个案管理联合膀胱治疗仪对良性前列腺增生患者术后排尿功能及生活质量的影响  

Effects of Case Management Combined with Bladder Therapy on Postoperative Urinary Function and Quality of Life in Patients with Benign Prostatic Hyperplasia

作　　者：袁媛[1] 胡月 丁萍[1] Yuan Yuan;Hu Yue;Ding Ping(First Affiliated Hospital of Anhui Medical University, gaoxin district,Hefei Anhui 230000,China)

机构地区：[1]安徽医科大学第一附属医院高新院区,安徽医科大学泌尿外科研究所,泌尿生殖系统疾病安徽省重点实验室,安徽合肥230000

出　　处：《齐鲁护理杂志》2020年第10期4-7,共4页Journal of Qilu Nursing

基　　金：国家临床重点专科建设项目(编号:财社〔2012〕1785号)。

摘　　要：目的:探讨个案管理联合低频脉冲式膀胱治疗仪对良性前列腺增生(BPH)患者术后排尿功能及生活质量的影响。方法:选取150例行经尿道前列腺电切术(TURP)的良性BPH患者为研究对象,按入院先后顺序进行分组,将2017年10月1日~2018年10月31日77例患者作为对照组,2018年11月1日~2019年11月30日73例患者作为观察组。对照组给予常规围术期护理,术后不使用低频脉冲式膀胱治疗仪;观察组给予个案管理模式护理,并于术后1 d开始使用低频脉冲式膀胱治疗仪,直至拔除导尿管出院。两组分别于入院当天、术后拔除导尿管当天,使用国际前列腺症状量表(IPSS)、基于IPSS的简版症状评估表、前列腺增生患者生命质量量表(QLICD-BPH)评估患者排尿功能及生活质量。结果:拔管当天,观察组不存在尿不尽感、间断性排尿、尿线变细及排尿费力等情况,与对照组比较,差异有统计学意义(P<0.01);两组拔管当天排尿相关生命质量自评评分均低于入院当天(P<0.01),且观察组低于对照组(P<0.01);两组拔管当天QLICD-BPH总评分均高于入院当天(P<0.01),且观察组高于对照组(P<0.01)。结论:运用个案管理模式联合低频脉冲式膀胱治疗仪可改善良性BPH患者术后排尿功能,提高患者生活质量。Objective:To investigate the effects of case management combined with low-frequency pulsed bladder therapy on postoperative urinary function and quality of life in patients with benign prostatic hyperplasia(BPH).Methods:A total of 150 patients with BPH who underwent transurethral resection of the prostate(TURP)were selected as the study objects and divided into groups according to the order of admission.Seventy-seven patients from October 1,2017 to October 31,2018 were taken as the control group,and 73 patients from November 1,2018 to November 30,2019 were taken as the observation group.The control group received routine perioperative nursing and did not use low frequency pulsed bladder therapy apparatus after operation.The observation group received case management nursing,and began to use low-frequency pulsed bladder treatment instrument 1 day after the operation,until the catheter was removed and discharged.The international prostatic symptom scale(IPSS),IPSS-based short version of symptom assessment form,and quality of life scale(QLICD-BPH)were used to evaluate the urinary function and quality of life of patients with prostatic hyperplasia on the day of admission and on the day of postoperative catheter removal.Results:On the day of extubation,the observation group did not have the feeling of incomplete urinary emptying,intermittent urination,tapering of urinary line and urination effort,etc.,and the difference was statistically significant compared with the control group(P<0.01).The self-assessment scores of urination related to quality of life on the day of extubation in both groups were lower than those on the day of admission(P<0.01),and those in the observation group were lower than those in the control group(P<0.01).The total QLICD-BPH score on the day of extubation in both groups was higher than that on the day of admission(P<0.01),and that in the observation group was higher than that in the control group(P<0.01).Conclusion:The case management model combined with low frequency pulsed bladder therapy c

关 键 词：前列腺增生 个案管理 膀胱治疗仪 排尿功能 生活质量 

分 类 号：R473.6[医药卫生—护理学]