预防护理联合功能训练对前列腺电切术后患者膀胱功能恢复的干预效果评价  

Intervention effect of preventive nursing combined with function training on bladder function recovery in patients after transurethral resection of prostate

作　　者：范雪 牛翠平 赵婷 Fan Xue;Niu Cuiping;Zhao Ting(Department of Urology,Lu′an Traditional Chinese Medicine Hospital,Lu′an 231300,China)

机构地区：[1]六安市中医院泌尿外科,六安231300

出　　处：《中国实用护理杂志》2024年第31期2435-2441,共7页Chinese Journal of Practical Nursing

摘　　要：目的探讨预防护理联合功能训练对前列腺电切术后患者膀胱功能恢复的干预效果。方法采用非随机历史对照研究,按患者的入院时间,将2021年1月至2022年7月在六安市中医院进行前列腺增生手术且术后实施膀胱功能训练的29例患者归为对照组;将2022年8月至2024年2月于六安市中医院行前列腺增生手术且术后实施预防护理联合膀胱功能训练的31例患者归为联合组。比较2组膀胱痉挛发生率、留置尿管天数及术后3个月膀胱功能[膀胱顺应性(BC)、膀胱最大储尿量(VM-CC)、最大尿流量(Qmax)、残余尿量(PVR)]、舒适度[Kolcaba舒适状况量表(GCQ)评分]以及生命质量[良性前列腺增生患者生命质量量表(BPHQLS)评分]。结果对照组年龄(71.97±3.99)岁,联合组年龄(71.77±2.92)岁,2组基线资料均衡。术后3个月,联合组BC、VM-CC、Qmax水平分别为(37.21±3.26)ml/cmH_(2)O(1 cmH_(2)O=0.098 kPa),(441.34±26.71)ml和(28.18±3.05)ml/s,高于对照组的(34.99±2.36)ml/cmH_(2)O,(413.86±27.50)ml和(25.66±2.17)ml/s,差异均有统计学意义(t=3.00、3.93、3.67,均P<0.05)。术后3个月联合组的PVR为(15.98±3.28)ml,与对照组的(20.82±2.60)ml相比差异有统计学意义(t=6.31,P<0.05)。联合组的留置尿管天数及膀胱痉挛的发生率分别为(4.48±1.09)d和6.45%(2/31),均低于对照组的(5.24±1.15)d和27.59%(8/29),差异均有统计学意义(t=2.63,χ^(2)=4.82,均P<0.05)。结论预防护理联合膀胱功能训练能够有效改善前列腺增生手术患者术后膀胱功能,降低膀胱痉挛发生风险,提高舒适度以及生命质量,有应用价值。ObjectiveTo explore the intervention effect of preventive nursing combined with function training on bladder function recovery in patients after transurethral resection of prostate.MethodsA non-randomized historical control study was used,29 patients who received benign prostatic hyperplasia surgery and postoperative bladder function training in Lu′an Traditional Chinese Medicine Hospital from January 2021 to July 2022 were classified as control group,and 31 patients with benign prostatic hyperplasia surgery who received postoperative preventive nursing based on summary of influencing factors combined with bladder function training from August 2022 to February 2024 were included in combined group.Bladder function[bladder compliance(BC),maximum bladder storage capacity(VM-CC),maximum urine flow(Qmax),post-void residual urine volume(PVR)],incidence rate of bladder spasm,number of indewelling catheter days,comfort[Kolcaba comfort status scale(GCQ)]and quality of life[benign prostatic hyperplasia quality of life scale(BPHQLS)]were compared between groups at 3 months after surgery.ResultsThe age of the control group was(71.97±3.99)years,(71.77±2.92)years in the combined group,the baseline data were balanced.At 3 months after surgery,the BC,VM-CC and Qmax in combined group with(37.21±3.26)ml/cmH_(2)O,(441.34±26.71)ml and(28.18±3.05)ml/s were higher than(34.99±2.36)ml/cmH_(2)O,(413.86±27.50)ml and(25.66±2.17)ml/s in control group,the differences were significant between the two groups(t=3.00,3.93,3.67,all P<0.05).At 3 months after surgery,the PVR in combined group was(15.98±3.28)ml,which was lower than the(20.82±2.60)ml in the control group,the different was significant(t=6.31,P<0.05).The number of indwelling catheter days and incidence rate of bladder spasm in combined group were(4.48±1.09)d and 6.45%(2/31),which were shorter or less than(5.24±1.15)d and 27.59%(8/29)in control group(t=2.63,χ^(2)=4.82,both P<0.05).ConclusionsPreventive nursing combined with bladder function training can effectively improv

关 键 词：预防 护理 前列腺增生 膀胱 痉挛 

分 类 号：R473.6[医药卫生—护理学]