腹腔镜前列腺癌根治术后吻合口尿漏的预防与护理研究

Research of prevention and care of anastomotic urine leakage after laparoscopic radical resection of prostate cancer

为观察腹腔镜前列腺癌根治术后吻合口尿漏的护理效果,文章选取南京医科大学第一附属医院2019年8月—2020年9月收治的前列腺癌患者52例,按照简单随机化法分为对照组(常规护理)和观察组(综合护理),比较两组护理前后MSSNS评分、PSQI指数、QLQ-C30评分、并发症发生率及护理满意度。结果表明,术后观察组的MSSNS评分(42.3±2.1)分、PSQI指数(10.2±1.3)分,分别低于对照组的(54.4±2.2)分、(13.5±1.1)分,并发症发生率(7.69%)低于对照组(30.77%),观察组护理满意度(96.15%)高于对照组(76.92%),差异显著(P<0.05)。因此,腹腔镜前列腺癌根治术后应用综合护理可降低患者并发症的发生,改善睡眠质量及心理状态的同时也能提高生活质量,提高患者对护理工作的满意度。

In order to observe the nursing effect of anastomotic urine leakage after laparoscopic radical prostatectomy,52 patients with prostate cancer admitted to The First Affiliated Hospital of Nanjing Medical University from August 2019 to September 2020 were divided into the control group(routine nursing)and the observation group(comprehensive nursing)according to the simple randomization method.The MSSNS score,PSQI index,QLQ-C30 score,complication rate and nursing satisfaction of the two groups were compared before and after nursing.The results showed that the MSSNS score 42.3±2.1 and PSQI index 10.2±1.3 of the observation group were lower than those of the control group 54.4±2.2 and 13.5±1.1,respectively,the complication rate(7.69%)was lower than that of the control group(30.77%),the nursing satisfaction degree(96.15%)of the observation group was higher than that of the control group(76.92%),and the difference was significant(P<0.05).Therefore,the application of comprehensive nursing after laparoscopic radical prostatectomy can reduce the occurrence of complications,improve the quality of sleep and mental state,and also improve the quality of life,and increase the satisfaction of patients with nursing work.