Effect Of Self-efficacy Intervention On Bladder Perfusion After Bladder Cancer Operation

Objective:1.To evaluate the effect of self-efficacy intervention on the level of anxiety,depression and self-efficacy of bladder perfusion patients after bladder cancer surgery.2.To evaluate the effect of self-efficacy intervention on quality of life,treatment compliance and satisfaction of bladder perfusion patients after bladder cancer surgery.Methods:1.The convenient sampling method was used to select the patients who underwent post-turbt bladder perfusion in the department of urology,the first affiliated hospital of shanxi medical university from November 2018 to November 2019.Eighty patients were selected in strict accordance with the inclusion and exclusion criteria,and randomly divided into the control group and the experimental group,with 40 patients in each group.2.Intervention was conducted during the period of perfusion maintenance for a to tal of 6 months.Patients in the control group were given routine nursing care,and hea lth education was conducted before,during and after perfusion.The experimental group of patients on the basis of routine nursing,with the guidance of self-efficacy theory for intervention,mainly from the direct experience,indirect experience,verbal persuasi on,physiological and emotional state and other aspects.3.By collecting data on anxiety and depression,self-efficacy,quality of life,treatment compliance and satisfaction at different stages of the two groups of patients before the maintenance of perfusion,at 3 months after the intervention and at 6 months after the intervention,SPSS19.0 was used to compare the above data between the two groups of patients,so as to determine the intervention effect.Results:1.Two patients were lost to follow-up during the intervention,and a total of 78 patients completed the study,including 40 in the control group and 38 in the experim ental group.Age,education level,marital status,per capita monthly income,payment method and smoking history of patients in the two groups showed no significant differe nce at baseline,which was comparable(P>0.05).2.Before the intervention,there was no significant difference in self-efficacy scores between the two groups,which was comparable(P>0.05).At 3 months of intervention and 6months of intervention,the difference in self-efficacy scores between the two groups was statistically significant,and the experimental group was higher than the control group.The self-efficacy scores of patients in the two groups kept changing with time,and with the extension of intervention time,the self-efficacy scores of patients in the experimental group showed an obvious increasing trend,while those in the control group did not change significantly.3.The anxiety and depression levels of the control group and the experimental group were not statistically significant before intervention,and the scores of the patients in both groups were at a higher level.After 3 months and 6 months of intervention,the scores of anxiety and depression levels of patients in both groups were statistically significant(p< 0.05),and those in the experimental group were lower than those in the control group.After the intervention,the score of anxiety and depression in the experimental group decreased more than that in the control group,and the effect was more obvious in the first 3 months than in the last 3 months.4.Before intervention,scores in all fields of quality of life of patients in the two groups showed no statistical difference except for the dimension of shortness of breath,showing comparability.Overall quality of life of patients was low.After 3 interventions,the difference between the two groups was statistically significant(p<0.05),with the exception of role function,cognitive function,nausea and vomiting,pain,shortness of breath,constipation,diarrhea and economic difficulties.The quality of life of the experimental group was significantly better than that of the control group.After 6 months of intervention,there were statistically significant differences in scores between the two groups in all areas except cognitive function,nausea and vomiting,shortness of breath,insomnia,constipation,diarrhea and economic difficulties.In the whole process of the study,the scores of symptoms of constipation,diarrhea,shortness of breath,nausea and diarrhea in the two groups were all low(high quality),and the scores of economic difficulties were always high(low quality).In other areas,the symptoms of the patients improved to varying degrees with the extension of the intervention time.5.After the intervention,the compliance of the experimental group was as high as92.1%,while that of the control group was 70.0%.The treatment compliance of the experimental group was higher than that of the control group,and the difference between the two groups was statistically significant(P<0.05).6.Patients in the experimental group scored more than 9 points on the attitude,operation skills and knowledge of the medical staff,and the satisfaction score of the experimental group was significantly higher than that of the control group,with statistically significant difference(P< 0.05).Conclusion:The application of self-efficacy intervention in patients with bladder perfusion has achieved good clinical effect,which has improved patients’ anxiety and depression,and significantly improved their self-efficacy and quality of life,thus improving patients’ treatment compliance and nursing satisfaction.Therefore,self-efficacy intervention is a feasible intervention method that can provide reference for other medical institutions.