基于循证依据的预见性护理在前列腺增生症术后膀胱痉挛中的应用  

Application of evidence-based predictive nursing in bladder spasm after surgery for prostatic hyperplasia

作　　者：郭招治 王姣莲 陈清香 夏敏 李丽娜 丁雅霜 陈丽云 GUO Zhao-zhi;WANG Jiao-lian;CHEN Qing-xiang;XIA Min;LI Li-na;DING Ya-shuang;CHEN Li-yun(Department of Urology,the 73rd Group Military Hospital of the Chinese People's Liberation Army,Xiamen 361000,Fujian,CHINA;Department of Cardiology and Nephrology,the 73rd Group Military Hospital of the Chinese People's Liberation Army,Xiamen 361000,Fujian,CHINA)

机构地区：[1]陆军第七十三集团军医院泌尿外科,福建厦门361000 [2]陆军第七十三集团军医院心肾内科,福建厦门361000

出　　处：《海南医学》2024年第21期3167-3170,共4页Hainan Medical Journal

摘　　要：目的探讨基于循证依据的预见性护理在前列腺增生症术后膀胱痉挛中的护理效果。方法选取2023年2月至2024年1月于陆军第七十三集团军医院接受手术治疗的81例前列腺增生患者作为研究对象,按随机数表法分为观察组41例和对照组40例。对照组患者术后采用常规护理,观察组患者术后采用基于循证依据的预见性护理,均持续护理至患者出院。比较两组患者住院期间膀胱痉挛发生情况和围术期情况,以及护理前、随访1个月时的良性前列腺增生症患者生活质量量表修订版(BPHQLS)评分,同时比较两组患者出院时对护理的满意度。结果观察组患者术后膀胱发生率为7.32%,明显低于对照组的27.50%,且持续时间、发作频率分别为(2.68±0.57)min/次、(6.02±1.47)次/d,明显短(少)于对照组的(4.37±0.69)min/次、(8.79±1.56)次/d,差异均有统计学意义(P<0.05);观察组患者的导尿管留置时间、住院时间分别为(4.03±0.74)d、(6.18±1.01)d,明显短于对照组的(4.92±0.83)d、(7.34±1.23)d,差异均有统计学意义(P<0.05);随访1个月,观察组患者BPHQLS评分中的疾病、生理、心理、满意度评分分别为(53.91±6.02)分、(54.18±5.02)分、(39.07±3.15)分、(31.67±3.02)分,明显高于对照组的(46.72±5.23)分、(48.29±4.71)分、(36.42±3.43)分、(28.61±3.11)分,差异均有统计学意义(P<0.05);观察组患者对护理的满意度为90.24%,明显高于对照组的70.00%,差异有统计学意义(P<0.05)。结论基于循证依据的预见性护理有助于减少前列腺增生症患者术后膀胱痉挛的发生率,并积极改善生活质量,值得临床推广应用。Objective To explore the effect of evidence-based predictive nursing in bladder spasm after surgery for prostatic hyperplasia.Methods A total of 81 patients with prostate hyperplasia who received surgical treatment in the 73rd Group Military Hospital of the Chinese People's Liberation Army from February 2023 to January 2024 were selected and divided into an observation group(41 cases)and a control group(40 cases)according to random number table method.Patients in the control group received routine nursing after operation,and those in the observation group received evidence-based predictive nursing after operation,until discharge.The occurrence of bladder spasm during hospitalization and perioperative conditions,the changes in the score of quality-of-life(QOL)scale for Chinese benign prostatic hyperplasia patients(BPHQLS)before nursing and after 1-month follow-up,and the satisfaction with nursing care at discharge were compared between the two groups.Results The incidence of bladder spasm in the observation group was 7.32%,which was significantly lower than 27.50%in the control group,and the duration and frequency of attacks were(2.68±0.57)min/day and(6.02±1.47)time/day,which were significantly less(shorter)than(4.37±0.69)min/time and(8.79±1.56)time/day in the control group,with statistically significant differences(P<0.05).The catheter retention time and length of hospital stay in the observation group were(4.03±0.74)d and(6.18±1.01)d,which were significantly shorter than(4.92±0.83)d and(7.34±1.23)d in the control group(P<0.05).The disease,physiological,psychological,and satisfaction scores of BPHQLS in the observation group were(53.91±6.02)points,(54.18±5.02)points,(39.07±3.15)points,and(31.67±3.02)points,which were significantly higher than(46.72±5.23)points,(48.29±4.71)points,(36.42±3.43)points,and(28.61±3.11)points in the control group(P<0.05).The satisfaction rate of patients with nursing in the observation group was 90.24%,which was significantly higher than 70.00%in the control group(P<0.05

关 键 词：良性前列腺增生症 经尿道前列腺切除术 膀胱痉挛 循证依据 预见性护理 生活质量 

分 类 号：R473.6[医药卫生—护理学]