集束化护理干预在预防TURP术后早期出血中的临床应用  

The Clinical Application of Bundled Nursing Care for Preventing Early Postoperative Hemorrhage after TURP

作　　者：蒋军梦 沈桂琴[2] 方美珍[2] 吴佳裔 JIANG Jun-meng;SHEN Gui-qin;FANG Mei-zhen;WU Jia-yan(Zhejiang Huzhou Teachers College,Huzhou 313000,China;Huzhou First People's Hospital,Huzhou 313000,China)

机构地区：[1]浙江省湖州师范学院,浙江湖州313000 [2]浙江省湖州市第一人民医院,浙江湖州313000

出　　处：《中国医药指南》2020年第14期24-25,35,共3页Guide of China Medicine

摘　　要：目的探讨集束化护理干预策略预防经尿道前列腺电切术(TURP术)术后早期出血中的应用。方法选择我院2017年10月至2018年10月经尿道前列腺电切术(TURP术)患者168例。根据随机数字表法,随机分为实验组和对照组各84例。对照组实施常规护理,实验组实施集束化护理干预策略,包括保持膀胱冲洗通畅、预防膀胱挛缩、保持导尿管有效牵引、避免腹内压增高,比较两组患者术后1 h、6 h、24 h出血情况、膀胱冲洗时间、住院时间。结果实施集束化护理干预策略的实验组术后1 h[(0.43±0.02)vs.(0.45±0.01),P<0.01]、6 h[(0.42±0.02)vs.(0.41±0.01),P<0.01]、24 h[(0.41±0.02)vs.(0.38±0.02),P<0.01]出血情况明显好于对照组;实验组术后膀胱冲洗时间(d)[(1.50±0.50)vs.(2.50±0.50),P<0.01]、住院时间[(6.00±0.61)vs.(8.00±1.02),P<0.01]明显短于对照组。结论TURP术后24 h采用集束化护理干预策略明显减少术后早期出血的发生,减少术后膀胱持续冲洗时间、减少患者住院时间,有利于患者快速康复,值得推广使用。Objective To explore the clinical application of bundled nursing care for preventing early postoperative hemorrhage after transurethral resection(TURP).Methods A total of 168 patients undergoing transurethral resection of the prostate(TURP)in our hospital between June 2015 and June 2016 were randomly divided into experimental group and control group(84 cases for each group).Patients in control group received routine care,while the experimental group received bundled nursing care,including maintaining bladder irrigating catheter unobstructed,preventing contracture of bladder,maintaining effective catheter traction,avoiding increase of intraabdominal pressure.Postoperative hemorrhage at 1 h,6 h,24 h,duration of bladder irrigation and length of hospitalization were compared.Results The experimental group had less postoperative hemorrhage at 1 h[(0.44±0.02)vs.(0.43±0.01),P<0.01],6 h[(0.42±0.02)vs.(0.41±0.01),P<0.01]and 24 h[(0.41±0.02)vs.(0.38±0.02),P<0.01].The experimental group had shorter duration of bladder irrigation[(1.50±0.50)vs.(2.50±0.50),P<0.01]and shorter hospitalization[(6.00±0.61)vs.(8.00±1.02),P<0.01].Conclusion Bundled nursing care in 24 hours after TURP could significantly reduce the incidence of early postoperative hemorrhage and postoperative bladder irrigation time,and lead to the rapid recovery of patients and shorter hospitalization.

关 键 词：集束化干预 TURP 早期出血 护理 

分 类 号：R473.6[医药卫生—护理学]