思维导图在前列腺增生患者术后尿失禁护理中的应用

Application of Mind Mapping in Nursing of Urinary Incontinence after Prostate Hyperplasia Operation

目的:探究思维导图在前列腺增生患者术后尿失禁护理中的临床影响。方法:选取2017年1月-2018年1月笔者所在医院收治的105例前列腺增生患者作为研究对象,随机将其分为两组,对照组52例患者采用常规护理方法,观察组53例患者采用思维导图方式进行护理,对比两组患者尿失禁发生率、持续时间、ICI-Q-SF(国际尿失禁咨询委员会尿失禁问卷表简表)评分、住院时间、护理前后患者精神焦虑状态、护理后患者护理满意度和对护理知识掌握程度。结果:观察组患者护理后尿失禁发生率、持续时间和ICI-Q-SF评分明显低于对照组,差异均有统计学意义(P<0.05);术后5 d和出院时观察组患者焦虑评分均低于对照组,差异均有统计学意义(P<0.05);观察组患者护理后住院时间低于对照组,护理满意度评分和护理知识认知度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:采用思维导图进行护理干预可以有效降低前列腺增生患者术后尿失禁的发生率、减少尿失禁持续时间和住院时间,降低ICI-Q-SF评分,缓解患者术后焦虑情绪,同时提高患者的护理满意度和对护理知识的认知度。

Objective:To explore the clinical effect of thinking map in nursing care of postoperative urinary incontinence in patients with benign prostatic hyperplasia.Method:A total of 105 patients with BPH admitted to our hospital from January 2017 to January 2018 were randomly divided into two groups.52 patients in the control group were given routine nursing,and 53 patients in the observation group were given mind mapping nursing.The incidence,duration and ICI-Q-SF (Questionnaire summary table score),length of stay,mental anxiety state of patients before and after nursing care,nursing satisfaction of patients after nursing care and the degree of mastery of nursing knowledge of urinary incontinence were compared between the two groups.Result:The incidence of urinary incontinence,duration and ICI-Q-SF scores in the observation group were significantly lower than in the control group(P<0.05).The anxiety scores of the observation group were lower than that of the control group on the 5th day after operation and at the time of discharge,and the difference were statistically significant(P<0.05).In the observation group,the hospital stay was lower than that of the control group,and the scores of nursing satisfaction and nursing knowledge were all higher than that of the control group(P<0.05).Conclusion:Mind mapping nursing intervention can effectively reduce the incidence of urinary incontinence,reduce the duration of urinary incontinence and hospitalization time,reduce ICI-Q-SF score,alleviate the anxiety of patients after operation,and improve patients'nursing satisfaction and awareness of nursing knowledge.