护患平行沟通对良性前列腺增生患者遵医行为及术后并发症的影响

Effects of nurse-patient horizontal communication on medical compliance behavior and postoperative ;complications in patients with benign prostatic hyperplasia

目的：探讨护患平行沟通对良性前列腺增生患者遵医行为及术后并发症的影响。方法选取2014年3月—2015年12月湖南省人民医院泌尿外科收治的218例良性前列腺增生患者，按照入院顺序分为对照组和观察组各109例。两组患者均给予泌尿外科常规护理，观察组在常规护理基础上实施个性化的平行沟通模式，干预后评价两组患者的遵医行为、住院时间、术后并发症、患者满意度。结果观察组患者在遵医用药、合理饮食、合理休息、戒烟戒酒方面的遵医行为优于对照组；观察组患者住院时间少于对照组；出院后3个月内观察组患者发生肉眼血尿、排尿失禁、下尿路症状的人数少于对照组；观察组患者满意度高于对照组，差异均有统计学意义（ 〈0.05）。结论护患平行沟通有利于提高患者的遵医行为，缩短住院时间，减少并发症的发生、提高患者满意度。

Objective To explore the effects of nurse-patient horizontal communication on medical compliance behavior and postoperative complications in patients with benign prostatic hyperplasia （ BPH ） . Methods A total of 218 patients with BPH were recruited in the department of urology of Hunan Provincial People′s Hospital from March 2014 to December 2015. They were divided into control group （ n=109, routine nursing） and experimental group （ n=109, routine nursing＋personalized horizontal communication model ） according to the order of admission. After intervention, patient compliance, the length of hospital stay, postoperative complications and patient satisfaction were evaluated between two groups. Results The patient compliance behavior on medication, reasonable diet and relaxation, giving up smoking and drinking of patients in experimental group were better than those in control group. Besides, the length of hospital stay and the number of patients with gross hematuria, enuresis or lower urinary tract symptoms in experimental group were less than those in control group. Moreover, the patient satisfaction of experimental group was better than that of control group. There were significant differences in those aspects between two groups （ P 〈 0. 05 ） . Conclusions The nurse-patient horizontal communication will be propitious to improve the patient compliance, reduce the length of hospital stay, decrease the incidence of complications and increase the patient satisfaction.