护理干预对经尿道前列腺电切术后并发症及生活质量的影响  

Effects of nursing intervention on complications and quality of life in patients underwent transurethral prostatectomy

作　　者：王文荷 于小喜 韩子华[3] 汪官富[3] 

机构地区：[1]浙江省温岭市第二人民医院手术室,317502 [2]浙江省温岭市第二人民医院泌尿科,317502 [3]浙江省台州医院泌尿科

出　　处：《中国药物与临床》2012年第10期1270-1272,共3页Chinese Remedies & Clinics

基　　金：浙江省台州市科技局课题(090KY48)

摘　　要：目的探讨护理干预对经尿道前列腺电切(TURP)术后并发症及生活质量的影响。方法选择150例行TURP手术患者,随机分为观察组和对照组。2组患者入院后均按TURP围手术期护理常规进行护理,观察组在此基础上予以综合性护理干预。观察并比较2组患者术后并发症的发生率,随访3个月后国际前列腺症状评分(IPSS)、最大尿流率(Qmax)、残余尿量(RU)和生活质量(QOL)评分的变化。结果观察组术后并发症的发生率明显低于对照组(χ2=8.43,P<0.01)。术后3个月,观察组IPSS评分和RU明显低于对照组,Qmax和QOL评分明显高于对照组(P<0.05)。结论护理干预可明显减少TURP术后并发症的发生率,提高手术的疗效,能明显改善患者的下尿路梗阻症状,有利于患者早日康复,提高患者生活质量。Objective To determine the effects of nursing intervention on complications and quality of life （QOL） in patients underwent transurethral prostatectomy （TURP）. Methods A total of 150 patients who underwent TURP were randomly assigned to receive conventional nursing care alone （control group） or in combination with comprehensive nursing intervention （observation group）, respectively. The post-operative complications were compared, and changes in IPSS score, maximum flow rate （Qmax）, residual urinary volume （RU） and QOL scores were also compared at month 3 post-operatively. Results The observation group yielded a markedly lower rate of complication than control group （X^=8.43, P〈0.01）. At month 3 post-operatively, observation group was associated with a significantly lower IPSS score and RU yet considerably higher Qmax and QOL score as compared with control group （both P〈 0.05）. Conclusion Nursing intervention may significantly reduce the incidence of complications, improve surgical efficacy and ameliorate symptoms of lower urinary tract obstruction, thus allowing for early recovery and higher quality of life.

关 键 词：护理 手术后并发症 生活质量 经尿道前列腺电切术 

分 类 号：R473.6[医药卫生—护理学]