优质护理干预在经尿道前列腺电切术治疗前列腺增生患者中的应用效果

摘要

目的:探讨优质护理干预在经尿道前列腺电切术(TURP)治疗前列腺增生(BPH)患者中的应用效果.方法:回顾性收集2015年6月 ～2017年6月我院收治的80例BPH患者的临床资料,将其随机分为观察组45例和对照组35例,对照组实施常规护理,观察组在对照组基础上实施优质护理干预.比较两组患者术后膀胱冲洗时间、留置导尿时间、住院时间、并发症发生情况、术后恢复情况及生活质量等项目.结果:观察组术后膀胱冲洗时间、留置导尿时间及住院时间明显短于对照组(P<0.05).观察组术后并发症发生明显低于对照组(P<0.05).观察组术后膀胱痉挛严重程度明显轻于对照组(P<0.05),膀胱痉挛每次持续时间短于对照组(P<0.05).两组患者护理前国际前列腺症状评分(IPSS)、生活质量指数评分(QOL)比较无统计学意义(P>0.05);两组患者护理后1个月IPSS评分及QOL评分均明显降低,与护理前相比差异有统计学意义(P<0.05);护理后1个月两组患者IPSS评分比较差异无统计学意义(P>0.05),但观察组患者护理后1个月QOL评分显著低于对照组(P<0.05).结论:TURP围术期实施优质护理干预,可有效减少并发症发生,缓解膀胱痉挛,改善BPH患者生活质量.%Objective:To explore the application effect of high quality nursing intervention in treating benign prostatic hyperplasia (BPH)by transurethral resection of prostate (TURP). Methods:The clinical data of 80 BPH patients admitted to our hospital from June 2015 to June 2017 were retrospectively col-lected. They were randomly divided into observation group and control group with 45 cases and 35 cases respectively. While the control group was treated with routine nursing,the observation group was treated with high quality nursing intervention on the basis of routine nursing. The postoperative bladder irri-gation time,indwelling catheterization time,hospital stay,complications,postoperative recovery and life quality were compared between the two groups. Results:The bladder irrigation time,indwelling catheterization time and hospital stay in the observation group were significantly shorter than those in the control group(P < 0. 05);postoperative complications dramatically were lower than those in the control group(P < 0. 05);the degree of postoperative blad-der spasm was less than that in the control group(P < 0. 05);the duration of bladder spasm was shorter than that in the control group(P < 0. 05). There was not statistical significance in the score of international prostate symptom score (IPSS)and quality of life (QOL)between the two groups before nursing (P > 0. 05);however,at one month after nursing,the score of IPSS and QOL between the two groups significantly decreased,and difference was of statisti-cal significance(P < 0. 05);there was not statistical significance in IPSS score between the two groups at one month after nursing(P > 0. 05),but the QOL score of the observation group at one month after nursing was obviously lower than that of the control group(P < 0. 05). Conclusion:Implementing high quality nursing intervention during TURP perioperative period can effectively reduce the incidence of complications,relieve bladder spasm,and improve the life quality of patients with BPH.