前列腺增生手术患者膀胱功能康复训练方案的构建  

Construction of a bladder function rehabilitation training program for patients undergoing benign prostatic hyperplasia surgery

作　　者：马雪霞[1] 樊帆[1] 赖丽君 陈洁瑜[1] Ma Xuexia;Fan Fan;Lai Lijun;Chen Jieyu(Urology Surgery Department,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China)

机构地区：[1]中山大学孙逸仙纪念医院泌尿外科,广东广州510120

出　　处：《护理学杂志》2021年第17期86-89,共4页Journal of Nursing Science

基　　金：2018年度广东省医学科研基金立项项目(A2018469)。

摘　　要：目的构建前列腺增生手术患者膀胱功能训练方案,为开展针对性膀胱功能训练指导提供参考。方法在文献回顾、病例分析基础上初步拟定膀胱功能训练方案的草案,采用德尔菲专家咨询法对22名专家进行2轮咨询。结果2轮咨询的专家积极系数均为100%,专家权威系数均为0.90。第2轮专家咨询中一、二、三级指标专家协调系数分别为0.406、0.691、0.389(均P<0.05)。最终围绕训练目标、评估、训练及护理方法、记录及随访形成的前列腺增生手术患者膀胱功能训练方案包含一级指标2项(住院期排尿功能训练、恢复期及稳定期排尿功能训练),二级指标13项,三级指标68项。结论构建的前列腺增生手术患者膀胱功能训练方案科学、合理,能为临床护理人员指导前列腺增生手术患者膀胱功能训练提供指导。Objective To construct a bladder function training program for patients undergoing benign prostatic hyperplasia surgery,and to provide reference for conducting targeted guidance for bladder function training.Methods Based on literature review and case analysis,an initial bladder function training program was formed,which was then improved by conducting a 2-round Delphi study among 22 experts to collect their opinions.Results Experts′response rates were 100%in the 2 rounds,and experts′authority coefficient was 0.90.The Kendall coefficients of concordance were 0.406,0.691 and 0.389(P<0.05 for all)for the first-level,second-level and third-level indicators in the second round consultation.The final bladder function training program for patients undergoing benign prostatic hyperplasia surgery,focusing on training objective,assessment,training and nursing method,recording and follow-up,was consisted of 2 firs-level indicators(urinary function training during hospitaization,urinary function training in recovery and stable period),13 second-level indicators,and 68 third-level indicators.Conclusion The constructed bladder function training program for patients undergoing benign prostatic hyperplasia surgery is scientific and reasonable,and it can be used by clinical nurses to guide bladder function training.

关 键 词：前列腺增生 前列腺手术 膀胱功能 德尔菲法 训练方案 

分 类 号：R473.6[医药卫生—护理学] R493[医药卫生—临床医学]