综合性护理对前列腺术后患者情绪、睡眠及生活质量的影响  

The impact of comprehensive nursing care on postoperative negative emotions,sleep quality,and quality of life in patients undergoing prostatectomy

作　　者：叶琨妮 徐秀蕾 许华杏 陈金华 辜祖玄 YE Kunni;XU Xiulei;XU Huaxing(Hainan West Central Hospital,Urology,Danzhou 571799,China)

机构地区：[1]海南西部中心医院泌尿外科,儋州571799

出　　处：《国际精神病学杂志》2024年第4期1332-1335,共4页Journal Of International Psychiatry

基　　金：海南省卫生健康行业科研项目(编号:21A200224)。

摘　　要：目的探讨对经尿道前列腺电切术(TURP)患者实施综合性护理措施对其心理,睡眠及生活质量的改善效果。方法于2019年1月~2022年1月采集病例资料入档,对象为医院收治的前列腺增生(BPH)患者共计142例,基于“随机数字表法”划分为对照组(实行常规护理)与观察组(开展常规护理+综合护理),各组纳入71例;观察对比两组患者负性情绪,舒适度,睡眠质量,生活质量。结果干预后,两组舒适状况量表(GCQ)评分均有不同程度的升幅,且观察组GCQ评分的升幅较对照组更大(P<0.05);两组焦虑自评量表(SAS),抑郁自评量表(SDS)评分均降低,其中观察组更低(P<0.05);两组匹兹堡睡眠质量指数量表(PSQI)评分均有不同程度的降低,且观察组评分的降幅更大(P<0.05);两组简易健康状况调查表(SF-36)评分均明显升高,其中观察组相对更高(P<0.05)。结论综合性护理措施实施于TURP患者,不仅提高患者舒适度,缓解负性情绪,提高心理健康,同时全面改善患者睡眠质量及生活质量,值得推广。Objective To explore the improvement effect of comprehensive nursing measures on the psychological,sleep,and quality of life of patients undergoing transurethral resection of the prostate(TURP).Methods Case data were collected and recorded from January 2019 to January 2022.A total of 142 patients with benign prostatic hyperplasia(BPH)admitted to the hospital were included.The participants were divided into a control group(receiving routine care)and an observation group(receiving routine care+comprehensive care)based on a 1:1 random number table method,with 71 cases included in each group.Observe and compare the negative emotions,comfort,sleep quality,and quality of life between the two groups of patients.Results After intervention,the GCQ scores of both groups showed varying degrees of increase,and the GCQ scores of the observation group showed a greater increase compared to the control group(P<0.05).Both groups had lower scores on the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS),with the observation group having lower scores(P<0.05).The Pittsburgh Sleep Quality Index(PSQI)scores of both groups showed varying degrees of decrease,and the observed group showed a greater decrease in scores(P<0.05).The scores of both groups of the Simplified Health Status Questionnaire(SF-36)significantly increased,with the observation group showing a relatively higher score(P<0.05).Conclusion The implementation of comprehensive nursing measures in TURP patients not only improves patient comfort,actively eliminates negative emotions,improves mental health,but also comprehensively improves patient sleep quality and quality of life,and is worth promoting.

关 键 词：综合性护理 前列腺电切术 负面情绪 睡眠质量 生活质量 

分 类 号：R740.05[医药卫生—神经病学与精神病学]