专职化分层护理小组在前列腺电切术后行持续膀胱冲洗中的应用效果

Application of Specialized Stratified Nursing Team in Continuous Bladder Irrigation after Transurethral Resection of Prostate

目的:探讨专职化分层护理小组在前列腺电切术后持续膀胱冲洗中的应用效果。方法:随机抽签法将行前列腺电切术的130例患者分为病例组与对照组,每组65例。对照组术后持续膀胱冲洗中给予常规护理,病例组则成立专职化分层护理小组,实施分层护理。记录各组术后膀胱冲洗时间、置管时间、住院时间及并发症发生率,术前、术后1个月分别行国际前列腺症状评分(IPSS)、生活质量评分(QOL),并通过自行设计的问卷调查分析患者护理满意度。结果:膀胱冲洗时间、置管时间、住院时间方面,病例组均显著短于对照组(P <0.05);病例组膀胱痉挛发生率6.15%,术后并发症总发生率7.69%,均显著低于对照组的18.46%、27.69% (P <0.05);2组术后PISS评分、QOL评分比术前均显著下降,且病例组均显著低于对照组,差异有统计学意义(P <0.05);病例组患者满意度98.46%,显著高于对照组的83.08% (P <0.05)。结论:专职化分层护理小组设立,实施专职化分层护理能明显缩短前列腺电切术后膀胱冲洗时间,降低并发症发生率,提高患者生活质量及护理满意度。

Objective:To investigate the application of specialized stratified nursing team in continuous bladder irrigation after transurethral resection of prostate.Methods:130 patients undergoing transurethral resection of prostate were divided into the case group and the control group,with 65 cases in each group.Patients in the control group were given routine care during continuous bladder irrigation,and patients in the case group were given specialized stratified nursing by establishing specialized stratified nursing team.The postoperative bladder irrigation time,catheterization time,hospital stay and incidence of complications were recorded.The International Prostate Symptom Score(IPSS)and Quality of Life Scale(QOL)were used before surgery and at 1 month after the surgery.The satisfaction of patients with nursing was investigated through self-designed questionnaires.Results:The bladder irrigation time,catheterization time and length of stay of case group were significantly shorter than those of the control group(P<0.05).The incidence of bladder spasm and overall incidence of postoperative complications in the case group were significantly lower than those in the control group(6.15%and 7.69%vs 18.46%and 27.69%)(P<0.05).The PISS scores and QOL scores in both groups were significantly decreased after the surgery,and the scores of case group were significantly lower than those of the control group(P<0.05).The satisfaction rate of the case group was significantly higher than that of the control group(98.46%vs 83.08%)(P<0.05).Conclusion:The establishment of specialized stratified nursing team and implementation of specialized stratified nursing can significantly shorten the bladder irrigation time after transurethral resection of prostate,reduce the incidence of complications,and improve patient's quality of life and satisfaction with nursing.