思维导图在前列腺增生症患者术后尿失禁护理中的应用

Application of mind map on patients with urinary continence after benign prostate hyperplasia surgery

目的：探讨思维导图对前列腺增生（ BPH）患者术后尿失禁的影响，为提高术后护理质量提供临床依据。方法选取2013年2月—2014年4月收治的160例BPH患者，采用随机数字表法分为研究组和对照组，每组80例，对照组采用常规护理，研究组建立尿失禁护理思维导图，根据思维导图护理，观察记录两组患者尿失禁发生率、持续时间、失禁量及频率。并采用国际前列腺症状（ IPSS）评分、尿失禁问卷表（ ICI-Q-SF）评分及BPH患者术后尿失禁现象的影响因素调查表对影响患者尿失禁的原因进行调查。结果研究组术后发生尿失禁10例（12．5％），持续时间为（4．1±2．8）d，对照组分别为25例（31.2％），（6．8±3．4）d，两组比较差异均有统计学意义（χ2／t值分别8．23，2．63；P＜0．05）；研究组患者尿失禁频率及失禁量均低于对照组，差异有统计学意义（χ2值分别为4．37，5．24；P＜0．05）；研究组患者舒适度及满意度均高于对照组，两组比较，差异有统计学意义（ P＜0．05）。结论采用思维导图干预对BPH患者进行术后护理可有效降低术后尿失禁的发生率，减少尿失禁持续时间，提高患者的生活质量及满意度。

Objective To evaluate the application of mind map on patients with urinary continence after benign prostate hyperplasia （ BPH ） surgery and provide clinical evidence for improving the quality of postoperative nursing.Methods From February 2013 to April 2014, we selected 160 cases who suffered BPH, divided into experimental group and control group on average by method of random number table.The control group received routine nursing while the experimental group built up mind map of urinary continence and utilized it to take care of patients.Patients in two groups had been observed and recorded their rate, length, amount and frequency of urinary continence.IPSS, ICI-Q-SF and the effective factors of urinary continence after BPH surgery questionnaire had been made use of urinary continence reason investigation.Results Ten cases （12.5%） occurred urinary continence and lasted （4.1 ±2.8） d in the experimental group while those of data were 25 cases （31.2%）,（6.8 ±3.4）d in the control group （χ2/t=8.23,2.63, respectively;P〈0.05）.The frequency and amount of urinary continence in experimental group were lower than those in the control group, the difference were statistically significant （χ2 =4.37,5.24, respectively; P〈0.05）.The satisfaction and the degree of comfort in the experimental group were higher than those in the control group （ P 〈0.05 ）. Conclusions Mind map can effectively reduce the rate and length of urinary continence for patients after BPH surgery, and contribute to patients′quality of life and satisfaction.