预见性护理小组的建立对经尿道前列腺电切术疗效及术后并发症的影响

Influence of predictive nursing group on curative effect and postoperative complications of transurethral resection of prostate

目的研究对经尿道前列腺电切术患者在临床治疗与护理过程中,科室成立预见性护理小组为其提供全面护理干预措施对术后疗效及并发症出现的影响。方法选取该院2014年2月-2015年2月收治的60例接受经尿道前列腺电切术患者,按照入院先后顺序将其划分为对照组30例与干预组30例,对照组患者围手术期间接受常规治疗措施与护理服务,干预组患者在对照组基础上重点提供并发症预防护理,观察两组患者治疗效果,总结患者对护理服务满意度,得出其对于临床护理质量评分,总结患者术后并发症发生情况。结果对照组患者术后并发症发生率为30.00%,高于干预组患者的13.33%(P<0.05);对照组患者对于临床服务的满意度为73.33%,低于干预组患者的93.33%(P<0.05);对照组患者对于临床护理相关的知识宣教、并发症预防、病情监测及饮食指导等方面评分均低于干预组患者(P<0.05);对照组患者留置导尿管、膀胱冲洗及住院时间均长于干预组患者(P<0.05);对照组患者经护理干预后手术治疗有效率为83.33%,低于干预组患者的96.67%(P<0.05)。结论对接受前列腺电切术患者做好预见性护理服务,临床科室成立预见护理小组,及时发现并发症的早期征象出现,提供预防措施,大部分患者对临床护理服务满意,且患者术后恢复情况较好,患者并发症发生率较低,且对临床护理质量评分较高,治疗有效率较高,值得临床推广。

【Objective】To study the influence of comprehensive nursing intervention measures provided by predictive nursing group on the curative effect and postoperative complications of transurethral resection of the prostate.【Methods】Sixty patients undergoing transurethral resection of prostate in our hospital from February 2014 to February 2015 were divided into control group and intervention group according to admission order with 30 cases in each group. The control group patients received routine treatment and nursing care during perioperative period, and the intervention group patients were provided preventive nursing for complications on the basis of the control group. Treatment efficiency in the two groups were observed, patient satisfaction with nursing care was summarized, the quality score of clinical nursing was obtained, and postoperative complications were summarized.【Results】The incidence rate of complications in the control group（30.00%） was significantly higher than that in the intervention group（13.33%）（P〈0.05）.The patient satisfaction of the control group（73.33%） was significantly lower than that of the intervention group（93.33%）（P〈0.05）. The scores in the aspects of knowledge education, prevention of complications, disease monitoring and diet guidance of patients in the control group were significantly lower than those in the intervention group（P〈0.05）. Catheter indwelling time, bladder irrigation time and hospitalization time of the control group were significantly longer than those of the intervention group（P〈0.05）. After nursing intervention, the effective rate of the control group（83.33%） was significantly lower than that of the intervention group（96.67%）（P〈0.05）.【Conclusion】Foresight nursing teams are established in clinical departments to provide foreseeing nursing service for patients with prostate resection, which can timely detect early signs of complications and provide preventive measures. Most patients are satisfied with clinical nursing service, and have good recoveries after surgery with low incidence of complications. The clinical nursing quality score and effective rate of treatment are relatively high, so it is worthy of clinical promotion.