首页|个案管理模式在前列腺癌根治术患者中的应用效果及对自我护理能力的影响

个案管理模式在前列腺癌根治术患者中的应用效果及对自我护理能力的影响

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目的 探讨个案管理模式在前列腺癌根治术患者中的应用效果及对自我护理能力的影响。方法 选取2020年 1 月至 2021 年 12 月接受前列腺癌根治术治疗的 90 例患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 45 例。对照组实施常规护理干预,观察组实施个案管理模式干预。比较两组的干预效果。结果 观察组的术后肠功能恢复时间短于对照组,术后最大尿流率(Qmax)高于对照组,术后残余尿量(PVR)、术后前列腺特异性抗原水平低于对照组(P﹤0。05)。术后3、6个月,观察组的尿控总有效率高于对照组(P﹤0。05)。随访6个月,观察组的自我护理能力量表(ESCA)各维度评分及总分高于对照组(P﹤0。05)。结论 个案管理模式可提高前列腺癌根治术患者的尿控能力,有效降低尿失禁风险,还可提高自我护理能力,促进术后恢复。
Application effect of case management model in patients undergoing radical prostatectomy and its influence on self-care ability
Objective To explore the application effect of case management model in patients undergoing radical prostatectomy and its influence on self-care ability.Methods A total of 90 patients who underwent radical prostatectomy from January 2020 to December 2021 were selected as the research objects and divided into control group and observation group according to the random number table method,with 45 cases in each group.The control group was given routine nursing intervention,and the observation group was given case management model intervention.The intervention effects of the two groups were compared.Results The postoperative intestinal function recovery time of the observation group was shorter than that of the control group,the postoperative maximum flow rate(Qmax)was higher than that of the control group,and the postoperative post-voiding residual urine volume(PVR)and prostate specific antigen level were lower than those of the control group(P<0.05).At 3 and 6 months after operation,the total effective rate of urinary control in the observation group was higher than that in the control group(P<0.05).At 6 months of follow-up,the scores of each dimension and total score of the Exercise of Self-Care Agency Scale(ESCA)in the observation group were higher than those in the control group(P<0.05).Conclusion The case management model can improve the urinary control ability of patients undergoing radical prostatectomy,effectively reduce the risk of urinary incontinence,improve their self-care ability,and promote postoperative recovery.

radical prostatectomycase management modelself-care ability

蔡杨萍、任宝明、李建龙、李焕、田玉杰、田溪、白婕、白静

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西北大学附属医院·西安市第三医院,陕西 西安,710021

西安医学院第二附属医院,陕西 西安,710038

前列腺癌根治术 个案管理模式 自我护理能力

陕西省重点研发计划项目

S2022-YF-YBSF-0874

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(6)
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