前列腺癌根治术后四联合控尿模式的构建与实践  

Construction and practice of four combined urinary control pattern after radical treatment of prostate cancer

作　　者：李卫平[1] 彭娟[1] 何隽[1] 林利[1] 许镇州 LI Weiping;PENG Juan;HE Jun;LIN Li;XU Zhenzhou(Department of Urology,Hunan Provincial Tumor Hospital,Changsha 410006,China)

机构地区：[1]湖南省肿瘤医院泌尿外科,长沙410006

出　　处：《当代护士（上旬刊）》2020年第9期1-4,共4页Modern Nurse

基　　金：湖南省卫生计生委科研计划课题项目(C20180924)。

摘　　要：目的构建前列腺癌根治术后控尿综合护理干预模式,并评价实施效果。方法选取本院泌尿外科2018年1月—2019年4月120例行前列腺癌根治术的患者为研究对象,按照随机数字表法将其分为观察组和对照组,每组各60例。对照组接受前列腺癌根治术常规护理,观察组在常规护理基础上采用术前术后规律Kegel运动、术后排尿反射训练、膀胱功能训练、强化居家服务等四联合控尿护理模式。比较两组患者尿失禁的发生率、失禁程度、持续时间及术后3个月和6个月的生活质量差异。结果护理干预后,观察组尿失禁发生率(40.0%)明显低于对照组(65.0%),观察组尿失禁程度、平均尿失禁持续时间均明显低于对照组,差异有统计学意义(P<0.05);两组术后3个月生活质量比较差异无统计学意义(P>0.05),6个月观察组生活质量明显高于对照组,差异有统计学意义(P<0.05)。结论前列腺癌根治术患者实施四联合控尿干预模式能降低尿失禁发生率,减轻失禁程度,缩短失禁时间,提高患者生活质量。Objective To construct the comprehensive nursing intervention mode of controlling urine after radical operation of prostate cancer and evaluate the effect of implementation.Methods 120 patients with prostate cancer from January 2018 to April 2019 were selected from urological surgical ward in our hospital,randomly divided into experimental group and control group,each 60 cases.Control group received routine nursing care for radical prostatectomy,and the experimental group used four combined nursing modes of controlling urine Kegel exercise,postoperative urination reflex training,bladder function training,and intensive home service on the basis of routine nursing.The incidence,degree,duration and quality of life of urinary incontinence in the two groups were compared.Results After nursing intervention,the incidence of urinary incontinence was(40.0%)in the experimental group and 65%in the control group;the degree of incontinence and the average duration of urinary incontinence in the experimental group were significantly lower than those in the control group(P<0.05);There was no significant difference in quality of life in the 2 groups after 3 months(P>0.05),but the 6 months quality of life in the experimental group was significantly higher than that in the control group(P>0.05).Conclusion The implementation of four combined urinary control intervention mode in patients with radical prostatectomy can reduce the incidence of urinary incontinence,reduce the degree of incontinence,shorten the time of incontinence,and improve the patients′quality of life.

关 键 词：前列腺癌 尿失禁 控尿 综合模式 

分 类 号：R737.25[医药卫生—肿瘤]