破窗理论结合预见性护理用于腹腔镜前列腺癌根治切除术效果观察

Application of window breaking theory and predictive nursing in laparoscopic radical resection of prostate cancer

目的观察破窗理论结合预见性护理用于腹腔镜前列腺癌根治切除术效果。方法选取本院2017年1月至2018年12月入住本院的腹腔镜前列腺根治手术患者100例,采用随机数字表法分为两组,各50例。观察组采用破窗理论结合预见性护理,对照组采用常规护理,对比两组患者的术后并发症(术后伤口感染、疼痛、出血、深静脉血栓形成、胃肠功能紊乱及导管脱落、下床时间延迟、护患关系异常发生情况)及手术舒适度(简化舒适状况量表评分)。结果观察组腰背疼痛、出血、胃肠紊乱、下床延迟、护患关系异常发生率分别为0.00%、0.00%、8.00%、2.00%、0.00%,均显著低于对照组,差异均有统计学意义(均P<0.05);观察组环境、社会文化、生理、心理评分分别为(23.16±1.46)分、(14.95±1.82)分、(30.16±3.16)分、(29.46±2.34)分,均显著高于对照组,差异均有统计学意义(均P<0.05)。结论应用破窗理论结合预见性护理用于腹腔镜前列腺根治术能够减少患者术后并发症、护理不良事件,患者舒适度更高,具有一定的护理借鉴价值。

Objective To observe the effect of the application of broken window theory and predictive nursing in laparoscopic radical resection of prostate cancer. Methods From January, 2017 to December, 2018, 100 patients undergoing laparoscopic prostatectomy were randomly divided into an observation group (50 cases) and a control group (50 cases). The observation group was treated with window breaking theory and predictive nursing, and the control group with routine nursing. The postoperative complications (postoperative wound infection, pain, bleeding, deep vein thrombosis, gastrointestinal dysfunction, catheter shedding, delayed time off bed, and abnormal nurse-patient relationship) and surgical comfort (simplified comfort scale) were compared between the two groups. Results The incidences of pain on waist and back, bleeding, gastrointestinal disorder, delayed time off bed, and abnormal nurse-patient relationship in the observation group were 0.00%, 0.00%, 8.00%, 2.00%, and 0.00%, which were significantly lower than those in the control group (all P < 0. 05). The scores of environment, social culture, physiology, and psychology in the observation group were (23.16±1.46),(14.95±1.82),(30.16±3.16), and (29.46 ±2.34), which were significantly higher than those in the control group (all P < 0.05). Conclusion The application of window breaking theory and predictive nursing in laparoscopic radical prostatectomy can reduce postoperative complications and adverse nursing events and improve patients' comfort, so it has certain reference value for nursing.