微课式功能锻炼指导在机器人辅助腹腔镜前列腺癌根治术后尿失禁患者中的应用

Application of mini-course functional exercise guidance in patients with urinary incontinence after robot-assisted laparoscopic radical prostatectomy

目的探讨微课式功能锻炼指导对机器人辅助腹腔镜前列腺癌根治术后尿失禁患者的影响。方法选取2018年3-10月南京鼓楼医院行机器人辅助腹腔镜前列腺癌根治术后发生尿失禁患者80例,采用随机数字表法分为微课指导组与常规对照组,各40例。常规对照组采用护士口头宣教并发放宣传册,微课指导组采用微课式功能锻炼指导干预。比较2组患者出院时和出院后1、3、6个月的功能锻炼有效率、尿失禁生活质量问卷(I-QOL)评分以及Zung氏焦虑自评量表(SAS)评分。结果微课指导组出院后3、6个月的尿失禁功能锻炼有效率明显高于常规对照组[45.0%(18/40)比22.5%(9/40)、85.0%(34/40)比52.5%(21/40)],差异均有统计学意义(均P<0.05)。微课指导组出院后3、6个月I-QOL评分明显高于常规对照组[(76±7)分比(64±9)分、(85±8)分比(72±12)分],SAS评分明显低于常规对照组[(40±6)分比(46±6)分、(37±5)分比(42±6)分],差异均有统计学意义(均P<0.001)。结论微课式功能锻炼指导应用于机器人前列腺癌根治术后尿失禁患者可提高功能锻炼有效性,改善生活质量,减轻焦虑情绪。

Objective To explore the effect of mini-course functional exercise guidance on patients with urinary incontinence after robot-assisted laparoscopic radical prostatectomy. Methods From March to October2018,80 patients suffering from urinary incontinence after robot-assisted laparoscopic radical prostatectomy were enrolled in Nanjing Drum Tower Hospital. The patients were randomly divided into mini-course group and routine group,with 40 cases in each group. The routine group was given face-to-face health education. The mini-course group used mini-course to guide functional exercise. Effectiveness of functional exercise,scoresof IncontinenceQuality of Life( I-QOL) and Zung’s Self-rating Anxiety Scale( SAS) were analyzed before and 1,3,6 months after discharge. Results The 3-and 6-month effective rates of functional exercise in mini-course group were significantly higher than those in routine group[45. 0%( 18/40) vs 22. 5%( 9/40),85. 0%( 34/40) vs 52. 5%( 21/40) ]( both P < 0. 05). In mini-course group,3-and 6-month I-QOL scores were significantly higher[( 76 ± 7) vs( 64 ± 9),( 85 ± 8) vs( 72 ± 12) ]and SAS scores were lower[( 40 ± 6) vs( 46 ± 6),( 37 ± 5) vs( 42 ± 6) ]as compared with routine group( all P < 0. 001). Conclusion Mini-course guidance in patients with urinary incontinence after radical prostatectomy can enhance the effectiveness of functional exercise,improve the quality of life and alleviate anxiety.