基于循证的康复护理方案在良性前列腺增生术后尿失禁患者中的构建与应用  

Construction and application of evidence-based rehabilitation nursing program in patients with urinary incontinence after benign prostatic hyperplasia surgery

作　　者：向军莲[1] 刘芳[1] 陈晓宇 徐坪[1] 李杨[1] 黄英[1] 谭琳 秦朱珠 XIANG Junlian;LIU Fang;CHEN Xiaoyu;XU Ping;LI Yang;HUANG Ying;TAN Lin;QIN Zhuzhu(Department of Urology,Deyang People's Hospital,Sichuan Province,Deyang618000,China)

机构地区：[1]四川省德阳市人民医院泌尿外科,四川德阳618000

出　　处：《中国当代医药》2025年第6期159-163,168,共6页China Modern Medicine

基　　金：成都中医药大学“杏林学者”医院专项项目(YY ZX2022054)。

摘　　要：目的构建基于循证的良性前列腺增生患者术后尿失禁康复护理方案并进行临床验证,为临床开展前列腺增生术后尿失禁患者康复护理提供参考。方法选取2022年10月至2023年4月德阳市人民医院收治的80例良性前列腺增生患者作为研究对象,所有患者行经尿道钬激光前列腺剜除术后发生尿失禁,采用随机数字表法分为观察组和对照组,每组各40例。对照组采用常规护理方案进行护理,观察组采用基于循证的前列腺增生术后尿失禁患者康复护理干预方案进行护理。比较两组患者术后发生尿失禁情况、膀胱残余尿量、尿流率数值、患者满意度。结果观察组国际前列腺症状评分(IPSS)低于对照组,24 h漏尿量、膀胱残余尿量均少于对照组,尿流率数值、患者满意度均高于对照组,差异有统计学意义(P<0.05)。结论基于循证的良性前列腺增生患者术后尿失禁康复护理干预方案可有效促进前列腺增生术后尿失禁患者的功能康复,值得在临床进一步推广。Objective To construct an evidence-based rehabilitation nursing plan for postoperative urinary incontinence in patients with benign prostatic hyperplasia surgery and conduct clinical verification,so as to provide reference for clinical rehabilitation nursing for postoperative urinary incontinence patients with prostatic hyperplasia.Methods A total of 80 patients with benign prostatic hyperplasia treated in Deyang People's Hospital from October 2022 to April 2023 were selected as the study objects.All patients suffered from urinary incontinence after transurethral holmium laser enucleation of prostate.They were divided into observation group and control group by random number table method,with 40 patients in each group.The control group was treated with routine nursing scheme,and the observation group was treated with evidence-based rehabilitation nursing intervention scheme for patients with urinary incontinence after prostatic hyperplasia surgery.Urinary incontinence,residual urinary volume,urinary flow rate and patient satisfaction were compared between the two groups.Results The international prostate symptom score(IPSS)of the observation group was lower than that of the control group,24 h urine leakage and bladder residual urine volume were lower than those of the control group,urine flow rate and patient satisfaction were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion Evidence-based rehabilitation nursing intervention scheme for postoperative urinary incontinence of patients with benign prostatic hyperplasia surgery can effectively promote functional rehabilitation of patients with urinary incontinence after postoperative prostatic hyperplasia,and is worthy of further promotion in clinical practice.

关 键 词：前列腺增生 循证护理 尿失禁 功能康复 

分 类 号：R47[医药卫生—护理学]