护士主导的规范盆底功能训练对根治性前列腺切除术后患者尿控能力的影响  

The effect of the nurse-led standardized pelvic floor function training on urinary control ability after radical prostatectomy

作　　者：熊敏[1,2] 胡建新[1] 王振 徐彬 卓敏 罗建宏 杨璐 张海[2] 陈捷[2] XIONG Min;HU Jianxin;WANG Zhen;XU Bin;ZHUO Min;LUO Jianhong;YANG Lu;ZHANG Hai;CHEN Jie(Department of Urology,Guizhou Provincial People's Hospital,Guiyang 550002,Guizhou,China;Department of Nursing,Guizhou Provincial People's Hospital,Guiyang 550002,Guizhou,China)

机构地区：[1]贵州省人民医院泌尿外科,贵阳550002 [2]贵州省人民医院护理部,贵阳550002

出　　处：《中国性科学》2022年第1期27-30,共4页Chinese Journal of Human Sexuality

基　　金：黔科合LH字(【2016】7148)。

摘　　要：目的探讨护士主导的规范盆底功能训练方案对根治性前列腺切除术(RP)后患者尿控能力恢复的影响。方法选取2018年1月至2020年3月贵州省人民医院泌尿外科收治的110例行RP手术的前列腺癌(PCA)患者作为研究对象,按编号随机分为对照组和试验组(各55例)。对照组予以常规盆底功能训练,试验组予以护士主导的规范盆底功能训练。观察并记录两组患者尿失禁持续时间,记录拔除尿管后即刻、1个月、3个月尿控能力恢复情况,并分析各时段患者焦虑自评量表(SAS)、抑郁自评量表(SDS)及尿失禁问卷表简表(ICI-Q-FS)评分情况。结果试验组尿失禁持续时间为(18.91±30.20)d,显著低于对照组的(34.89±37.56)d(P<0.05);试验组拔除尿管后即刻、1个月、3个月尿控比例明显高于对照组(P<0.05);试验组各时间段的SAS、SDS、ICI-Q-FS评分比对照组更低(P<0.05)。结论在护士主导的规范盆底功能训练下,RP后患者尿控能力恢复更快,尿失禁发生率更低;同时也能减少患者术后焦虑、抑郁的发生率,提高生活质量。Objective To explore the effect of the nurse-led standardized pelvic floor function training on the recovery of urinary control ability after radical prostatectomy(RP). Methods 110 patients with prostate cancer(PCA) who underwent RP surgery in Department of Urology, Guizhou Provincial People′s Hospital from January 2018 to March 2020 were selected as the study subjects, and randomly divided into control group and experimental group according to number(55 cases in each group). The control group received routine pelvic floor function training, and the experimental group received nurse-led standardized pelvic floor function training. The duration of urinary incontinence in 2 groups was observed and recorded, and the recovery of urinary control ability was recorded immediately, 1 month and 3 months after the removal of urinary tube, and the scores of self-rating anxiety scale(SAS), self-rating depression scale(SDS) and urinary incontinence questionnaire(ICI-Q-FS) in each period were analyzed. Results The duration of urinary incontinence in experimental group was(18.91±30.20)d, significantly lower than that in control group(34.89±37.56)d(P<0.05). The ratio of urinary control in experimental group was significantly higher than that in control group immediately, 1 month and 3 months after catheter removal(P<0.05). The scores of SAS, SDS and ICI-Q-FS in experimental group were lower than those in control group(P<0.05). Conclusions With the nurse-led standardized pelvic floor function training, the recovery of urinary control ability was faster and the urinary incontinence incidence was lower after radical prostatectomy. At the same time, it can reduce the incidence of postoperative anxiety and depression and improve the quality of life of patients after surgery.

关 键 词：护士主导 规范 盆底功能训练 根治性前列腺切除术 尿控能力 

分 类 号：R691[医药卫生—泌尿科学]