盆底肌锻炼对膀胱癌根治回肠原位新膀胱术后患者健康相关生活质量的影响

[摘要] Abstract：Objective To investigate the pelvic floor muscle training(Kegel exercise)on health related quality of life of patients with construction of orthotopic ileal neobladder after radical cystectomy for bladder cancer. Methods 〓Forty-six patients undergoing construction of orthotopic ileal neobladder after radical cystectomy for bladder cancer were enrolled in this study. Patients were divided into the control group(n=23)and the observation group(n=23). Patients of both two groups were conventional exercise on micturition desire and abdominal pressure for urination, and those in the observation group were given Kegel exercise. The health related quality of life of patients was evaluated by Fuctional Assessment of Cancer Therapy-Bladder(FACT-BL). Results 〓Patients in the observation group achieved higher scores of functional well being and bladder-specific subscale compared with those in the control group(P<0.05)after nursing intervention. The Total FACT-BL score in the observation group was higher than that of controls(P<0.05). More patients of the observation group were satisfied with the nursing efficacy, training efficacy and overall nursing service compared with those of the control group(P<0.05). Conclusion 〓Kegel exercise is potentially effective to improve the functional rehabilitation of neobladder, so as to improve the health related quality of life of patients.

[学科分类] 护理学

[关键词] 盆底肌;Kegel运动;回肠原位新膀胱术;膀胱癌;生活质量