舒适护理对前列腺增生联合治疗的影响.docVIP

舒适护理对前列腺增生联合治疗的影响 　　[摘要] 目的 研究拟胆碱能药物联合经尿道前列腺电切治疗前列腺增生过程中辅助舒适护理措施的治疗效果。方法 选取前列腺增生并发逼尿肌无力患者66例，随机分为研究组（n = 34）和对照组（n = 32）两组。对照组采取拟胆碱能药物联合经尿道前列腺电切治疗，在治疗前后采取传统的常规护理；研究组采取拟胆碱能药物联合经尿道前列腺电切治疗，治疗前后在传统的常规护理基础上再对患者进行舒适护理措施。 结果 研究组术后IPSS低于对照组，且明显低于术前（P 0.05或P 0.01）；研究组术后QOL低于对照组，且明显低于术前（P 0.05或P 0.01）；研究组术后Qmax高于对照组，且明显高于术前（P 0.05或P 0.01）。研究组护理前后SAS评分分别为（57.02±3.36）分、（48.12±4.34）分，护理后SAS评分低于护理前（P 0.01）；研究组护理前后SDS评分分别为（56.19±3.36）分、（48.14±4.36）分，护理后SDS评分低于护理前（P 0.01）；研究组和对照组护理后SAS评分分别为（48.12±4.34）分、（52.73±3.36）分，研究组低于对照组（P 0.01）；研究组和对照组护理后SDS评分分别为（48.14±4.36）分、（52.02±3.26）分，研究组低于对照组（P 0.01）。 结论 拟胆碱能药物联合经尿道前列腺电切治疗伴发逼尿肌无力的前列腺增生患者可以获得比较好的治疗效果，在治疗过程中对患者辅助舒适护理措施，可以减少患者治疗过程中焦虑和抑郁等不良情绪的产生，从而增强治疗效果，值得临床进一步推广和应用。 　　[关键词] 前列腺增生；逼尿肌无力；拟胆碱能药物联合经尿道前列腺电切治疗；舒适护理 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2013）25-0084-03 　　The effect of comforting care in the combined treatment of prostate hyperplasia 　　LIU Shuiying TONG Yanyue WAN Lijun 　　Department of Urology， Central Hospital of Quzhou City in Zhejiang Province， Quzhou 324000， China 　　[Abstract] Objective To study the auxiliary therapeutic effect of comforting care measures in the process of combined cholinergic drugs and transurethral resction of prostate treating prostatic hyperplasia. Methods Sixty-six patients with prostatic hyperplasia complicated with detrusor weak were selected as the study objects， randomly divided into the research group and the control group. The research group included 34 patients， who received comforting care measures on the basis of conventional nursing. The control group included 32 patients， who received conventional nursing care alone. Results The IPSS after surgery of 34 patients in the research group was lower than that in the control group， and was also significantly lower than that before surgery（P 　　[Key words] Prostatic hyperplasia； Detrusor weak； Treatment of cholinergic drugs combined with transurethral resection of prostate； Comforting care 　　前列腺增生是老年男性患者的常见疾病之一。开放手术和经尿道前列腺电