结局分类护理对前列腺增生患者术后尿失禁及生活质量的影响

Effects of nursing intervention based on outcome classification on postoperative urinary incontinence and quality of life in patients with benign prostatic hyperplasia

目的探讨基于结局分类的护理干预对前列腺增生患者术后尿失禁发生率及生活质量的影响。方法本文为随机对照试验。选取2018年3月至2021年3月在巴彦淖尔市医院行经尿道前列腺电切术的88例前列腺增生患者作为研究对象,按照随机数字表法分为两组,各44例。对照组为采用传统护理的前列腺增生患者,年龄(71.25±7.21)岁;观察组为采用基于结局分类护理干预的前列腺增生患者,年龄(73.12±6.81)岁。统计两组患者术后尿失禁发生率、尿失禁持续时间;采用国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)比较两组患者术后生活质量;采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较两组患者心理情况。采用t检验、χ^(2)检验。结果观察组术后尿失禁发生率[4.54%(2/44)]低于对照组[20.45%(9/44)],尿失禁持续时间[(3.25±1.12)d]短于对照组[(5.64±1.23)d],差异均有统计学意义(χ^(2)=5.090,P=0.024;t=9.530,P<0.001)。观察组社会功能[(58.64±16.20)分]、情绪功能[(58.73±6.42)分]、角色功能[(60.67±11.98)分]、躯体功能评分[(66.65±13.56)分]均高于对照组[(50.20±14.80)分、(46.36±21.68)分、(53.56±16.73)分、(56.13±16.54)分],差异均有统计学意义(t=2.551、3.629、2.292、3.263,均P<0.05)。护理后,观察组SAS评分[(43.25±3.68)分]、SDS评分[(42.51±3.26)分]均低于对照组[(50.11±6.20)分、(51.27±7.34)分],差异均有统计学意义(t=6.311、7.235,均P<0.05)。结论对前列腺电切术患者,基于结局分类的护理干预能显著减少术后尿失禁发生,改善患者术后生活质量,值得在前列腺增生电切术患者日常护理中应用。

Objective To explore the effects of nursing intervention based on outcome classification on the incidence of postoperative urinary incontinence and quality of life in patients with benign prostatic hyperplasia.Methods A randomized controlled trial was conducted on 88 male patients with benign prostatic hyperplasia who underwent transurethral resection of the prostate(TRUP)in Bayannur Hospital from March 2018 to March 2021.They were divided into a control group and an observation group according to the random number table method.Forty-four patients with benign prostatic hyperplasia aged(71.25±7.21)years who received traditional nursing care were assigned to the control group,and 44 patients with benign prostatic hyperplasia aged(73.12±6.81)years who received nursing intervention based on outcome classification were assigned to the observation group.The incidence and duration of postoperative urinary incontinence were analyzed.The International Consultation on Incontinent Questionnaire-Short Form(ICIQ-SF)was used to compare the postoperative quality of life between the two groups.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the psychological statuses of the two groups.t test andχ^(2)test were used.Results The incidence of urinary incontinence in the observation group[4.54%(2/44)]was lower than that in the control group[20.45%(9/44)],and the duration of urinary incontinence[(3.25±1.12)d]was shorter than that in the control group[(5.64±1.23)d],with statistically significant differences(χ^(2)=5.090,P=0.024;t=9.530,P<0.001).The scores of social function[(58.64±16.20)points],emotional function[(58.73±6.42)points],role function[(60.67±11.98)points],and physical function[(66.65±13.56)points]in the observation group were higher than those in the control group[(50.20±14.80)points,(46.36±21.68)points,(53.56±16.73)points,and(56.13±16.54)points],with statistically significant differences(t=2.551,3.629,2.292,and 3.263;all P<0.05).After nursing,the SAS score[(43.25±3.68)points]and SDS score[(42.51±3.26)points]in the observation group were lower than those in the control group[(50.11±6.20)points and(51.27±7.34)points],with statistically significant differences(t=6.311 and 7.235,both P<0.05).Conclusion For patients undergoing TRUP,nursing intervention based on outcome classification can significantly reduce the incidence of postoperative urinary incontinence and improve the patients'quality of life,which is worthy of application in daily nursing for TRUP patients.