目的 分析基于循证医学的多维度协同护理在前列腺切除术后尿失禁患者康复中的应用效果.方法 选取2022年6月至2023年12月接受前列腺切除术后尿失禁患者80例,按随机数表方式设为观察组(采用基于循证医学的多维度协同护理)和对照组(采用常规尿失禁护理),每组40例.记录2组国际前列腺症状评分(international prostate symptom score,IPSS)、国际尿失禁问卷表(international consultation on incontinence questionnaire-urinary incontinence short form,ICI-Q-SF)评分,观察 2 组排尿情况,统计 2 组抑郁自评量表(self-rating depression scale,SDS)评分、焦虑自评量表(self-rating anxiety scale,SAS)评分、尿失禁生活质量量表(incontinence quality of life,I-QOL)评分及护理满意度.结果 干预后2组IPSS、ICI-Q-SF评分较干预前减轻,且观察组数据更低(P＜0.05);在各项排尿情况方面,观察组排尿量、日漏尿次数、日排尿次数更少,恢复控尿时间更快(P＜0.05);干预后2组SDS、SAS评分较干预前减少,且观察组评分更低(P＜0.05);干预后2组社交活动限制、行为限制、心理影响评分较干预前增加,且观察组评分更高(P＜0.05);在护理满意度方面,观察组满意度占比较高(P＜0.05).结论 基于循证医学的多维度协同护理能有效改善前列腺切除术后尿失禁患者症状、尿失禁程度及排尿功能,缓解不良情绪,提高生活质量和护理满意度,促进患者恢复.
Application effect of multi-dimensional collaborative nursing based on evidence-based medicine in rehabilitation of patients with urinary incontinence after prostatectomy
Objective To analyze the effect of multi-dimensional collaborative nursing based on evidence-based medicine on the rehabilitation of patients with urinary incontinence after prostatectomy.Methods A total of 80 patients with urinary incontinence after prostatectomy in our hospital from June 2022 to December 2023 were selected and included,and they were divided into the observation group(40 cases using multi-dimensional collaborative nursing based on evidence-based medicine)and the control group(40 cases using routine urinary incontinence nursing)according to a random number table.The International Prostate Symptom Score(IPSS)and International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form(ICI-Q-SF)Score were recorded.The urination conditions of the two groups were observed,and the scores of Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS),Incontinence Quality Of Life(I-QOL)and nursing satisfaction of the two groups were counted.Results After intervention,IPSS and ICI Q-SF scores significantly decreased compared with those before intervention,which were significantly lower in the observation group than the control group(P＜0.05).In terms of various urination conditions,patients in the observation group had less urination volume,daily leakage times and daily urination times,and faster recovery of urination control(P＜0.05).The SDS and SAS scores after intervention were significantly lower than those before intervention,which were significantly lower in the observation group than the control group(P＜0.05).After intervention,the scores of social activity restriction,behavioral restriction and psychological impact of the two groups significantly increased compared with those before intervention,which were significantly higher in the observation group than the control group(P＜0.05).The nursing satisfaction of observation group was significantly higher than the control group(P＜0.05).Conclusion Multi-dimensional collaborative nursing based on evidence-based medicine can effectively improve the symptoms,degree of incontinence and urination function,relieve bad mood,and enhance quality of life,nursing satisfaction,and recovery of patients with urinary incontinence after prostatectomy.
benign prostatic hyperplasiaprostatectomyurinary incontinencemulti-dimensional collaborative nursing based on evidence-based medicine
NETL
NSTL
万方数据
