摘要
目的 探讨基于质量改进模式的集束化护理在良性前列腺增生症(BPH)患者中的应用效果.方法 选择2020年6月—2022年6月本院收治的BPH患者74例,按入院顺序分为2组,2020年6月—2021年6月入院的37例患者纳入对照组(常规护理),2021年7月—2022年6月入院的37例患者纳入观察组(基于质量改进模式的集束化护理).对比2组负性情绪、生活质量、并发症.结果 护理后,观察组焦虑评分(42.15±2.76)分、抑郁评分(43.29±2.50)分,低于对照组的(46.39±2.48)分、(48.31±2.74)分,差异均有统计学意义(t=6.951、8.233,P均＜0.001).护理后,观察组生活质量综合评定问卷的心理功能维度评分(75.24±5.18)分、躯体功能维度评分(78.46±5.59)分、社会功能维度评分(78.95±7.03)分、物质生活维度评分(77.54±5.26)分,高于对照组的(68.79±4.26)分、(70.71±5.20)分、(72.35±6.14)分、(71.96±4.58)分,差异均有统计学意义(t=5.850、6.175、4.301、4.867,P均＜0.001).观察组术后并发症发生率为5.41％,低于对照组的24.32％,差异有统计学意义(x2=5.232,P=0.022).结论 基于质量改进模式的集束化护理能够有效缓解BPH患者负性情绪,减少并发症的发生,可提升患者生活质量,临床应用价值较高.
Abstract
Objective This study was aimed at exploring the effect of cluster nursing based on a quality improve-ment model in patients with benign prostatic hyperplasia(BPH).Methods A total of 74 patients with BPH admitted to our hospital between June 2020 and June 2022 were divided into two groups according to the order of admission:37 patients ad-mitted between June 2020 and June 2021 were included in the control group(routine care),and 37 patients admitted be-tween July 2021 and June 2022 were included in the observation group(cluster care based on a quality improvement model).Negative mood,quality of life and complications were compared between groups.Results After nursing,the anxiety scores and depression scores in the observation group were 42.15±2.76 points and 43.29±2.50 points,respectively,and were lower than those in the control group(46.39±2.48 points and 48.31±2.74 points,respectively);the differences between groups were statistically significant(t=6.951,8.233;both P＜0.001).After nursing,in the observation group,the quality of life comprehensive assessment questionnaire score in the psychological function dimension was 75.24±5.18 points,that in the physical function dimension was 78.46±5.59 points,that in the social function dimension was 78.95±7.03 points,and that in the material life dimension was 77.54±5.26 points;these scores were higher than those in the control group(68.79±4.26 points,70.71±5.20 points,72.35±6.14 points,and 71.96±4.58 points,respectively),and the differences between groups were statistically significant(t=5.850,6.175,4.301,4.867;all P＜0.001).The incidence of postoperative complications in the ob-servation group was 5.41％lower than that in the control group(24.32％),and the difference was statistically significant(x2=5.232,P=0.022).Conclusion Cluster nursing based on a quality improvement model effectively alleviates the negative mood and degree delirium of among patients with BPH,decreases the occurrence of complications,improves patient quality of life,and has high clinical application value.
维普
万方数据