优化护理路径对良性前列腺增生症患者术后膀胱冲洗临床效果的影响

The clinical effect of optimizing nursing path on bladder irrigation in patients with benign prostatic hyperplasia

目的:探讨优化护理路径对良性前列腺增生症(BPH)患者术后膀胱冲洗临床效果的影响。方法:选取广西医科大学第一附属医院泌尿外科2019年7月至2020年5月收治的BPH患者80例,随机分为优化路径组及对照组,每组40例。优化路径组按照设定的护理流程进行干预,对照组采用术后常规护理。比较两组术后膀胱冲洗堵管率、膀胱冲洗时间、置管时间及并发症。随访1个月,比较两组国际前列腺症状评分(IPSS)、生活质量评分(QOL)及对护理的满意度。结果:优化路径组膀胱冲洗堵管率、术后并发症发生率低于对照组,膀胱冲洗时间、置管时间均明显短于对照组(均P<0.05);两组术后PISS评分、QOL评分显著下降,且优化路径组均显著低于对照组(均P<0.05);优化路径组患者满意度显著高于对照组(P<0.05)。结论:优化护理路径在经尿道前列腺电切术(TURP)后能明显缩短前列腺术后膀胱冲洗时间,降低并发症发生率,提升患者生活质量及护理满意度。

Objective: To explore the clinical application effect of optimized nursing path in bladder irrigation in patients with benign prostatic hyperplasia(BPH). Methods: A total of 80 patients with BPH treated in our hospital from July 2019 to May 2020 were enrolled, and randomly divided into the optimized path group and the control group, with 40 cases in each group. The optimized path group was intervened in accordance with the set nursing process, whereas the control group received routine postoperative nursing care. The rate of bladder irrigation and blocking, bladder irrigation time, catheter placement time and complications were compared between the two groups. All patients were followed up for 1 month, the International Prostate Symptom Score(IPSS), Quality of Life Score(QOL) and satisfaction with nursing carewere compared as well. Results: The bladder irrigation blocking rate, postoperative complications incidence, bladder irrigation time, and catheter placement time in the optimized route group were significantly decreased compared with the control group(P<0.05). The PISS score and QOL score in both groups were notably reduced, and the decreases were more significant in the optimized path group(P<0.05). The patients’ satisfaction rate in the optimized path group was significantly higher than that in the control group(P<0.05). Conclusion: Optimizing the nursing path after transurethral resection of prostate(TURP) can significantly shorten the time of bladder irrigation after prostatectomy, reduce the incidence of complications, and improve the quality of life and nursing satisfaction of patients.