延续性护理在机器人辅助腹腔镜前列腺癌根治术后患者中的应用

Application of continuous nursing in patients with robot assisted laparoscopic radical prostatectomy

目的:分析延续性护理在机器人辅助腹腔镜前列腺癌根治术后患者中的应用效果。方法:选取48例机器人辅助腹腔镜前列腺癌根治术的前列腺癌患者,随机分为观察组和对照组各24例,对照组实施常规护理,观察组实施电话、微信以及视频宣教、回馈教学等方法的延续性护理,共干预3个月。对两组患者应用生命质量测定量表、90项症状清单评分和尿失禁问卷简表进行效果对比。结果:观察组患者在疼痛、疲乏、便秘、失眠、总体健康状况方面均优于对照组;观察组患者在躯体化、人际关系、抑郁、焦虑、偏执、精神性方面均优于对照组;观察组患者尿失禁发生率低于对照组;差异均具有统计学意义(P<0.05)。结论:对接受机器人辅助腹腔镜前列腺癌根治术的前列腺癌患者实施延续性护理,可以提高生活质量,减轻心理症状,降低尿失禁发生率,改善患者的预后。

Objective:To explore the application of continuous nursing in patients with robot assisted laparoscopic radical prostatectomy.Methods:48 patients with prostate cancer undergoing RALP were randomly divided into control group and continuous nursing group.Each group had 24 patients.The patients of control group received routine nursing,while the patients of observation group received continuing nursing,including education by telephone,Wechat,video,back-to-hospital examination,and feedback teaching.The intervention lasted for 3 months.Quality of life questionnaire-core 30(QLQ-C30),symptom check list-90(SCL-90)and international consultation on incontinence questionnaire short form(ICI-Q-SF)were used to compare between the two groups.Results:The patients in the observation group were better than those in the control group in five dimensions,including pain,fatigue,constipation,insomnia and general health status;they were superior to those in the control group in six dimensions,including somatization,interpersonal relationship,depression,anxiety,paranoia and psychiatry;the incidence of urinary incontinence in the observation group was lower;the differences were statistically significant(P<0.05).Conclusion:Continuous nursing for patients with prostate cancer receiving robot assisted laparoscopic radical prostatectomy can improve quality of life,all eviate psychological symptoms,reduce the incidence of urinary incontinence and improve their prognosis.