Effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease  

作　　者：Xi-Chun Zheng Ting-Ting Luo Dan-Dan Cao Wen-Zhi Cai 

机构地区：[1]Department of Urology,Shenzhen Hospital of Southern Medical University,Shenzhen 518000,Guangdong Province,China [2]Nursing Department,Southern Medical University,Shenzhen 518000,Guangdong Province,China

出　　处：《World Journal of Clinical Cases》2022年第5期1517-1526,共10页世界临床病例杂志

基　　金：Supported by Nursing Scientific Research Project Fund of Nursing Society of Guangdong Province,No.gdhlxueh2019zx218;Shenzhen Bao’an District Science and Technology Plan,No.20200515053525001.

摘　　要：BACKGROUND Patients with benign prostatic disease often experience detrusor morphological changes and dysfunction.In severe cases,it leads to bladder detrusor dysfunction,resulting in dysuria,frequent urination,urgent urination,incomplete urination,and other symptoms including renal function injury.An operation to restore normal urination function and to control postoperative complications,as far as possible,is the most common method for benign prostatic disease.AIM To observe the effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease.METHODS In total,130 patients diagnosed with benign prostatic disease,from January 2018 to June 2021,in our hospital,were selected and divided into observation and control groups according to their treatment options.Sixty-five cases in the control group were given routine nursing mode intervention and 65 cases in the observation group received precise nursing service mode intervention.The intervention with the observation group included psychological counseling about negative emotions,pelvic floor exercises,and post-hospital discharge care.The complications of the two groups were counted,and the general postoperative conditions of the two groups were recorded.The urinary flow dynamics indexes of the two groups were detected,and differences in clinical international prostate system score(IPSS)and urinary incontinence quality of life questionnaire(I-QOL)scores were evaluated.RESULTS Postoperative exhaust time(18.65±3.23 h and 24.63±4.51 h),the time of indwelling catheter(4.85±1.08 d and 5.63±1.24 d),and hospitalization time(8.78±2.03 d and 10.23±2.28 d)in the observation group were lower than in the control group.The difference was statistically significant(P<0.05).After the operation,the maximum urinary flow rate(Qmax)increased(P<0.05),the residual urine volume(RUV)decreased(P<0.05),and the maximum closed urethral pressure(MUCP)was not statistically significant(P>0.05)compared to pre-operation.The Qmax of the ob

关 键 词：Precise nursing service mode Prostate disease Urinary incontinence URODYNAMICS Life quality 

分 类 号：R473.6[医药卫生—护理学]