风险护理在前列腺增生术后引流中的应用价值

Application value of risk nursing in postoperative drainage of benign prostatic hyperplasia

目的 探析风险护理在前列腺增生术后引流中的应用效果,为前列腺增生术后引流提供参考方案。方法 回顾性分析2018年12月—2020年12月廉江市人民医院收治的218例前列腺增生患者临床资料,所选患者均接受前列腺增生术治疗,依据不同护理方式分为对照组和研究组各109例。对照组应用常规护理,研究组在常规护理基础上应用风险护理。比较两组护理前后游离前列腺特异性抗原(F-PSA)、血清总前列腺特异抗原(T-PSA)水平及并发症发生率。结果 护理后,研究组F-PSA水平为(3.78±1.32)ng/mL,低于对照组的(6.95±1.61)ng/mL,差异有统计学意义(χ^(2)=7.163,P<0.05)。护理后,研究组T-PSA水平为(3.97±1.10)ng/mL,低于对照组的(5.08±1.26)ng/mL,差异有统计学意义(χ^(2)=3.318,P<0.05)。研究组并发症发生率为4.59%,低于对照组的16.51%,差异有统计学意义(χ^(2)=8.214,P<0.05)。结论 在前列腺增生患者术后引流过程中应用风险护理,可促进患者F-PSA、T-PSA水平的改善,并降低膀胱痉挛与血尿等并发症发生率,值得临床推广应用。

Objective To explore the application effect of risk nursing in postoperative drainage of benign prostatic hyperplasia,and provide a reference scheme for postoperative drainage of benign prostatic hyperplasia.Methods The clinical data of 218 patients with benign prostatic hyperplasia admitted to Lianjiang People's Hospital from December 2018 to December 2020 were retrospectively analyzed.The selected patients were all treated with benign prostatic hyperplasia surgery,and were divided into control group and study group with 109 cases in each group according to different nursing methods.The control group applied routine nursing,and the study group applied risk nursing on the basis of routine nursing.The levels of free prostate specific antigen(F-PSA),serum total prostate specific antigen(T-PSA)and the incidence of complications were compared between the two groups before and after nursing.Results After nursing,the level of F-PSA in the study group was(3.78±1.32)ng/mL,which was lower than that in the control group with(6.95±1.61)ng/mL,and the difference was statistically significant(χ^(2)=7.163,P<0.05).After nursing,the T-PSA level in the study group was(3.97±1.10)ng/mL,which was lower than that in the control group with(5.08±1.26)ng/mL,and the difference was statistically significant(χ^(2)=3.318,P<0.05).The incidence of complications in the study group was 4.59%,which was lower than that in the control group with 16.51%,and the difference was statistically significant(χ^(2)=8.214,P<0.05).Conclusion The application of risk nursing in the postoperative drainage of patients with benign prostatic hyperplasia could promote the improvement of F-PSA and T-PSA levels,and reduce the incidence of complications such as bladder spasm and hematuria,which was worthy of clinical application and promotion.