目的 探讨强化排尿功能训练结合认知行为疗法在膀胱癌术后患者中的应用效果。方法 选取2022年6月-2023年6月我院收治的膀胱癌术后患者100例,根据随机数表法分为试验组和参照组,参照组患者采用常规护理措施,试验组患者并给予强化排尿功能训练结合认知行为疗法干预,比较两组患者排尿功能指标,并对干预前后尿动力学指标和心理状态进行比较,观察两组患者并发症发生情况。结果 两组患者尿量差异无统计学意义(t=0.623,P=0.535)；试验组患者排尿间隔时间和膀胱容量均长(多)于参照组(t=6.168、4.362,P=0.000)。干预后两组尿流动力学指标均有所改善,试验组患者膀胱逼尿肌压力和尿流率均高于参照组(P<0.05)。干预后两组患者心理状态有所改善,试验组患者SDS 和SAS评分均低于参照组(P<0.05)。试验组并发症发生率(4.00%)低于参照组(20.00%)(χ2=6.061,P=0.014)。结论 强化排尿功能训练结合认知行为疗法可改善膀胱癌术后患者膀胱功能,改善尿流动力学,减轻焦虑抑郁等负性情绪,减少并发症,值得进一步推广。

Objective To investigate the effect of intensive urination function training combined with cognitive behavioral therapy in patients with bladder cancer after surgery.Methods A total of 100 postoperative patients with bladder cancer treated in our hospital from June 2022 to June 2023 were selected and divided into observation group and control group according to random number table method. Patients in the control group were given routine nursing measures, while patients in the observation group were given intensive urination function training combined with cognitive behavioral therapy intervention, and urinary function indexes of patients in the two groups were compared. The indexes of urodynamics and psychological state before and after the intervention were compared to observe the incidence of complications in the two groups.Results There was no significant difference in urine volume between the two groups (t=0.623, P=0.535). The urination interval time and bladder volume in observation group were longer than those in control group (t=6.168, 4.362, P=0.000). After intervention, the urinary flow dynamics indexes of both groups were improved, and the detrusor pressure and urinary flow rate of observation group were higher than those of control group (P<0.05). After intervention, the psychological state of the two groups was improved, and the SDS and SAS scores of the observation group were lower than those of the control group (P<0.05). The complication rate of the observation group (4.00%) was lower than that of the control group (20.00%) (χ2=6.061, P=0.014).Conclusion Intensive urination function training combined with cognitive behavioral therapy can improve bladder function, improve urinary flow dynamics, alleviate negative emotions such as anxiety and depression, and reduce complications in patients with bladder cancer after surgery, which is worthy of further promotion.