预见性护理干预在前列腺癌手术患者中的应用效果分析

Application Effect of Predictive Nursing Intervention in Patients with Prostate Cancer Undergoing Surgery

目的:探讨预见性护理干预在前列腺癌手术患者中的应用效果。方法:选取2020年3月—2023年4月拟于徐州市肿瘤医院行前列腺癌手术的患者60例为研究对象,以随机抽签法分为两组,各30例。对照组予以常规护理干预,观察组予以预见性护理干预。比较两组术后康复指标,患者心理弹性、控尿能力及术后并发症发生率。结果:观察组首次下床活动时间、首次肛门排气时间、首次排便时间、引流管拔除时间均短于对照组,差异有统计学意义(P<0.05);术后,两组乐观性、力量性、坚韧性评分均升高,观察组高于对照组,差异有统计学意义(P<0.05);术后,两组漏尿点压力、最大尿道闭合压均上升,观察组高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P=0.030)。结论:预见性护理干预可有效降低前列腺癌患者术后并发症发生率,改善患者术后康复指标,提高心理弹性及控尿能力。

Objective:To explore the effect of predictive nursing intervention in patients with prostate cancer surgery.Methods:A total of sixty patients scheduled to undergo prostate cancer surgery in Xuzhou Cancer Hospital from March 2020 to April 2023 were selected as the study objects and divided into two groups by random drawing method,with thirty patients in each group.The control group was given routine nursing intervention,and the observation group was given predictive nursing intervention.Postoperative rehabilitation indexes,psychological resilience,urinary control ability and postoperative complication rate were compared between the two groups.Results:The first time of getting out of bed,the first time of anal exhaust,the first time of defecation and the time of drainage tube removal in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05);after operation,the scores of optimism,strength and tenacity were increased in both groups,and the observation group was higher than the control group,the difference was statistically significant(P<0.05);after operation,urine leak point pressure and maximum urethral closure pressure increased in both groups,and the observation group was higher than the control group,the difference was statistically significant(P<0.05);the incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P=0.030).Conclusion:Predictive nursing intervention can effectively reduce the incidence of postoperative complications in patients with prostate cancer,improve postoperative rehabilitation indexes,and enhance mental resilience and urinary control ability.