医护一体化护理在经尿道前列腺电切术后患者中的应用疗效

The study on the application effect of health-care integration in TURP patients

目的探讨医护一体化护理模式在前列腺电切术后患者中的应用效果。方法筛选80例行前列腺电切术后患者为研究对象,随机分为医护一体化护理组(观察组)和常规护理组(对照组),对照组给予围术期常规护理,观察组在对照组的基础上加用医护一体化干预。观察比较两组患者术后生活质量和并发症情况,比较两组患者平均住院天数及患者满意率,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价两组患者焦虑、抑郁状况,分析患者术前和术后之间的差异。结果观察组的患者术后膀胱冲洗的时间、留置导尿管的时间均少于对照组(P<0.05),住院天数缩短,并发症减少,满意率明显提高,差异均有统计学意义(P<0.05);术前两组患者SAS、SDS评分相似,术后观察组患者焦虑、抑郁评分明显好于对照组(P<0.05)。结论对实施前列腺电切术的患者采用医护一体化护理,能够有效提高手术治疗效果,减少术后并发症,缩短住院天数,减轻患者焦虑、抑郁情绪,提高患者的满意度和生活质量。

Objective To investigate the effect of integrated health service model in transurethral resection of prostate(TURP)patients.Methods A total of 80 TURP patients were divided randomly into control group(n=40)and experiment group(n=40)according to odevity of admission number.The patients in control group were received with conventional care,while in experiment group with health-care integration mode.The life quality and complication of patients in two groups were observed after treatment.The average time of hospital stay and patient satisfaction were compared between two groups.Self rating Anxiety Scale(SAS)and Self rating Depression Scale(SDS)were used to evaluate the anxiety and depression of the two groups before and after operation.Results The bladder irrigation time,indwelling catheter time,hospitalization days,postoperative complication,and satisfaction of patients in experiment group were much shorter or better than those in control group(P<0.05).The SAS or SDS scores of the two groups were similar before surgery,after medical treatment the experiment group was greatly improved than control group(P<0.05).Conclusion The application of integration of health care intervention to treat patient,who would be treated with TURP operation,can improve the curative effect of the operation,reduce the complication in the operation,shorten the average time of stay of patients,relieved the anxiety and depression of the patient,and improve the life quality of patients after the operation.