跨理论-多学科新型预康复策略改善机器人辅助前列腺癌根治术中青年患者早期转归和生活体验的研究  

Study on improvement effects of new inter-theorectical and multidisciplinary pre-rehabilitaion strategy on early outcome and life experience in young and middle-aged patients undergoing robot assisted radical prostatectomy

作　　者：聂婷[1] 史振峰[1] 周萍[1] 蒋清群 周海霞[1] 汪金亮[1] NIE Ting;SHI Zhenfeng;ZHOU Ping;JIANG Qingqun;ZHOU Haixia;WANG Jinliang(Urological Tumor Ward,Xinjiang Autonomous Region People′s Hospital,Urumqi 830011,Xinjiang,China)

机构地区：[1]新疆维吾尔自治区人民医院泌尿肿瘤病区,乌鲁木齐830011

出　　处：《中国性科学》2023年第3期5-9,共5页Chinese Journal of Human Sexuality

基　　金：新疆维吾尔自治区科技厅“天山创新团队计划”项目(2020D14029)。

摘　　要：目的探讨跨理论-多学科新型预康复策略对机器人辅助前列腺癌根治术中青年患者早期转归和生活体验的改善作用。方法选取2019年9月至2022年2月新疆维吾尔自治区人民医院诊治的120例前列腺癌根治术患者作为研究对象。随机分为对照组(n=60)和观察组(n=60)。对照组予以常规围手术期干预,观察组予以跨理论-多学科新型预康复策略干预。采用视觉模拟评分法(VAS)、国际勃起功能指数-5(IIEF-5)、性生活质量调查量表(SLQQ-QOL)、Mishel疾病不确定感量表、恐惧疾病进展版简化量表(FoPQ-SF)、癌症治疗功能评价系统共性模块(FACT-G)评估疼痛程度、性功能、疾病不确定感、恐惧疾病进展程度和生活质量。比较两组术后恢复情况、术后疼痛、尿控能力、性功能、疾病不确定感、恐惧疾病进展程度和生活质量。结果观察组首次排气时间、首次下床活动时间和术后住院时间短于对照组,恶心、呕吐发生率低于对照组,术后0.5h、6h、24h和48h的VAS评分低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组尿控有效率高于对照组,IIEF-5评分和SLQQ-QOL评分高于对照组,疾病不确定感和FoPQ-SF评分低于对照组,FACT-G中的各维度评分及总分高于对照组,差异具有统计学意义(P<0.05)。结论跨理论-多学科新型预康复策略能够改善机器人辅助前列腺癌根治术中青年患者早期转归和生活体验。Objective To study the improvement effects of new inter-theorectical and multidisciplinary pre-rehabilitaion strategy on early outcome and life experience in young and middle-aged patients undergoing robot assisted radical prostatectomy.Methods 120 patients with prostate cancer undergoing radical prostatectomy treated by Xinjiang Autonomous Region People′s Hospital from September 2019 to February 2022 were selected as the study objects.They were randomly divided into control group(n=60)and observation group(n=60).The control group was given routine perioperative intervention,and the observation group was given new inter-theorectical and multidisciplinary pre-rehabilitaion strategy.Visual analogue scale(VAS),international index of erectile function-5(IIEF-5),sexual life quality questionnaire-quality of life(SLQQ-QOL),Mishel disease uncertainty scale,fear of progression qusestionnaire-short form(FoPQ-SF)and functional assessment of caner therapy-general(FACT-G)were used to evaluate the degree of pain,sexual function,disease uncertainty,fear of disease progression and quality of life.The postoperative recovery,postoperative pain,urinary control ability,sexual function,disease uncertainty,fear of disease progression and quality of life were compared between the two groups.Results The first exhaust time,first activity time out of bed and postoperative hospitalization time in the observation group were shorter than those in the control group,and the incidences of nausea and vomiting were lower than those in the control group(P<0.05).VAS scores in the observation group 0.5h,6h,24h and 48h after operation were lower than those in the control group(P<0.05).After intervention,the observation group had higher effective rate of urinary control,higher IIEF-5 score,SLQQ-QOL score,lower scores of uncertainty of disease and FoPQ-SF,higher scores of each dimension and toal score in FACT-G than those in the control group(P<0.05).Conclusions The new inter-theorectical and multidisciplinary pre-rehabilitaion strategy can improve e

关 键 词：跨理论 多学科 预康复 中青年 机器人 前列腺癌根治术 早期转归 生活体验 

分 类 号：R697[医药卫生—泌尿科学]