前列腺癌根治术后尿路感染优化护理效果

Effect of optimized nursing on postoperative urinary tract infection in radical prostatectomy patients

目的 对前列腺癌根治术术后感染护理方式进行优化并评价优化效果。方法 选取南京医科大学第一附属医院2022年1月1日-2022年7月1日前列腺癌根治术术后出现尿路感染并发症的42例患者进行随机分组,对照组和试验组各21例,对于对照组患者,施以常规的治疗方案,对于试验组患者,施以经优化的治疗方案,收集患者一般资料,观察并记录两组患者尿路感染症状程度、尿路感染治疗时长、并发症、各项检测结果数据以及患者满意度评分对优化效果进行综合评估。结果 治疗后7 d试验组患者白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、降钙素原(PCT)、C-反应蛋白(CRP)水平改善程度均优于对照组(P<0.05);治疗后7 d试验组患者miRNA-15a、miRNA-34b、miRNA-103表达水平改善程度均优于对照组(P<0.05);试验组患者感染治疗时长较对照组更短(P<0.05);试验组尿路感染治疗满意度评分较对照组高(P<0.05)。结论 采取经优化的治疗方式对患者进行治疗,治疗效果较好,缩短了患者的治疗时间,提高了患者对医护人员的满意指数。

OBJECTIVE To analyze the effect of optimized nursing on postoperative urinary tract infection in radical prostatectomy patients.METHODS A total of 42 patients with prostate cancer diagnosed in the First Affiliated Hospital of Nanjing Medical University from Jan 1,2022 to Jul 1,2022 were randomly divided into two groups:the control group and the experimental group,with 21 patients in each group.A conventional treatment plan was administered in the control group and an optimized treatment plan was administered in the experimental group.General data of the patients,the degree of urinary tract infection symptoms,duration of treatment,complications and patients'satisfaction scores were observed and recorded to comprehensively evaluate the effectiveness of optimized treatment.RESULTS After 7 days of treatment,the levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),procalcitonin(PCT)and C-reactive protein(CRP)in the experimental group were higher than those in the control group(P<0.05).The expression levels of miRNA-15a,miRNA-34b and miRNA-103 in the experimental group were higher than those in the control group at 7 days after treatment(P<o.05).The duration of infection treatment in the experimental group was shorter than that in the control group(P<o.o5).The satisfaction score of urinary tract infection treatment in the experimental group was higher than that in the control group(P<0.05).CONCLUSION Optimized treatment for patients has a good therapeutic effect,shortens the treatment time,and improves the satisfaction with medical personnel in patients.