多维度延续性干预对前列腺癌根治术后尿失禁患者康复的影响  

Impact of multi-dimensional continuous intervention model on the rehabilitation of urinary incontinence in prostate cancer patients after radical prostatectomy

作　　者：刘冬 卢跃 赵艳丽 何雅娉 余丹 LIU Dong;LU Yue;ZHAO Yanli(Department of Urology,the Second Affiliated Hospital of Naval Medical University,Shanghai 200003,China)

机构地区：[1]中国人民解放军海军军医大学第二附属医院泌尿外科,上海市200003 [2]中国人民解放军海军军医大学第二附属医院护理教研室,上海市200003 [3]中国人民解放军海军军医大学第二附属医院急诊室,上海市200003

出　　处：《河北医药》2024年第19期2936-2939,2944,共5页Hebei Medical Journal

基　　金：长征医院护理科研基金课题(编号:CZYY-HLQ97)。

摘　　要：目的 探讨多维度延续性干预模式对前列腺癌根治术后尿失禁患者康复的影响。方法 选择上海长征医院2021年8月至2023年8月收治的120例前列腺癌根治术后尿失禁患者,以随机数字表法分为对照组和观察组,每组60例。对照组采用常规干预模式,观察组在对照组基础上采用多维度延续性干预模式,均持续干预3个月。比较2组每日尿失禁次数、尿失禁严重程度、自我管理能力、生活质量。结果 干预3个月后,观察组每日尿失禁次数、国际尿失禁咨询委员会尿失禁问卷简表评分均低于对照组,成年人健康自我管理能力测评量表评分、尿失禁生活质量量表评分均高于对照组(P<0.05)。结论 多维度延续性干预模式可减少前列腺癌根治术后尿失禁患者每日尿失禁次数,降低尿失禁严重程度,提高患者自我管理能力,改善患者生活质量。Objective To explore the impact of a multi-dimensional continuous intervention model on the rehabilitation of urinary incontinence in prostate cancer patients after radical prostatectomy.Methods A total of 120 postoperative prostate cancer patients with urinary incontinence who were treated at Shanghai Changzheng Hospital from August 2021 to August 2023 were selected.They were randomly assigned into the control group(conventional intervention)and observation group(multi-dimensional continuous intervention plus conventional intervention)using a random number table method,with 60 cases in each group.A continuous intervention lasted for 3 months.The daily frequency of urinary incontinence,severity of urinary incontinence,self-management ability,and quality of life were compared between two groups.Results After 3 months of intervention,patients in the observation group had significantly lower frequency of daily urinary incontinence and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form(ICIQ-UI SF)score,but higher Adult Health Self-Management Skill Assessment Scale(AHSMSRS)and the Incontinence Quality of Life(I-QOL)scores than those in the control group(P<0.05).Conclusion The multi-dimensional continuous intervention model can reduce the daily frequency of urinary incontinence in prostate cancer patients after radical surgery,reduce the severity of urinary incontinence,and improve the self-management ability and quality of life.

关 键 词：前列腺根治术 尿失禁 多维度延续性干预 生活质量 

分 类 号：R737.25[医药卫生—肿瘤]