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| Application of nursing model guided by the theory of self transcendence in patients with abdominal wall ostomy after bladder cancer surgery |
| WANG Yadan SONG Silin▲#br# |
Department of Urology, Nanjing First Hospital, Nanjing Medical University, Jiangsu Province, Nanjing 210006, China
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Abstract Objective To observe the application effect of the nursing model guided by the theory of self transcendence in patients with abdominal wall ostomy after bladder cancer surgery. Methods A total of 100 patients who underwent urinary flow diversion abdominal wall ostomy for bladder cancer in Nanjing First Hospital from July 2020 to July 2022 were selected as the study objects, according to the method of random number table, they were divided into the control group and the observation group, with 50 cases in each group. The control group was treated with routine nursing intervention, and the observation group was treated with nursing intervention guided by self transcendence theory on the basis of the control group, with a total of four weeks of intervention. The self transcendence level of patients in the two groups was compared before nursing, two and four weeks of nursing (evaluated by self transcendence scale [STS]), the self-care ability of patients in the two groups was compared before nursing and four weeks of nursing (evaluated by self care ability implementation scale [ESCA]). The periostomy infection and related complications were compared between the two groups within four weeks of nursing. Results The overall analysis showed that there were significant differences between groups, time points and time points of STS evaluation between two groups (P＜0.05). There were significant differences in STS scores between the two groups at each time point (P＜0.05). The observation group was higher than the control group after two and four weeks of nursing (P＜0.05). After four weeks of nursing, the total scores of self-care skills, self-concept, self-care responsibility, health knowledge, and ESCA of patients in the two groups were higher than those before nursing, and the observation group was higher than the control group (P＜0.05). Incidence of peristomal infection and stoma-related complications in observation group was lower than that in control group (P＜0.05). Conclusion The nursing model guided by the theory of self transcendence can effectively improve the self transcendence level of patients with abdominal wall ostomy after bladder cancer surgery, enhance the patients’ ability of self-care, and reduce the incidence of infection around stoma and stoma related complications after surgery.
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