三维质量评价模式对前列腺癌术后尿失禁患者控尿功能及生活质量的影响  

Effect of three-dimensional quality assessment model on urinary control function and quality of life of patients with urinary incontinence after prostate cancer surgery

作　　者：樊荣[1] 蒋玉梅[1] 李磊[1] 高慧敏[1] FAN Rong;JIANG Yumei;LI Lei;GAO Huimin(Department of Urology,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,Shananxi,China)

机构地区：[1]西安交通大学第一附属医院泌尿外科,陕西西安710061

出　　处：《贵州医科大学学报》2021年第9期1054-1058,共5页Journal of Guizhou Medical University

基　　金：国家自然科学基金面上项目(81773206)。

摘　　要：目的探讨三维质量评价模式对前列腺癌术后尿失禁患者控尿功能及生活质量的影响。方法根据术后管理模式将76例前列腺癌术后尿失禁患者均分为对照组和观察组,对照组采用常规术后管理模式、观察组采用三维质量评价管理模式;于管理模式实施前及实施1月时,采用自尊量表(SES)、生活质量量表(SF-36)分别评估2组患者的自尊程度及生活质量,并检测2组患者的血清皮质醇(Cor)水平;于管理模式实施2周时,比较2组患者模式实施2周时的尿控有效率。结果管理模式实施1月时,2组患者SES、SF-36评分均高于实施前,观察组高于对照组,差异有统计学意义(P<0.05);模式实施2周时,观察组患者的控尿有效率高于对照组,差异有统计学意义(P<0.001);模式实施前,2组患者血清Cor水平比较,差异无统计学意义(P>0.05);模式实施1月时,2组患者血清Cor水平均升高,且观察组低于对照组,差异有统计学意义(P<0.001)。结论三维质量评价管理模式可以有效改善前列腺癌术后尿失禁患者自尊程度、控尿功能及生活质量,下调血清Cor水平。Objective To explore the effect of three-dimensional(3D)quality assessment model on urinary control function and quality of life of patients with urinary incontinence(UI)after prostate cancer operation.Methods According to the postoperative management model,76 patients with urinary incontinence after prostate cancer surgery were divided into the control group and the observation group.The control group adopts the routine postoperative management model,and the observation group adopts the three-dimensional quality evaluation management model.Before the implementation of the management model and 1 month after implementation,the self-esteem scale(SES)and the quality of life scale(SF-36)were used to evaluate the self-esteem and quality of life of the two groups of patients,and the serum cortisol(Cor)levels of the two groups of patients were measured.When the management model was implemented for 2 weeks,the urinary control efficiency of the two groups of patients when the model was implemented for 2 weeks was compared.When the management mode was implemented for 2 weeks,the urinary control efficiency of the two groups of patients was compared.Results When the management model was implemented for January,the SES and SF-36 scores of the two groups of patients were higher than before the implementation,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).When the model was implemented for 2 weeks,the effective rate of urinary control in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.001).Before the implementation of the model,there was no significant difference in serum Cor levels between the two groups of patients(P>0.05);when the model was implemented for 1 month,the serum Cor levels of the two groups of patients increased,and the observation group was lower than the control group,and the difference was statistically significant(P<0.001).Conclusion 3D quality evaluation management model can

关 键 词：控尿功能 三维质量评价模式 前列腺癌 前列腺根治切除术 生活质量 康复技能 

分 类 号：R256.54[医药卫生—中医内科学]