综合性护理干预对行前列腺电切术患者术后膀胱痉挛及生活质量的影响

摘要

Objective To explore the influence on bladder spasm and life quality of comprehensive nursing intervention on transurethral resection of the prostate patients postoperative. Methods Selected 80 cases from January 2010 to Jan-uary 2014 in our hospital underwent transurethral resection of the prostate, according to the different nursing methods the patients were randomly divided into intervention group and routine group, 40 cases in each group, all the patients underwent TURP operation, while the control group received routine nursing in perioperation period, intervention group focused on the comprehensive nursing implementation before and after the operation, bladder spasm, intervention on life quality after operation, QOL scoring, SAS, SDS scores preoperative and postoperative were compared between two groups. Results The bladder spasm rate of intervention group patients reached 10.0%, was significantly lower than that of the control group (30.0%), the difference was statistically significant (χ2=4.673, P<0.05). After the intervention, two groups of patients with QOL were significantly higher than those before intervention, and the intervention group was significantly higher than that of the control group, the difference was statistically significant(P<0.05). After the interven-tion, two groups of patients with SAS score, SDS score were significantly lower than those before intervention, and the intervention group decreased more significantly than the control group, the difference was statistically significant (P<0.05). Conclusion Transurethral resection of the prostate in patients with the implementation of comprehensive nursing intervention measures, can reduce the incidence of postoperative bladder spasm, improve the BPH life quality of pa-tients, alleviate the negative psychological, conducive to the resumption of the disease.%目的：探讨综合性护理干预对行前列腺电切术患者术后膀胱痉挛及生活质量的影响。方法选择2010年1月～2014年1月在我院行尿道前列腺电切术患者80例，根据护理方法不同随机分为干预组和常规组，每组40例。全部患者均行TURP手术，同时常规组于围手术期行常规对症护理，干预组着重实施综合性护理干预措施，比较两组患者术后发生膀胱痉挛情况、干预前后的生活质量（QOL）评分及术前、术后3个月SAS、SDS评分比较。结果干预组患者膀胱痉挛发生率达10.0%，显著低于对照组（30.0%），差异有统计学意义（χ2=4.673，P<0.05）。干预后，两组患者的QOL评分分别较干预前显著升高，且干预组较常规组升高更显著，差异有统计学意义（P<0.05）。干预后，两组患者的SAS评分、SDS评分分别较干预前显著降低，且干预组较常规组降低更显著，差异有统计学意义（P<0.05）。结论对行前列腺电切术患者实施综合性护理干预措施可降低术后膀胱痉挛的发生率，改善BPH患者的生活质量，缓解其负性心理，有利于疾病的恢复。