JCI理念指导的优质干预模式在腹腔镜下前列腺癌根治术患者围术期中的应用  

Application of high-quality intervention mode guided by JCI concept in the perioperative period of patients undergoing laparoscopic radical prostatectomy

作　　者：庞雪岩 朱笑丛 季烜朶 PANG Xueyan;ZHU Xiaocong;JI Xuanduo(Department of Urinary Surgery,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100096,China)

机构地区：[1]首都医科大学附属北京积水潭医院泌尿外科,北京市100096

出　　处：《河北医药》2024年第15期2382-2385,共4页Hebei Medical Journal

摘　　要：目的 探讨国际医疗卫生机构认证联合委员会(JCI)理念指导下的优质干预模式在腹腔镜下前列腺癌根治术患者围术期的应用效果。方法 纳入2020年2月至2022年4月收治的腹腔镜下前列腺癌根治术患者68例,随机分为对照组和观察组,每组34例。对照组采用常规围术期干预,观察组实施JCI理念指导下的优质干预模式,比较2组的干预效果。结果 2组的血清前列腺癌特异性抗原(PSA)含量均低于干预前,且观察组低于对照组(P<0.05);2组平均尿流速均高于干预前,且观察组高于对照组(P<0.05)。2组干预后的心理状态评分均低于干预前,且观察组低于对照组(P<0.05)。观察组术后不良反应发生率为2.94%低于对照组的35.29%(P<0.05)。观察组自我护理能力评分高于对照组(P<0.05)。观察组干预满意度评分高于对照组(P<0.05)。结论 腹腔镜下前列腺癌根治术患者的围术期,实施JCI理念指导下的优质干预模式,可缓解患者不良情绪和心理压力,改善疾病治疗效果,减轻术后不良反应,提升自主护理能力和干预满意度。Objective To explore the application effect of high-quality intervention mode guided by joint commission international(JCI) concept in the perioperative period of laparoscopic radical prostatectomy(LRP) patients.Methods A total of 68 LRP patients visited our hospital from February 2020 to April 2022 were included as the study subjects and randomly divided into the control group(routine perioperative intervention,n=34) and the observation group(high-quality intervention guided by the JCI concept,n=34).The intervention effects of the two groups were compared.Results After intervention,the serum levels of prostate specific antigen(PSA) in both groups were significantly lower than before intervention,and the observation group was significantly lower than the control group(P<0.05).The average urine flow rate of both groups was significantly higher than before intervention,which was significantly higher in the observation group than in the control group(P<0.05).After intervention,the psychological state scores in both groups were significantly lower than before intervention,and the observation group was significantly lower than the control group(P<0.05).The incidence of postoperative adverse reactions was significantly lower in the observation group than in the control group(2.94% vs 35.29%,P<0.05).The scores of self-care ability and intervention satisfaction in the observation group were significantly higher than those of the control group(both P<0.05).Conclusion In the perioperative period of LRP patients,the implementation of high-quality intervention mode under the guidance of JCI concept can alleviate the patients' bad mood and psychological stress,improve the disease treatment effect,reduce postoperative adverse reactions,and enhance the ability of independent nursing and intervention satisfaction.

关 键 词：优质干预模式 JCI理念 腹腔镜下前列腺癌根治术 尿流速 心理状态 

分 类 号：R737.25[医药卫生—肿瘤]