further enhance the quality of clinical nursing services, improve patients' negative emotions, and strengthen their compliance with medical treatment. As a result, it can reduce the difficulty of clinical nursing work, lower the incidence of nursing adverse events and chemotherapy adverse reactions, and improve patients' disease control effectiveness and quality of life.