关键词: 预防性风险管理, 肌层浸润性膀胱癌, 并发症, 生活质量, 住院时间

Abstract: Objective To explore the effect of preventive risk management on postoperative application and quality of life of myometrial invasive bladder cancer patients after radical surgery．Methods A total of 66 patients with myometrial invasive bladder cancer admitted to Anyang Cancer Hospital from June 2020 to October 2023 were selected as research objects,and were divided into observation group（n=33）and control group（n=33）by lot drawing．All patients were treated with radical total cystectomy and lymph node dissection．The control group received routine nursing care after surgery,while the observation group received preventive risk management in addition to the control group．The postoperative urine output,recovery time of gastrointestinal function,and hospitalization time between two groups were compared,as well as the shame and negative emotions before and after intervention,the incidence of postoperative complications,and the changes in quality of life between the two groups before and after intervention．Results There was no significant difference in postoperative urine volume between the two groups of patients（P>0.05）,and the postoperative gastrointestinal function recovery time（5.27±0.82）d,postoperative hospitalization time（18.31±3.27）d were shorter than the control group[（7.25±1.12）d,（23.27±4.18）d],with statistical significantce（t=8.194,5.369,P<0.05）．After intervention,the Stigma Scale of Chronic Illness（SSCI）,Self Rating Depression Scale（SDS）,and Self-Rating Anxiety Scale（SAS）in both groups of patients decreased,and the observation group[（35.67±7.45）,（40.02±2.43）,（45.36±4.17）] scored lower than the control group[（48.27±10.69）,（54.54±3.54）,（51.37±4.38）],statistically significant（t=5.555,19.426,5.709,P<0.05）．The incidence of postoperative complications in the observation group was significantly lower at 9.09% compared to the control group at 30.30%（χ²=4.690,P=0.030,P<0.05）．After intervention,the scores of bladder cancer specific module,functional status,mental status,family/social status and physical status related dimensions of bladder cancer patients’ quality of life scale for bladder cancer patients（FACT-BL）in both groups increased,and the observation group[（34.27±3.26）,（25.11±4.23）,（21.51±4.23）,（25.02±4.43）,（20.56±3.11）] scored higher than the control group[（27.00±4.34）,（21.11±3.24）,（16.12±2.12）,（21.54±5.54）,（15.87±4.13）],the comparison was statistically significant（t=7.694,4.313,6.544,2.818,5.211,P<0.05）．Conclusions Preventive risk management has a significant effect on the application of myometrial invasive bladder cancer after radical surgery,which can shorten the recovery time of gastrointestinal function and hospital stay,improve patients’ negative emotions,assist in preventing postoperative complications,and improve patients’ quality of life．

Key words: preventive risk management, muscle invasive bladder cancer, complications, quality of life, hospitalization time