Effect of Kegel exercise combined with psychological support on urinary incontinence in patients after robot-assisted radical prostatectomy
Objective:To investigate the effect of Kegel exercise combined with psychological support on urinary incontinence in patients after robot-assisted radical prostatectomy(RARP).Methods:104 patients who underwent RARP in Xixian Branch of Shaanxi Provincial People's Hospital from August 2020 to August 2023 were selected for prospective study.They were divided into the study group(n=52)and the control group(n=52)using a random number table.Patients in the control group received conventional nursing intervention with psychological support,and those in the study group received Kegel exercise on the basis of the control group.Urinary control recovery,urination indexes,negative emotions and nursing satisfaction of patients in the two groups were compared.Results:Compared with the control group,the duration of urinary incontinence in the study group was shorter,and the urinary control was better at 1 month and 3 months after surgery.The timepoint,intragroup,and interaction comparisons of the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form(ICIQ-UI SF)scores between the two groups were statistically significant,and the ICIQ-UI SF scores of patients in the two groups 3 months after surgery were lower than those 1 month before surgery and the immediate urinary catheterization,and they were lower in the study group than those in the control group.Compared with the immediate removal of urinary catheter after surgery,post-void residual urine(PVR)was lower,while maximum flow rate(Qmax)and maximal detrusor pressure(MDP)were higher in the two groups after intervention.Comparing with the control group,lower PVR,higher Qmax and MDP were found in the study group.The differences in timepoint,intragroup,and interaction comparisons of self-rating depression scale(SDS)scores and self-rating anxiety scale(SAS)scores were statistically significant between the two groups of patients,SDS and SAS scores were lower in the two groups at 3 months after surgery than that 1 month after surgery and immediate removal of urethral catheter postoperatively,and they were lower in the study group than those in the control group.Compared with the control group,the study group had better nursing satisfaction at discharge.Conclusion:Application of Kegel exercise combined with psychological support after RARP can effectively promote the recovery of patients'urinary control,enhance urination function,improve negative emotion,and raise patient satisfaction.
Robot-assisted SurgeryRadical ProstatectomyUrinary IncontinenceKegel ExercisePsychological Support
万方数据
维普
