临床路径护理干预在经尿道前列腺等离子体双极电切术治疗前列腺增生中的应用效果  

Application Effect of Clinical Pathway Nursing Intervention in Transurethral Bipolar Plasma Kinetic Prostatectomy for Benign Prostatic Hyperplasia

作　　者：李爱[1] LI Ai(Department of Urology Surgery,Nanjing Jiangning Hospital,Nanjing 211100,Jiangsu,China)

机构地区：[1]南京市江宁医院泌尿外科,江苏南京211100

出　　处：《医学信息》2022年第6期186-189,共4页Journal of Medical Information

摘　　要：目的探讨临床路径护理干预在经尿道前列腺等离子体双极电切术(TUPKP)治疗前列腺增生中的应用效果。方法选取2018年7月-2020年7月我院诊治的100例TUPKP治疗的前列腺增生患者为研究对象,按照随机数字表法分为对照组51例和观察组49例。对照组采用常规护理干预,观察组采用临床路径护理干预,比较两组手术指标、前列腺症状评分、生活质量评分、尿动力学指标[最大尿流率(Qmax)、最大尿意膀胱容量(VMCC)、残余尿量(PVR)]、并发症发生率以及护理满意度。结果观察组术后首次排气时间、血尿持续时间、膀胱痉挛发生的次数、疼痛评分、膀胱冲洗时间、留置导尿管时间、住院时间均优于对照组,差异有统计学意义(P<0.05);观察组前列腺症状评分低于对照组,生活质量评分高于对照组,差异有统计学意义(P<0.05);观察组Qmax、VMCC高于对照组,PVR低于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率为6.12%,低于对照组的15.69%,差异有统计学意义(P<0.05);观察组护理满意度为97.96%,高于对照组的88.24%,差异有统计学意义(P<0.05)。结论临床路径护理干预可提高TUPKP治疗的前列腺增生患者生活质量,降低前列腺症状评分,缩短术后恢复和治疗时间,改善尿动力学指标,降低并发症发生率,且护理满意度较高。Objective To explore the application effect of clinical pathway nursing intervention in transurethral bipolar plasma kinetic prostatectomy(TUPKP)in the treatment of benign prostatic hyperplasia.Methods A total of 100 patients with benign prostatic hyperplasia treated with TUPKP in our hospital from July 2018 to July 2020 were selected and randomly divided into control group(51 cases)and observation group(49 cases).The control group was treated with routine nursing intervention,and the observation group was treated with clinical pathway nursing intervention.The operation indexes,prostate symptom score,quality of life score,urodynamics index[maximum flow rate(Qmax),maximum urinary bladder volume(VMCC),post-void residual urine volume(PVR)],incidence of complications and nursing satisfaction were compared between the two groups.Results The first postoperative exhaust time,hematuria duration,frequency of bladder spasm,pain score,bladder irrigation time,indwelling catheter time and hospitalization time in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).The prostate symptom score in the observation group was lower than that in the control group,and the quality of life score in the observation group was higher than that in the control group,with significant difference(P<0.05).Qmax and VMCC in the observation group were higher than those in the control group,and PVR was lower than that in the control group,with significant difference(P<0.05).The total incidence of complications in the observation group was 6.12%,which was lower than 15.69%in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 97.96%,which was higher than 88.24%of the control group,and the difference was statistically significant(P<0.05).Conclusion Clinical pathway nursing intervention can improve the quality of life of patients with benign prostatic hyperplasia treated with TUPKP,reduce prostate symptom

关 键 词：临床路径护理 经尿道前列腺等离子体双极电切术 前列腺增生 尿动力学 

分 类 号：R473.6[医药卫生—护理学]