精索静脉曲张术后睾丸坠痛情况及其中西医结合护理模式干预效果  

Investigation of testicular pain after varicocele operation and intervention effect of nursing mode of integrated traditional Chinese and western medicine

作　　者：张金燕[1] 吴明亮 袁小芳 陈小煜 ZHANG Jinyan;WU Mingliang;YUAN Xiaofang;CHEN Xiaoyu(Department of Urology Surgery,Dazhou Integrated TCM&Western MedicineHospital,Dazhou,Sichuan 635000,China)

机构地区：[1]四川省达州市中西医结合医院泌尿外科,四川达州635000

出　　处：《检验医学与临床》2019年第10期1351-1354,共4页Laboratory Medicine and Clinic

基　　金：四川省达州市医学科研基金项目(201616)

摘　　要：目的对精索静脉曲张术后睾丸坠痛情况进行调查,并探索中西医结合护理模式干预效果。方法选择2015年6月至2018年5月在该院行手术治疗的148例精索静脉曲张患者为研究对象,采用随机数字表法将患者分为两组,每组各74例。对照组行常规西医护理,观察组在此基础上加以中医护理。比较两组患者疼痛、生活质量、负性情绪及护理满意度。结果干预后两组患者疼痛均明显改善,但观察组改善更为明显,干预后两组患者数字疼痛评分比较,差异有统计学意义(P<0.05)。干预后两组患者生活质量评分均明显升高,但观察组升高幅度更大,干预后两组患者生活质量评分比较,差异有统计学意义(P<0.05)。干预后两组患者抑郁与焦虑自评量表评分均明显下降,但观察组下降幅度明显更大,干预后两组患者评分比较,差异均有统计学意义(P<0.05)。观察组护理满意度得分明显高于对照组,差异有统计学意义(P<0.05)。结论精索静脉曲张术后患者存在一定程度的睾丸坠痛,中西医结合护理较常规西医护理可明显缓解患者疼痛,提高生活质量,改善负性情绪,提高护理满意度。Objective To investigate the condition of testicular drop pain after varicocele operation and explore the effect of nursing intervention with integrated traditional Chinese and western medicine. Methods A total of 148 patients with varicocele who underwent surgery in Dazhou Integrated TCM&Western Medicine Hospital from June 2015 to May 2018 were enrolled.Patients were divided into two groups using a random number table method,with 74 cases in each group.The control group received routine western medical care,and the observation group was given traditional Chinese medicine care.The pain,quality of life,negative emotions and nursing satisfaction of the two groups were compared. Results After the intervention,the pain of both groups improved significantly,but the improvement of the observation group was more obvious,the difference on numerical rating scale scores of the two groups after the intervention was statistically significant ( P <0.05).After intervention,the quality of life in the two groups significantly increased,but the increase of the observation group was greater,the difference on quality of life score of the two groups after the intervention was statistically significant ( P <0.05).After the intervention,the SAS and SDS score of the two groups significantly decreased,but the decline of the observation group was significantly greater,the differences on SAS and SDS score of the two groups after the intervention were statistically significant ( P < 0.05 ).The nursing satisfaction score of the observation group was significantly higher than that of the control group ( P < 0.05 ). Conclusion There is a certain degree of testicular pain in patients after varicocele operation.The combination of traditional Chinese and western medicine can significantly alleviate patients′pain,improve their quality of life,improve negative emotions and improve nursing satisfaction.

关 键 词：精索静脉曲张 术后睾丸坠痛 中西医结合护理 

分 类 号：R699.8[医药卫生—泌尿科学]