PRIDE联合盆底肌强化运动对前列腺切除术后患者尿失禁和生活质量的影响  

Influence of PRIDE combined with pelvic floor muscle strengthening exercise on urinary incontinence and quality of life in patients after prostatectomy

作　　者：倪凤慧 陶飞雪[2] 贾婵娟 NI Fenghui;TAO Feixue;JIA Chanjuan(Department of Urology,Chaohu Hospital,Anhui Medical University,Anhui Province,Chaohu 238000,China;Department of Nursing,Chaohu Hospital,Anhui Medical University,Anhui Province,Chaohu 238000,China)

机构地区：[1]安徽医科大学附属巢湖医院泌尿外科,安徽巢湖238000 [2]安徽医科大学附属巢湖医院护理部,安徽巢湖238000

出　　处：《中国医药导报》2023年第18期160-163,共4页China Medical Herald

摘　　要：目的探讨前列腺切除术后患者护理中行PRIDE联合盆底肌强化运动的效果。方法选取2020年1月至2022年5月在安徽医科大学附属巢湖医院接受治疗的73例前列腺切除术治疗患者,采用随机数字表法将其分为参照组和干预组。参照组(36例)进行盆底肌强化运动锻炼,干预组(37例)在参照组的基础上再行PRIDE方案干预。7 d为一个干预疗程,两组均接受4个疗程干预,观察干预前后两组尿失禁和生活质量相关量表的变化。结果干预后,两组自我照护量表的行为管理、维持、自信评分及总评分均高于干预前,且干预组高于参照组,差异有统计学意义(P<0.05)。干预后,干预组术后尿失禁及并发症总发生率均低于参照组,差异有统计学意义(P<0.05)。干预后,两组尿失禁生活质量量表中社交活动限制、行为限制、心理影响评分及总评分均高于干预前,且干预组高于参照组,差异有统计学意义(P<0.05)。结论前列腺切除术后护理中同时给予患者盆底肌强化运动锻炼和PRIDE方案,可帮助患者提高自我管理执行能力,减少术后尿失禁等并发症,提高生活质量。Objective To investigate the effect of PRIDE combined with pelvic floor muscle strengthening exercise in nursing patients after prostatectomy.Methods A total of 73 patients who underwent prostatectomy in Chaohu Hospital,Anhui Medical University from January 2020 to May 2022 were selected and divided into the reference group and the intervention group by random number table method.The reference group(36 cases)was given pelvic floor muscle strengthening exercise,and the intervention group(37 cases)was given PRIDE program intervention on the basis of the reference group.Seven days as an intervention course,two groups all received a total of four courses of intervention.The changes of urinary incontinence and quality of life related scales were observed before and after the intervention.Results After the intervention,the scores of behavior management,maintenance,confidence,and total scores of self-care scale of the two groups were higher than those before the intervention,and those of the intervention group were higher than those of the reference group,and the differences were statistically significant(P<0.05).After the intervention,the total incidence of postoperative urinary incontinence and the total incidence of complications in the intervention group were lower than those in the reference group,and the differences were statistically significant(P<0.05).After intervention,the scores of social activity limitation,behavioral limitation,psychological impact,and total score of the urinary incontinence quality of life scale of the two groups were higher than those before intervention,and those of the intervention group were higher than those of the reference group,and the differences were statistically significant(P<0.05).Conclusion Pelvic floor muscle strengthening exercise and PRIDE program can help patients improve self-management ability,reduce postoperative urinary incontinence,and other complications,and improve the quality of life.

关 键 词：前列腺切除术 盆底肌强化运动 尿失禁 生活质量 

分 类 号：R473.6[医药卫生—护理学]