综合护理干预措施在泌尿外科行等离子电切术患者中的应用效果观察

Application Effect of Comprehensive Nursing Intervention in Patients Underwent Plasma Transurethral Resection in Urology

目的:评价综合护理干预措施对行等离子电切术良性前列腺增生患者的临床效果。方法:选取本院198例行尿道前列腺等离子电切术的患者,根据住院号奇偶性随机将其分为综合组和常规组各99例,常规组采取常规护理措施,综合组在常规护理措施基础上采取以心理护理为基础的综合护理措施。记录两组患者术后手术效果及并发症情况,比较两组患者的远期疗效。结果:综合组的膀胱冲洗时间(21.7±6.8)h、尿管留置时间(5.3±0.9)d和住院时间(5.9±1.2)d均明显少于常规组,膀胱痉挛发生率9.1%明显低于常规组的21.2%,术后并发症发生率19.2%明显低于常规组的37.4%,差异均有统计学意义(P<0.05)。随访3个月后,综合组的残余尿量和前列腺症状评分均明显低于常规组,最大尿流率和生活质量评分均明显高于常规组,差异均有统计学意义(P<0.05)。结论:综合护理干预措施能够有效改善术者心理状态,缩短术后康复时间,减少并发症的发生,提高手术效果,且有助于改善手术远期效果,提高患者生活质量。

Objective： To investigate the clinical effect of comprehensive nursing intervention in patients with benign prostatic hyperplasia underwent plasma transurethral resection.Method： 198 patients with benign prostatic hyperplasia underwent plasma transurethral resection were randomly divided into the comprehensive group and the conventional group according to the number of parity hospital, 99 cases in each groups.The conventional group was given conventional care measures, the comprehensive group was given comprehensive measures based on psychological care, which was based on conventional care.The postoperative effects and complications of the two groups were recorded.And the long-term effects between the two groups were compared.Result： The bladder irrigation time, indwelling catheter time and hospital stay of the comprehensive group were （ 21.7 ± 6.8 ） h, （ 5.3 ± 0.9 ） d, （ 5.9 ± 1.2 ） d, they were significantly less than the conventional group, the incidence of bladder spasm was 9.1%, it was significantly lower than 21.2% of the conventional group, the postoperative complication rate of comprehensive group was 19.2%, it was significantly lower than 37.4% of the conventional group, the differences were statistically significant （P〈0.05） .After 3-month follow- up, the residual urine volume and prostate symptom scores of comprehensive group were significantly lower than the conventional group, and the maximum flow rate and quality of life score were significantly higher than the conventional group, the differences were statistically significant （ P〈O.05 ） .Conclusion： Comprehensive nursing intervention can improve the psychological state of patients, shorten recovery time after surgery, reduce complications and improve surgical effect, and also improve long-term surgery effect and the life quality of patients.