基于Snyder希望理论的护理干预联合膀胱控制训练对前列腺癌根治术后尿失禁患者的影响  

Effects of nursing intervention based on Snyder’s hope theory combined with bladder control training on urinary incontinence patients after radical prostate cancer surgery

作　　者：石晓红[1] 马春香 金德蓉 黄红娟[1] SHI Xiaohong;MA Chunxiang;JIN Derong;HUANG Hongjuan(Department of Urology,Rugao Hospital of Traditional Chinese Medicine,Jiangsu Province,Rugao226500,China)

机构地区：[1]江苏省如皋市中医院泌尿外科,江苏如皋226500

出　　处：《中国医药导报》2024年第20期186-191,共6页China Medical Herald

基　　金：江苏省自然科学基金面上项目(BK20221220)。

摘　　要：目的探索基于Snyder希望理论的护理干预联合膀胱控制训练对前列腺癌根治术后患者尿失禁的影响。方法选取2022年4月至2023年4月江苏省如皋市中医院83名接受根治性前列腺癌手术的患者作为研究对象,通过随机信封抽签法将其分为对照组(42例)和干预组(41例)。对照组给予常规护理+膀胱控制训练,干预组则在对照组基础上加入基于Snyder希望理论的护理干预,干预时间为4周。干预前后对两组尿失禁情况、排尿功能评分[国际尿失禁问卷简表(ICIQ-SF)评分、扩展前列腺癌复合指数(EPIC-UIN)评分]、生活质量[尿失禁生活质量量表(I-QOL)]、心理状态[状态特质焦虑量表、贝克抑郁问卷(BDI-Ⅱ)]及术后并发症发生情况进行评估。结果干预组排尿次数、漏尿次数、排尿量及尿失禁评分均低于对照组,差异有统计学意义(P<0.05)。干预后,两组ICIQ-SF评分低于干预前,EPIC-UIN评分高于干预前,且干预组ICIQ-SF评分低于对照组,EPIC-UIN评分高于对照组,差异有统计学意义(P<0.05)。干预后,两组I-QOL各维度评分高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。干预后,两组状态焦虑量表、特质焦虑量表及BDI-Ⅱ评分低于干预前,且干预组低于对照组,差异有统计学意义(P<0.05)。干预组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论基于Snyder希望理论的护理干预联合膀胱控制训练能有效降低前列腺癌根治术后患者的尿失禁严重程度,提升排尿功能,提高生活质量,并减轻心理焦虑和抑郁症状,对临床实践具有重要应用价值。Objective To explore the effects of nursing intervention based on Snyder’s hope theory combined with bladder control training on urinary incontinence patients after radical prostate cancer surgery.Methods A total of 83 patients undergoing radical prostate cancer surgery in Rugao Hospital of Traditional Chinese Medicine,Jiangsu Province from April 2022 to April 2023 were selected as the study objects,and patients were divided into control group(42 cases)and an intervention group(41 cases)by random envelope drawing.The control group received standard nursing plus bladder control training,while the intervention group received nursing intervention based on Snyder’s hope theory in addition to the control group’s regimen for four weeks.Before and after the intervention,both groups’urinary incontinence,urinary function scores(international consultation on incontinence questionnaire-short form[ICIQ-SF]and expanded prostate cancer index composite for urinary incontinence[EPIC-UIN]),quality of life(incontinence quality of life questionnaire[I-QOL]),psychological status(state-trait anxiety inventory and Beck depression inventory-Ⅱ[BDI-Ⅱ]),and postoperative complications were assessed.Results After intervention,the frequency of urination,the frequency of urine leakage,the volume of urination,and the score of urinary incontinence in the intervention group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,ICIQ-SF score of the two groups was lower than before intervention,EPIC-UIN score was higher than before intervention,ICIQ-SF score of the intervention group was lower than that of the control group,EPIC-UIN score was higher than that of the control group,the differences were statistically significant(P<0.05).After intervention,the I-QOL scores of the two groups were higher than before tervention,and the intervention group was higher than the control group,the differences were statistically significant(P<0.05).After intervention,the state anxiety i

关 键 词：前列腺癌 Snyder希望理论 护理干预 膀胱控制训练 尿失禁 

分 类 号：R473[医药卫生—护理学]