个体化全程管理在前列腺穿刺活检术中的应用以及效果评价  

Individualized whole-course management in prostatic puncture biopsy:Application and efficiency

作　　者：王莉[1] 黄月娥[1] 张慧[1] 孙云[1] 刘莹[1] 赵乐[1] 赵樱 薛力[1] WANG Li;HUANG Yue-e;ZHANG Hui;SUN Yun;LIU Ying;ZHAO Le;ZHAO Ying;XUE Li(Department of Urology,The Second Affiliated Hospital of Xi’an Jiaotong University,Xi'an,Shaanxi 710004,China)

机构地区：[1]西安交通大学第二附属医院泌尿外科,陕西西安710004

出　　处：《中华男科学杂志》2022年第7期608-611,共4页National Journal of Andrology

摘　　要：目的:观察个体化全程管理在前列腺穿刺活检过程中的应用以及疗效评价。方法:总结2016年6月至2017年10月我科行B超引导下经直肠前列腺活检穿刺的280例患者的穿刺情况,其中观察组140例,患者术前给予全程管理术中进行有效的术中护理配合,术后给予如何预防早期的并发症宣教,140例对照组患者未进行围手术期宣教,仅行常规术前谈话、签署穿刺同意书。分析穿刺术后并发症的发生率、血压、心律波动情况以及护理满意率。结果:观察组140例患者均成功完成穿刺手术、术后并发症明显减少,在术中和术后血压心率波动不明显,而对照组发生较大的波动,组间存在统计学差异(P<0.05)。术后便血、尿血对照组明显高于观察组,组间存在统计学差异(P<0.05)。术中疼痛评分观察组显著低于对照组,组间存在统计学差异(P<0.05)。观察组护理满意率(95.7%,134/140)显著高于对照组患者满意率(80%,112/140,P<0.05)。结论:对超声引导下前列腺穿刺患者实施良好的术前宣教及有效的护理管理,可提高穿刺成功率和降低术后并发症的发生,有利于患者满意度的提高。Objective:To evaluate the application of individualized whole-course management(IWCM)in prostatic puncture biopsy.Methods:We reviewed the clinical data on 280 cases of ultrasound-guided transrectal prostatic puncture biopsy performed in our department from June 2016 to October 2017.We assigned the patients to an observation group(P=140)and a control group(P=140),the former given IWCM-preoperative education,intraoperative nursing care and postoperative guidance for complication prevention,while the latter going through only the routine procedures of preoperative talk and assigning of operation agreement.We compared the incidence of postoperative complications,blood pressure change and heart rate fluctuation of the patients and their satisfaction with IWCM.Results:Prostatic puncture operations were successfully completed in all the patients.Compared with the controls,the patients in the observation group showed a significantly lower incidence rate of postoperative complications(P<0.05),less significant fluctuation in blood pressure and heart rate intra-and postoperatively(P<0.05),lower intraoperative pain scores(P<0.05),and higher satisfaction with IWCM(80%[112/140]vs 95.7%[134/140],P<0.05).Conclusion:Preoperative education,intraoperative nursing care and postoperative guidance for complication prevention can reduce the incidence of postoperative complications and improve the satisfaction of the patients undergoing ultrasound-guided prostate puncture.

关 键 词：前列腺穿刺 超声引导 个体化全程管理 

分 类 号：R473.6[医药卫生—护理学] R737.25[医药卫生—临床医学]