循证护理对经尿道前列腺等离子电切术患者康复效果的影响

Effect of Evidence-based Nursing on the Rehabilitation of Patients with Transurethal Plasmakinetic Resection of Prostate

目的:探讨循证护理(EBN)对经尿道前列腺等离子电切术(PKRP)患者康复效果的影响。方法:选取2018年1月-2019年1月60例PKRP患者,采用随机数字表法均分为C组(对照组)和EBN组(循证护理组)。C组给予手术室围术期常规护理,EBN组在C组基础上给予EBN,比较两组手术效果(术中出血量、手术时间),观察护理前后心理康复(负性情绪和睡眠质量)和术后康复(术后排气时间、术后下床时间和住院时间)情况。结果:EBN组术中出血量、手术时间均优于C组(P<0.05)。护理前,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分和匹茨堡睡眠质量指数(PSQI)评分比较,差异均无统计学意义(P>0.05)。护理后,EBN组各项评分均低于C组(P<0.05)。EBN组术后排气时间、术后下床时间和住院时间均短于C组(P<0.05)。结论:EBN可改善PKRP的手术效果,促进患者术后心理康复和身体康复。

Objective:To explore the effect of evidence-based nursing(EBN) on the rehabilitation of patients with transurethal plasmakinetic resection of prostate(PKRP).Method:60 patients with PKRP were selected from January 2018 to January 2019 and divided into the group C(the control group) and the EBN group(evidence-based nursing group) by random number table method.The group C was given routine perioperative nursing in the operating room and the EBN group was given EBN on the basis of group C.The effect of operation(intraoperative bleeding volume,operation time) were compared between the two groups.The psychological rehabilitation(negative mood and sleep quality) and postoperative rehabilitation(exhaust time,active time postoperation and hospitalization time) were observed before and after nursing.Result:The intraoperative bleeding volume and operation time in the EBN group were better than those of the group C(P<0.05).Before nursing,the scores of SAS,SDS and PSQI were compared between the two groups,the differences were not statistically significant(P>0.05).After nursing,all scores in the EBN group were lower than those of the group C(P<0.05).The exhaust time,active time postoperation and hospitalization time in the EBN group were shorter than those of the group C(P<0.05).Conclusion:EBN could improve the operative effect,promote the psychological rehabilitation and physical rehabilitation of patients with PKRP.