LEARNS模式联合盆底肌训练在机器人辅助根治性前列腺切除术患者中的应用价值  

Application value of LEARNS mode combined with pelvic floor muscle training in robot assisted radical prostatectomy

作　　者：王歌 李满 曹子慧 WANG Ge;LI Man;CAO Zihui(Department of Urology,Shenzhen People’s Hospital,Shenzhen 518000,China)

机构地区：[1]深圳市人民医院泌尿外科,广东深圳518000

出　　处：《机器人外科学杂志（中英文）》2024年第4期536-541,共6页Chinese Journal of Robotic Surgery

基　　金：广东省医学科学技术研究基金(B2020197)。

摘　　要：目的:分析探讨LEARNS模式的护理方案联合盆底肌训练(PFMT)在机器人辅助根治性前列腺切除术(RARP)患者中的应用价值。方法:选取2019年1月—2023年10月在深圳市人民医院接受RARP的患者122例。随机分为研究组和对照组,每组各61例。对照组接受常规根治性前列腺切除术后PFMT健康教育方案,研究组接受LEARNS模式联合PFMT方案。比较两组患者的排尿功能指标、I-QOL评分、自我照护量表评分以及并发症发生情况。结果:干预前,两组患者各项排尿功能指标、I-QOL评分和自我照护量表评分差异均无统计学意义;干预后,两组患者排尿功能指标、I-QOL评分和自我照护量表评分均优于干预前,且研究组优于对照组;研究组并发症发生率低于对照组。结论:与传统护理方案相比,采用LEARNS模式的护理方案联合PFMT应用于RARP患者,能够改善患者排尿功能,提高生活质量,促进患者自我照护能力恢复,有效控制并发症发生率,具有临床推广应用意义。Objective:To explore the application value of LEARNS mode combined with pelvic floor muscle training(PFMT)in patients undergoing robot-assisted radical prostatectomy(RARP).Methods:122 patients who underwent RARP in Shenzhen People’s Hospital from January 2019 to October 2023 were selected.They were randomly divided into the study group and the control group,with 61 cases in each group.The control group received the conventional PFMT health education program after RARP,and the study group received the LEARNS mode combined with PFMT program.The urinary function indicators,I-QOL scores,self-care scale scores and the incidence of complications were compared between two groups of patients.Results:There was no statistically significant difference in the urinary function indicators,I-QOL scores and self-care scale scores between the two groups before intervention.The above indicators were both improved in the two groups after intervention,and they were better in the study group than the control group.The complication rate of patients in the study group was lower than that in the control group.Conclusion:Compared with conventional nursing program,the application of LEARNS mode combined with PFMT to patients undergoing RARP can improve patients’urination function,quality of life and self-care ability,as well as effectively control the incidence of complications,which is worthy of clinical promotion.

关 键 词：LEARNS模式 盆底肌训练 机器人辅助手术 根治性前列腺切除术 

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