早期综合护理干预对良性前列腺增生绿激光气化术后暂时性尿失禁的影响  

Effects of Early Comprehensive Nursing Intervention on Temporary Urinary Incontinence After Green Laser Vaporization of Benign Prostatic Hyperplasia

作　　者：王春霞[1] 丁萍[2] WANG Chun-xia;DING Ping(Department of Urology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui,China;Department of Nursing,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui,China)

机构地区：[1]安徽医科大学第一附属医院泌尿外科,安徽合肥230022 [2]安徽医科大学第一附属医院护理部,安徽合肥230022

出　　处：《医学信息》2020年第6期176-178,共3页Journal of Medical Information

基　　金：国家临床重点专科建设基金资助项目[卫办医政函2012(649)号]。

摘　　要：目的探讨早期综合护理干预对良性前列腺增生绿激光气化术后暂时性尿失禁的影响。方法选择2018年1月~2019年1月安徽医科大学第一附属医院收治的117例行绿激光气化术的良性前列腺增生患者作为研究对象,按照随机数字表法分为观察组(59例)和对照组(58例)。对照组给予常规护理,观察组给予早期综合护理干预,比较两组暂时性尿失禁发生情况、持续时间、满意度,并分析观察组不同盆底肌锻炼依从性患者暂时性尿失禁发生情况及持续时间。结果观察组暂时性尿失禁发生率低于对照组(10.17%vs 15.52%),尿失禁持续时间短于对照组[(10.41±4.27)d vs(12.14±5.83)d],差异有统计学意义(P<0.05)。观察组盆底肌锻炼依从性好的患者48例,依从性差的患者11例,其中依从性好的患者暂时性尿失禁发生率低于依从性差的患者(3.39%vs 6.78%),尿失禁持续时间短于依从性差的患者[(8.17±3.26)d vs(9.65±3.89)d],差异有统计学意义(P<0.05)。观察组患者对护理工作满意度为96.61%,高于对照组的75.86%,差异有统计学义意义(P<0.05)。结论良性前列腺增生绿激光气化术后患者进行早期综合护理干预可降低尿失禁发生率,改善控尿功能,缩短尿失禁持续时间,且患者满意度高。Objective To investigate the effect of early comprehensive nursing intervention on temporary urinary incontinence after green laser vaporization of benign prostatic hyperplasia.Methods From January 2018 to January 2019,117 patients with benign prostatic hyperplasia who underwent green laser gasification were selected as the research subjects,and they were divided into observation groups according to the random number table method(59 cases).And control group(58 patients).The control group was given routine care,and the observation group was given early comprehensive nursing intervention.The incidence,duration,and satisfaction of temporary urinary incontinence were compared between the two groups,and the incidence and duration of temporary urinary incontinence in patients with different pelvic floor exercise compliance in the observation group were analyzed.time.Results The incidence of temporary urinary incontinence in the observation group was lower than that in the control group(10.17%vs 15.52%),and the duration of urinary incontinence was shorter than that in the control group[(10.41±4.27)d vs(12.14±5.83)d],the difference was statistically significant(P<0.05).Observation group:48 patients with good compliance of pelvic floor muscle exercise and 11 patients with poor compliance.Among them,the incidence of temporary urinary incontinence was lower in patients with good compliance than in patients with poor compliance(3.39%vs 6.78%),and urinary incontinence continued.The time was shorter than that of patients with poor compliance[(8.17±3.26)d vs(9.65±3.89)d],the difference was statistically significant(P<0.05).Patients in the observation group had a satisfaction with nursing work of 96.61%,which was higher than 75.86%in the control group,the difference was statistically significant(P<0.05).Conclusion Early comprehensive nursing intervention for patients with benign prostatic hyperplasia after green laser vaporization can reduce the incidence of urinary incontinence,improve urinary control function,shorten the d

关 键 词：良性前列腺增生绿激光气化术 尿失禁 早期综合护理干预 

分 类 号：R47[医药卫生—护理学]