基于压力与适应理论的护理干预结合“三三法则”对经尿道前列腺电切术后膀胱过度活动症患者疼痛程度、排尿情况的影响

Effects of nursing intervention based on stress and adaptation theory combined with"three-three rule"on the pain intensity and urination of patients with overactive bladder after transurethral resection of prostate

目的探究基于压力与适应理论的护理干预结合“三三法则”对经尿道前列腺电切术(TURP)后膀胱过度活动症患者疼痛程度、排尿情况的影响。方法择取2018年4月至2021年12月接收的90例TURP术后膀胱过度活动症患者作为研究对象,根据术后干预方案不同将其分为对照组和观察组,每组45例。对照组接受常规护理,观察组在对照组基础上加施基于压力与适应理论的护理干预结合“三三法则”。比较两组的干预效果。结果干预后,观察组的P物质(SP)、多巴胺(DA)、前列腺素E_(2)(PGE_(2))水平以及视觉模拟评分法(VAS)评分均低于对照组(P<0.05)。干预后,观察组的每次排尿量大于对照组,24 h排尿次数、24 h尿急次数、24 h夜尿次数少于对照组(P<0.05)。干预后,观察组的改良疾病感知问卷(IPQ-R)各部分评分均高于对照组(P<0.05)。结论基于压力与适应理论的护理干预结合“三三法则”不仅能降低TURP术后膀胱过度活动症患者的疼痛程度,还能提高其疾病感知能力,改善排尿情况。

Objective To explore the effects of nursing intervention based on stress and adaptation theory combined with"three-three rule"on the pain intensity and urination of patients with overactive bladder after transurethral resection of prostate(TURP).Methods A total of 90 patients with overactive bladder after TURP admitted to our hospital from April 2018 to December 2021 were selected as the study objects and divided into control group and observation group according to the different postoperative intervention plan,with 45 cases in each group.The control group received routine nursing,and the observation group received nursing intervention based on stress and adaptation theory combined with"three-three rule".The intervention effects of the two groups were compared.Results After intervention,the levels of substance P(SP),dopamine(DA),prostaglandin E_(2)(PGE_(2))and Visual Analogue Scale(VAS)score in the observation group were lower than those in the control group(P<0.05).After intervention,each urination volume of the observation group was greater than that of the control group,and 24 h urination frequency,24 h urgent urination frequency and 24 h night urination frequency were less than that of the control group(P<0.05).After intervention,the Revised Illness Perception Questionnaire(IPQ-R)scores for each part of the observation group were higher than those of the control group(P<0.05).Conclusion Nursing intervention based on stress and adaptation theory combined with"three-three rule"can not only reduce the pain intensity of patients with overactive bladder after TURP,but also improve disease perception ability and ameliorate urination conditions.