舒适护理对前列腺电切术后膀胱痉挛及护理质量的影响

Effects of Comfortable Nursing on the Quality of Care and Cystospasm after TURP

目的：探讨舒适护理对前列良性腺增生（BPH）患者经尿道前列腺电切术（TURP）术后膀胱痉挛及护理质量的影响。方法：选择符合上述标准的患者200例，采用简单随机化分组法分为观察组和对照组各100例，两组患者均给予常规护理，观察组实施舒适护理，比较术后膀胱痉挛发生情况、住院期间舒适度及护理质量。结果：观察组患者术后膀胱痉挛发生率16.00％，对照组患者术后膀胱痉挛发生率39.00％，差异有统计学意义（χ2＝13.266，P〈0.001）。观察组患者简化舒适状况量表（中文版）各维度评分均高于对照组，差异有统计学意义（ P〈0.05）。观察组患者护理质量各维度评分均高于对照组，差异有统计学意义（ P〈0.05）。结论：舒适护理能有效预防BPH患者TURP 术后膀胱痉挛的发生，提高患者住院期间舒适度，改善护理质量。

Objective：To investigate the effects of comfortable nursing on the quality of care and cysto-spasm after transurethral resection of prostate （TURP） in patients with benign prostatic hyperplasia （BPH）. Methods：Totally 200 eligible patients were selected and randomly divided into observation group and control group, with 100 patients in each group. The patients of both groups were given usual care, while the observa-tion group given comfortable nursing additionally. The occurrences of postoperative cystospasm, degrees of comfort and qualities of care during hospital stay were compared. Results：The incidences of postoperative cys-tospasm of the observation group and the control group were 16.00%and 39.00%, respectively, and the differ-ence was statistically significant （χ2=13.266, P〈0.001）. The patients of the observation group had signifi-cantly higher scores of simplified General Comfort Questionnaire （ GOQ, Chinese version） , including physio-logical, mental, psychic, social, cultural, and environmental dimensions, than those of the control group （ P〈0.05） . The patients of the observation group had significantly higher scores of quality of care than those of the control group （ P〈0.05） . Conclusion：Comfortable nursing can effectively prevent from the occurrence of cys-tospasm after TURP, elevate the degree of comfort and improve the quality of care during hospital stay in BPH patients.