术前情绪管理配合互述式护理在前列腺等离子剜除术中的临床应用价值

Clinical application value of preoperative emotional management combined with family members’interactive description nursing in plasmakinetic enucleation of the prostate

目的:评价术前情绪管理配合互述式护理在前列腺等离子剜除术中的临床应用价值。方法:前瞻性选取2020年7月至2022年5月东部战区总医院秦淮医疗区泌尿外科进行前列腺等离子剜除术治疗的108例患者,随机分为对照组和观察组,每组各54例。对照组采用常规护理,观察组在常规护理的基础上实施情绪管理配合患者家属互述式护理。比较2组患者的手术时间、围手术期出血量、术后住院时间,干预前后患者抑郁和焦虑情况,以及干预后患者依从性、满意度和术后并发症发生率的差异。结果:观察组患者术后住院时间短于对照组[(6.35±1.39)d vs(7.19±1.39)d,P<0.05]。两组患者护理后SAS和SDS评分均较护理前低,且观察组患者护理后SAS和SDS评分均低于对照组,差异均具有统计学意义(P均<0.05)。观察组患者的依从率(87.04%)和满意率(92.59%)均显著高于对照组(依从率为66.67%,满意率为70.37%),差异均具有统计学意义(P均<0.05)。观察组术后并发症总发生率为7.41%,显著低于对照组(33.33%);且观察组患者的膀胱刺激症、血尿、尿潴留和发热的发生率亦显著低于对照组,差异均有统计学意义(P均<0.05)。结论:情绪管理配合互述式护理在前列腺等离子剜除患者术前应用可有效缓解负性情绪,提高患者依从性和满意度,降低术后并发症,值得临床推广应用。

Objective:To assess the clinical application value of preoperative emotional management combined with family members’interactive description nursing(PEM+FMID)in plasmakinetic enucleation of the prostate(PKEP).Methods:This perspective study included 108 cases of PKEP performed in our hospital from July 2020 to May 2022.We randomly divided the patients into a control(n=54)and an observation group(n=54),the former receiving routine nursing,while the latter PEM+FMID in addition,before surgery.We recorded the operation time,perioperative blood loss and postoperative hospital stay,obtained the patients’Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)scores before and after nursing intervention,and their compliance,satisfaction and postoperative complications after intervention,and compared the data between the two groups.Results:The average postoperative hospital stay was significantly shorter in the observation than in the control group([6.35±1.39]d vs[7.19±1.39]d,P<0.05).Compared with the baseline,the SDS and SAS scores of the patients were significantly decreased at 1 week after operation(P<0.05),and markedly lower in the observation group than in the control(P<0.05).The compliance rate(87.04%vs 66.67%)and satisfaction rate(92.59%vs 70.37%)of the patients were significantly higher in the observation than in the control group(both P<0.05),while the total incidence rate of postoperative complications was lower in the former than in the latter(7.41%vs 33.33%,P<0.05),particularly those of bladder irritation,hematuria,urinary retention and fever(all P<0.05).Conclusion:Preoperative emotional management combined with family members’interactive description nursing can effectively relieve the negative emotions of the patients undergoing PKEP,improve their compliance and satisfaction,and reduce postoperative complications.