集束化干预策略对老年经尿道前列腺电切患者术后出血的影响及对膀胱痉挛的预防作用

Effect of Clustering Intervention Strategy on Postoperative Bleeding in Elderly Patients with Transurethral Resection of the Prostate and Its Preventive Effect on Bladder Spasm

目的研究对接受经尿道前列腺电切术治疗的老年患者实施集束化护理的效果。方法以2018年1月—2020年7月该院收治的88例老年前列腺增生患者为对象,按照随机数表法分为两组。44例为常规组接受常规护理,44例为集束化组接受集束化干预策略,比较两组前列腺增生症状、尿动力学改善情况及术后并发症发生情况。结果集束化组护理后2周、护理后1个月前列腺增生症状IPSS评分均低于常规组,差异有统计学意义(P<0.05);集束化组术后并发症发生率为6.82%,低于常规组22.73%,差异有统计学意义(χ^(2)=4.423,P<0.05);集束化组护理后2个月RU低于常规组,Qmax高于常规组,差异有统计学意义(t=13.393、9.618,P<0.05)。结论对接受经尿道前列腺电切术治疗的老年患者实施集束化干预策略下的护理干预可减轻症状,改善尿动力学,减少并发症。

Objective To study the effect of clustered care for elderly patients undergoing transurethral resection of the prostate.Methods From January 2018 to July 2020,88 elderly patients with benign prostatic hyperplasia in the hospital were divided into two groups according to the random number table method,44 cases were the conventional group receiving routine care,and 44 cases were the cluster group receiving the cluster intervention strategy,compare the two groups of prostate hyperplasia symptoms,urodynamic improvement and postoperative complications.Results The IPSS scores of prostate hyperplasia symptoms in the cluster group 2 weeks after nursing and 1 month after nursing were lower than those in the conventional group,and the difference was statistically significant(P<0.05);the postoperative complications rate of the cluster group was 6.82%,which was lower than 22.73%in the conventional group,and the difference was statistically significant(χ^(2)=4.423,P<0.05);RU in the cluster group was lower than that of the conventional group 2 months after nursing,and Qmax was higher than that of the conventional group,and the difference was statistically significant(t=13.393,9.618,P<0.05).Conclusion Nursing intervention under the cluster intervention strategy for elderly patients undergoing transurethral resection of the prostate can reduce symptoms,improve urodynamics,and reduce complications.