情景式健康教育对高危前列腺增生患者TURP术后并发症及生活质量的影响

The Effects of Scenario Health Education for Benign Prostatic Hyperplasia Transurethral Resection on Postoperative Complications and Quality of Life(TURP)

目的探讨情景式健康教育对高危前列腺增生（BPH）患者,经尿道前列腺电切术（TURP）术后并发症及生活质量的影响。方法选取2013年2月~2015年2月我院收治的128例行TURP治疗高危BPH患者为研究对象,按随机数字表法将患者分为观察组和对照组,各64例。对照组采用常规护理。观察组在对照组的基础上采用情景式健康教育。比较两组术后并发症发生率、自护能力及生活质量的差异。结果两组术后并发症发生率比较有显著性差异（P〈0.05）。观察组干预后自护能力评分及生活质量评分显著高于对照组（P〈0.05）。结论情景式健康教育能有效提高高危BPH患者TURP治疗效果,降低患者围手术期并发症发生率,有利于患者术后康复,提高患者生活质量。

Objective To investigate the effects of Scenario health education for benign prostatic hyperplasia transurethral resection（TURP）on the postoperative complications and quality of life.Methods 128 cases of routine TURP surgery in high risk patients were divided into observation group（n=64）and control group（n=64）from February 2013 to February2015.The patients in control group were given with surgery around conventional nursing,while were given with health education in the observation group.The incidence of postoperative complications,rehabilitation and quality of life differences of two groups were compared.Results The overall complication rate of control group and observation group were 6.25% and 21.88%,the difference was statistically significant（P〈0.05）.The selfconcept,self-care responsibility,self-care skills,health knowledge and self-care ability score of observation group were higher than control group（P〈0.05）.The material life,physical function,social function,mental function and quality of life score of observation group were higher than control groups（P〈0.05）.Conclusion Scenario health education can improve the surgery effect of high-risk patients with BPH TURP surgery treatment,reduce perioperative complication rate,improve the quality of life of patients.And it is conducive to the rehabilitation of patients after surgery.