延续性护理对前列腺癌患者术后尿失禁的影响  

Effects of continuous nursing care on postoperative urinary incontinence in patients with prostatecancer

作　　者：李海燕[1] 冯瑶[1] 陈建霞[1] 张海微[1] 吴蓉蓉[1] 翁志梁[1] 江海红[1] 陈伟[1] 

机构地区：[1]浙江省温州医科大学附属第一医院泌尿外科,温州325000

出　　处：《中华现代护理杂志》2018年第3期339-343,共5页Chinese Journal of Modern Nursing

基　　金：温州市科技局基金项目（Y20160585）

摘　　要：目的探讨延续性护理对前列腺癌患者术后尿失禁发生的影响，为提高此类患者出院后护理质量提供依据。方法将2016年1月-2017年1月温州医科大学附属第一医院符合纳入标准的120例行前列腺癌根治术的患者，按抽签法随机分成观察组与对照组各60例，对照组患者给予常规出院健康教育，观察组患者在常规出院护理基础上，实施延续性护理。出院后3个月，采用国际尿失禁问卷简表（ICI-Q-SF）观察记录两组患者尿失禁发生率、持续时间、频率、量；采用自制前列腺癌术后相关知识调查问卷了解两组患者相关知识掌握情况；采用自制的满意度问卷调查表评估和比较两组患者对护理质量的满意度。结果观察组术后尿失禁发生率为16．7％，持续时间为（4．1±2．8）d，均低于对照组（x2it值分别为9．076、-2．630；P〈0．05）。出院后3个月观察组相关知识掌握得分高于对照组，对护理工作的满意度高于对照组，差异均有统计学意义（p〈0．05）。结论对出院后的前列腺癌术后患者进行延续性护理，可以加强患者对疾病健康知识的掌握程度，有效降低术后尿失禁的发生率，减少尿失禁持续时间，提高患者对护理质量的满意度。Objective To explore the effects of continuous nursing on postoperative urinary incontinence in patients with prostate cancer, so as to provide clinical evidence to improve the quality of postoperative and extended nursing care. Methods A total of 120 patients with prostate cancer underwent radical prostateetomy in the First Affiliated Hospital of Wenzhou Medical University from January 2016 to January 2017, who met the inclusion criteria were recruited in the research. The patients were randomly divided into experimental group and control group by sortition randomization method, with 60 cases in each. The patients in control group were given routine discharge health education, and the experimental group received continuous nursing on the basis of routine discharge nursing. Three months after discharge, the incidence, duration, frequency and quantity of urinary incontinence in the two groups were recorded by the International Consultation on Incontinence Questionnaire Short Form （ICI-Q-SF）. A self-designed prostate cancer postoperative-related knowledge questionnaire, which evaluated the patients understanding prostate cancer care, was completed by the patients of the two groups. A self-designed satisfaction questionnaire was used to evaluate and compare the satisfaction of the two groups of patients to the quality of nursing. Results The incidence rate and the duration of postoperative urinary continence in the experimental group [ 16.7%, （4.1 ± 2.8） d ] were significantly lower than those in the control group （X 2=9.076, t=-2.630; P 〈 0.05）. After 3 months of discharge, the score of related knowledge and the satisfaction of nursing work in the experimental group were both higher than those of the control group, and the differences were statistically significant （P 〈 0.05）. Conclusions Continuous nursing care for discharged patients after prostatectomy can enhance patients＇ knowledge of disease, effectively reduce the incidence of postoperative incontinence, reduce urinary incontinence dur

关 键 词：前列腺肿瘤 尿失禁 手术后并发症 健康教育 延续性护理 

分 类 号：R473.73[医药卫生—护理学]