延续护理对前列腺癌术后尿失禁患者控尿功能及生活质量的影响

Effects of transitional care on urinary control function and quality of life among prostatic cancer patients with postoperative urinary incontinence

目的探讨延续护理对前列腺癌患者术后控尿功能及生活质量的影响,为提高患者出院后生活质量提供依据。方法选取2013 年1 月—2014 年12 月温州医科大学附属第一医院前列腺癌术后尿失禁患者120 例作为研究对象,根据随机数字表法将其分为观察组与对照组各60 例。对照组患者出院后给予常规护理指导,观察组患者出院后在常规护理基础上实施延续护理。出院后6 个月比较两组患者的控尿功能和生活质量情况。结果观察组盆底肌功能锻炼总依从率为91.7%,高于对照组的 71.7%(χ2=8.015,P< 0.01);观察组的自我护理、自我责任感、自我概念、健康知识水平得分均高于对照组(t值分别为4.536、11.425、9.674、2.942;P< 0.01);观察组控尿功能恢复时间为(1.21±0.72)个月,短于对照组的(3.03±0.84)个月(t=12.742,P < 0.01);观察组生活质量总分为(77.13±12.42)分,高于对照组的(59.76±13.21)分(t=6.574,P< 0.01),差异均有统计学意义。结论对出院后的前列腺癌术后患者给予延续护理,能够提高患者的依从性,提高患者自护能力,缩短术后控尿功能恢复时间,提高患者的生活质量。

Objective To explore the effects of transitional care on postoperative urinary control function and quality of life among prostatic cancer patients so as to provide a basis for improving patients' quality of life after discharge. Methods From January 2013 to December 2014, we selected 120 prostatic cancer patients with postoperative urinary incontinence of the First Affiliated Hospital of Wenzhou Medical University as subjects. All of the patients were divided into observation group and control group with the method of random number table. Patients of control group received routine nursing instruction after discharge. On the basis of routine nursing, patients of observation group were treated with transitional care after discharge. The urinary control function and quality of life of patients between two groups were compared six months after discharge. Results The total compliance rate of functional exercise for pelvic mucles in observation group was 91.7% statistically higher than that( 71.7%) of control group(χ2=8.015, P < 0.01);the scores of self-care, selfresponsibility, self-concept and health knowledge of observation group were statistically higher than those of control group( t=4.536, 11.425, 9.674, 2.942;P < 0.01). The recovery time of urinary control function of observation group was( 1.21±0.72) months lower than that( 3.03±0.84) months of control group( t=12.742,P< 0.01);the total score of quality of life was( 77.13±12.42) in observation group higher than that( 59.76±13.21) in control group( t=6.574, P < 0.01);the differences were all statistical. Conclusions The application of transitional care in postoperative prostatic cancer patients after discharge can improve patient compliance as well as self-care ability, shorten postoperative recovery time of urinary control function and improve patients' quality of life.