护理干预预防经尿道前列腺等离子电切术后尿失禁的效果

Effect of nursing intervention on preventing urinary incontinence after transurethral plasma resection of prostate

目的分析护理干预预防经尿道前列腺等离子电切术后尿失禁的效果。方法选择我院2017年8月至2018年8月收治的择期行经尿道前列腺等离子电切术的42例患者,根据不同的护理干预方法将其分为干预组和参照组,各21例。干预组给予相关排尿、提肛训练等护理干预措施,参照组给予常规护理。比较两组的护理干预效果。结果参照组患者术后尿失禁发生率为47.62%,显著高于干预组的14.29%,差异具有统计学意义(P<0.05)。干预组尿失禁持续时间、住院时间均显短于参照组,差异具有统计学意义(P<0.05)。护理前,两组患者的HAMD、HAMA评分比较,差异不具有统计学意义(P>0.05);护理后,两组患者的HAMD、HAMA评分均显著降低,且干预组显著低于参照组,差异具有统计学意义(P<0.05)。干预组的护理满意度为90.48%,显著高于参照组的61.90%,差异具有统计学意义(P<0.05)。结论护理干预可明显缩短经尿道前列腺等离子电切术患者的尿失禁持续时间,有效预防尿失禁发生,还可缩短患者的住院时间,减轻其家庭经济压力,同时还可改善患者心理焦虑、抑郁的负面情绪,提高其护理满意度,对患者恢复具有促进意义。

Objective To analyze the effect of nursing intervention on preventing urinary incontinence after transurethral plasma resection of prostate. Methods Forty-two patients undergoing transurethral plasma resection of prostate in our hospital from August 2017 to August 2018 were selected. The patients were divided into intervention group and reference group according to different nursing interventions, with 21 cases in each group. The intervention group was given nursing intervention measures such as urination and anal lifting training, and the reference group was given routine nursing. The effects of nursing intervention were compared between the two groups. Results The incidence of urinary incontinence in the reference group was 47.62%, which was significantly higher than 14.29% in the intervention group, the difference was statistically significant (P<0.05). The duration of urinary incontinence and hospital stay in the intervention group were significantly shorter than those in the control group, the differences were statistically significant (P<0.05). Before nursing, there were no significant differences in HAMD and HAMA scores between the two groups (P>0.05);after nursing, the HAMD and HAMA scores of the two groups reduced significantly, and those in the intervention group were significantly lower than the reference group, the differences were statistically significant (P<0.05). The nursing satisfaction of the intervention group was 90.48%, which was significantly higher than 61.90% of the reference group, the difference was statistically significant (P<0.05). Conclusion Nursing intervention can significantly shorten the duration of urinary incontinence in patients undergoing transurethral plasma resection of prostate, effectively prevent the occurrence of urinary incontinence and shorten the hospital stay of patients. It can reduce their family economic pressure, improve the negative emotions of patients with psychological anxiety and depression and the nursing satisfaction, and promote the recovery of patients.