护理干预对经尿道前列腺电切术患者生命体征及舒适程度的影响及对策

EFFECT AND COUNTERMEASURES OF NURSING INTERFERENCE ON THE VITAL SIGNS AND COMFORTABLE DEGREE OF PATIENTS UNDERGOING TRANSURETHRAL RESECTION OF PROSTATE

[目的]探讨护理干预对经尿道前列腺电切术患者生命体征及舒适程度的影响及对策。[方法]将98例行经尿道前列腺电切术(TuRP)术患者随机分为观察组(52例)与对照组,观察组52例,采用加盖手术间棉被,膀胱冲洗液加温至37℃;对照组46例,采用电热毯保暖,加盖手术间棉被,使用室温膀胱冲洗液的方法,两组患者手术间温度维持在22℃～25℃。术后d4,对98例患者进行术后舒适程度的调查分析。[结果]观察组与对照组术中生命体征进行比较,体温变化显著差异有统计学意义(P﹤0.05)。患者术后影响舒适程度的因素主要有:疼痛、活动受限、生活不能自理等。[结论]术中膀胱冲洗液温度维持在37℃,是维持生命体征稳定的有效方法。术后采取提高病人舒适护理措施,使病人得到最佳的护理效果。

[Objective] To explore the effect and countermeasures of nursing interference on the vital signs and comfortable degree of patients undergoing transurethral resection of prostate （TURP）. [Methods] 98 patients undergoing TURP were randomly divided into experimental group （52 cases） and control group （46 cases）. 52 patients in experimental group were treated with extra surgery cotton quilts during the operation and bladder washout at the temperature of 37℃, while 46 cases in control group were dealt with electric blanket to keep warm and extra surgery cotton quilts and room temperature bladder rinse solution, kept warm with electric blanket and bladder washout with room temperature. The temperatures of cases in two groups were maintain at the range of 22% to 25%. On the forth day after operation, the comfortable degree of 98 cases after operation was investigated. [ Results] When compared with control group, the vital signs and temperature changes of cases in experimental group were showed significantly difference. The main influencing factors which affected the comfortable degree of patients after transurethral resection of prostate were pains, limitation of motion, disability of self care and so on. [Conclusion] The effective way to keep the stability of the vital signs of patients is to maintain the temperature of post-operation bladder washout at 37%. It could gain the best nursing efficacy for patients to improve the countermeasures of nursing interference for patients＇ comfortable after operation.