“医护患”协同护理在前列腺癌行雄激素剥夺治疗患者中的应用效果  

Application effect of'doctor-nurse-patient'collaborative nursing in patients with prostate cancer undergoing androgen deprivation therapy

作　　者：唐梅 刘媛航[1] 杨文艳[2] 廖玉霞[2] TANG Mei;LIU yuanhang;YANG Wenyan;LIAO yuxia(School of Nursing,Guangxi Medical University,Nanning,Guangxi 530021,China;Department of Urology,Nanxishan Hospital of Guangxi Zhuang Autonomous Region,the Second People's Hospital of Guangxi Zhuang Autonomous Region,Guilin,Guangxi 541002,China)

机构地区：[1]广西医科大学护理学院,广西南宁530021 [2]广西壮族自治区南溪山医院广西壮族自治区第二人民医院泌尿外科,广西桂林541002

出　　处：《医药前沿》2025年第7期87-90,94,共5页Journal of Frontiers of Medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190852)。

摘　　要：目的 探讨“医护患”协同护理在前列腺癌(PCa)行雄激素剥夺治疗(ADT)患者中的应用效果。方法 选取2021年1月—2023年10月广西壮族自治区南溪山医院泌尿外科收治的PCa行ADT患者80例,采用随机数字表法将其分为观察组和对照组,各40例。对照组采用常规护理,观察组在对照组基础上采用“医护患”协同护理。比较两组患者护理后3个月和护理后6个月的自我护理能力和生活质量,并分析PCa行ADT患者护理后3个月和护理后6个月简化版扩展性前列腺癌复合指数量表-26(EPIC-26)评分与老年人自我护理能力量表(SASE)各维度评分的相关性。结果 护理后3个月和护理后6个月,观察组技能、环境、目标评分和总分高于对照组;尿失禁、尿路刺激、排便功能、内分泌紊乱评分和总分低于对照组,差异有统计学意义(P<0.05);两组患者性功能评分比较,差异无统计学意义(P>0.05)。Spearman相关性分析结果显示,PCa行ADT患者护理后3个月和护理后6个月EPIC-26评分均与SASE技能、环境、目标维度评分呈负相关(P<0.05)。结论 “医护患”协同护理能够提高PCa行ADT患者的自我护理能力和生活质量,减轻症状负担。Objective To explore the application effect of'doctor-nurse-patient'collaborative nursing in patients with prostate cancer(PCa)undergoing androgen deprivation therapy(ADT).Methods A total of 80 patients with PCa who underwent ADT in the Department of Urology,Nanxishan Hospital of Guangxi Zhuang Autonomous Region from January 2021 to October 2023 were selected and divided into observation group and control group by random number table method,with 40 cases in each group.The control group was given routine nursing,and the observation group was given'doctor-nurse-patient'collaborative nursing on the basis of the control group.The self-care ability and the quality of life 3 months after nursing and 6 months after nursing were compared between the two groups.The correlation between the scores of the Abbreviated Version of the Expanded Prostate Cancer Index Composite Instrument-26(EPIC-26)and the scores of each dimension of the Self-Care Ability Scale for the Elderly(SASE)3 months after nursing and 6 months after nursing were analyzed.Results At 3 months and 6 months after nursing,the scores of skills,environment,goal,and total score in the observation group were higher than those in the control group;the scores of urinary incontinence,urinary tract stimulation,defecation function,endocrine disorder and total score were lower than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in sexual function score between the two groups(P>0.05).Spearman correlation analysis showed that EPIC-26 scores were negatively correlated with SASE skills,environment and target dimension scores at 3 months and 6 months after ADT for PCa patients(P<0.05).Conclusions The'doctor-nurse-patient'collaborative nursing can improve the self-care ability and quality of life of patients with PCa undergoing ADT,and reduce the burden of symptoms.

关 键 词：肿瘤 前列腺癌 雄激素剥夺治疗 “医护患”协同护理 老年人自我护理能力量表 简化版扩展性前列腺癌复合指数量表-26 Spearman相关性分析 

分 类 号：R473[医药卫生—护理学]