个性化护理模式在经皮肾镜钬激光碎石联合前列腺电切术治疗良性前列腺增生伴发膀胱结石中的应用
Application of personalized nursing model in improving urination in patients with benign prostatic hyperplasia and bladder stones treated by percutaneous nephrolithotripsy combined with prostate electrocautery
黄秋菊 1黄桂珍 1林芊红1
作者信息
- 1. 广东省茂名农垦医院 外二科,广东 茂名 525200
- 折叠
摘要
目的 探究个性化护理模式对经皮肾镜钬激光碎石联合前列腺电切术(percutaneous neplrolithotripsy,PVP-HoLEP)治疗良性前列腺增生(hyperplasia of prostate,BPH)伴发膀胱结石患者排尿的改善效果.方法 选取2020年12月至2022年12月广东省茂名农垦医院收治的100例BPH合并膀胱结石患者作为研究对象,按照随机数字表法分为对照组与观察组,每组50例.对照组采用常规护理,观察组采用个性化护理模式.比较两组排尿情况、护理前后生命质量量表(short form 36 questionnaire,SF-36)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分及术后并发症发生情况.结果 护理前,两组日间、夜间排尿次数、尿失禁频次比较,差异无统计学意义(P＞0.05);护理后,观察组日间、夜间排尿次数、尿失禁频次均低于对照组,差异有统计学意义(P＜0.05).护理前,两组SF-36评分比较,差异无统计学意义(P＞0.05);护理后,观察组身体机能、心智能力、社会活动、物质差别评分均高于对照组,差异有统计学意义(P＜0.05).护理前,两组HAMA、HAMD评分比较,差异无统计学意义(P＞0.05);护理后,观察组HAMA、HAMD评分均低于对照组,差异有统计学意义(P＜0.05).观察组并发症总发生率低于对照组,差异有统计学意义(P＜0.05).结论 个体化护理模式应用于PVP-HoLEP治疗BPH伴发膀胱结石患者,可改善患者排尿功能,提高其生命质量,降低负性情绪与并发症发生率.
Abstract
Objective To explore the effect of personalized nursing mode on the improvement of urination in patients with benign prostatic hyperplasia(BPH)accompanied by bladder stones treated with percutaneous nephrolithotripsy(PVP-HoLEP)combined with prostate electrocautery.Methods A total of 100 patients with BPH complicated with bladder stones admitted to Maoming Agricultural Reclamation Hospital in Guangdong Province from December 2020 to December 2022 were selected as the study objects.They were randomly divided into a control group and an observation group using a random number table method,with 50 cases in each group.The control group received routine care,while the observation group received personalized care.The urination status,short form 36 questionnaire(SF-36),Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)scores,and postoperative complications were compared between two groups of patients before and after nursing care.Results Before nursing,there were no statistically significant differences(P＞0.05)in the frequency of daytime and nighttime urination and urinary incontinence between the two groups.After nursing,the observation group had lower daytime and nighttime urination frequency and urinary incontinence frequency than the control group,and the differences were statistically significant(P＜0.05).Before nursing,there was no statistically significant difference in SF-36 scores between the two groups(P＞0.05);after nursing,the physical function,mental ability,social activity,and material difference scores of the observation group were higher than those of the control group,and the differences were statistically significant(P＜0.05).Before nursing,there were no statistically significant differences in HAMA and HAMD scores between the two groups(P＞0.05);after nursing,the HAMA and HAMD scores of the observation group were lower than those of the control group,and the differences were statistically significant(P＜0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion The application of individualized nursing model in PVP-HoLEP treatment of BPH patients with bladder stones can improve urination,enhance patient quality of life,and reduce the incidence of negative emotions and complications.
关键词
个性化护理/经皮肾镜钬激光碎石/前列腺电切术/良性前列腺增生/膀胱结石Key words
Personalized nursing/Percutaneous nephroscopic holmium laser lithotripsy/Prostatectomy/Benign prostatic hyperplasia/Bladder stones引用本文复制引用
出版年
2024
NETL
NSTL
万方数据