舒适护理在经尿道前列腺电切术围术期的应用  

Application of comfortable nursing during the perioperative period of transurethral resection of prostate

作　　者：杨亚娉 韩子华 张忠 汪官富 李海平 鲍琼蓉 

机构地区：[1]浙江省三门县人民医院外科,浙江三门317100 [2]浙江省台州市恩泽医疗中心(集团)路桥医院泌尿科,浙江台州318050

出　　处：《中国现代医生》2013年第30期77-79,共3页China Modern Doctor

基　　金：浙江省医学会临床科研基金项目(2006ZYC23)

摘　　要：目的探讨舒适护理在经尿道前列腺电切术(TURP)围术期的应用。方法选择择期行TURP治疗的BPH患者100例,随机分为实验组和对照组。对照组患者予以TURP围手术期常规护理,实验组患者在对照组围手术期常规护理基础上加用舒适护理。结果实验组患者术前1 d心理反应明显优于对照组(χ2=9.98,P<0.05)。术中两组MAP和HR水平均较术前明显上升(P<0.05),但实验组患者上升的幅度明显低于对照组(P<0.05)。实验组患者术后引流管冲洗时间、留置导尿管时间和平均住院时间均明显少于对照组(P<0.05或P<0.01)。实验组患者术中术后并发症的发生率明显低于对照组(χ2=4.72,P<0.05)。结论舒适护理干预可明显改善行TURP手术患者术前心理反应,提高患者手术应激反应能力,稳定术中血流动力学状态,提高手术安全性,并能提高术后疗效,减少患者术中术后并发症的发生率。Objective To discuss application of comfortable nursing during the perioperative period of transurethral re section of prostate （TURP）. Methods One hundred cases of benign prostatic hyperplasia （BPH） patients were selected and divided into experimental group and control group randomly, who planed to take the TURP treatment. The patients in control group were given routine nursing during the perioperative period of TURP, while the patients in experimen- tal group were additionally given the comfortable nursing at the basis of routine nursing. Results The psychic reaction of patients in experimental group one day before the operation was much better than that in control group （X2=9.98, P〈0.05）. The intraoperative MAP and HP levels rose obviously than those before the operation （P〈0.05）, However, the rising rate of patients in experimental group was much lower than that in control group （P〈0.05）. The postopera- tive flushing time by drainage-tube, indwelling catheter time and average stay time were much shorter than those in control group （P〈0.05 or P〈0.01）. The intraoperative and postoperative occurrence rate of complication was much higher than that in control group （X2=4.72,P〈0.05）. Conclusion Comfortable nursing can obviously improve the pre- operative psychic reaction of patients to be treated with TURP operation, enhance the ability of stress reaction during the operation, stabilize intraoperative hemodynamic status, improve the operation security and postoperative curative effect and reduce the intraoperative and postoperative occurrence rate of complication.

关 键 词：经尿道前列腺电切术 心理反应 血流动力学 并发症 

分 类 号：R473.6[医药卫生—护理学]