基于移动医疗技术的护理干预在前列腺癌根治术后尿失禁患者中的应用  

Application of Nursing Intervention Based on Mobile Health Technology in Urinary Incontinence Patients After Radical Prostatectomy

作　　者：刘春雷[1] 郑元[1] 王爱花[1] LIU Chunlei;ZHENG Yuan;WANG Aihua(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《河南医学研究》2024年第19期3605-3609,共5页Henan Medical Research

基　　金：郑州大学第一附属医院护理科研专项(HLKY2023014)。

摘　　要：目的探讨基于移动医疗技术的护理干预在前列腺癌根治术(RP)术后尿失禁患者中的应用效果。方法根据患者入院顺序对60例RP术后尿失禁患者进行编号,使用随机数表法将其分为对照组(30例)和观察组(30例)。对照组接受常规护理干预,观察组在常规护理基础上接受基于盆底肌锻炼的移动医疗技术。比较两组干预前、干预12周后每次排尿量、24 h排尿次数、24 h漏尿次数、国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分、自我管理效能感量表(SUPPH)评分和尿失禁生活质量问卷(I-QOL)。结果干预后,两组每次排尿量、SUPPH评分和I-QOL评分均上升,而24 h排尿次数、24 h漏尿次数和ICI-Q-SF评分均下降,且干预后观察组每次排尿量、SUPPH评分和I-QOL评分高于对照组,而24 h排尿次数、24 h漏尿次数和ICI-Q-SF评分低于对照组(P<0.05)。结论基于移动医疗技术的护理干预可有效改善RP术后尿失禁患者的排尿功能,减轻尿失禁程度,对提高患者自我管理效能感和生活质量有积极作用。Objective To investigate the application effect of nursing intervention based on mobile health technology in urinary incontinence patients after radical prostatectomy(RP).Methods According to the order of admission,60 patients with urinary incontinence after RP were numbered and divided into control group(30 cases)and observation group(30 cases)by random number table method.The control group received routine nursing intervention.In the observation group,nursing intervention based on mobile medical intervention technology was implemented on the basis of routine nursing.The urine volume,24 hours urination times,24 hours urine leakage times and the scores of international consultation on incontinence questionnaire-short form(ICI-Q-SF),strategies used by people to promote health(SUPPH),incontinence quality of life instrument(I-QOL)before and 12 weeks after intervention were compared between the two groups.Results After intervention,the urine volume,SUPPH scores and I-QOL scores of the two groups increased,while the 24 hours urination number,24 hours urine leakage number and ICI-Q-SF scores all decreased,and the urine volume,SUPPH score and I-QOL score of the observation group were higher than those of the control group after intervention,while the 24 hours urination times,24 hours urine leakage times and ICI-Q-SF scores were lower(P<0.05).Conclusion Nursing intervention based on mobile health technology can effectively improve the urination function of patients with urinary incontinence after RP,reduce the degree of urinary incontinence,and improve the self-management efficacy and quality of life of patients.

关 键 词：前列腺癌根治术 尿失禁 移动医疗技术 排尿功能 自我管理效能感 生活质量 

分 类 号：R737.25[医药卫生—肿瘤]