Elderly patients after transurethral resection of prostate perioperative nursing.docVIP

 PAGE \* MERGEFORMAT 6 Elderly patients after transurethral resection of prostate perioperative nursing [Keywords:] transurethral resection of the prostate, prostatic hyperplasia, perioperative nursing January 2002 ~ February 2008 in our hospital vaporization of the prostate with transurethral resection of 671 cases of benign prostatic hyperplasia patients, after careful treatment and care, to obtain satisfactory results, perioperative nursing experience now reported as follows. 1 General Information 1.1 Clinical data of patients in this group of 671 cases, aged 70 to 88 years, mean 79 years, 589 cases of prostate enlargement , enlargement of 79 cases, enlargement in 3 cases, associated with dysuria 1 to 12 years, 196 cases of urinary retention before surgery have a history of 287 patients with hypertension disease, chronic bronchitis, emphysema 176 cases, 154 cases of coronary heart disease, diabetes mellitus 98 cases, 31 patients with bladder stones, urinary tract infection in 45 cases . preoperative maximum flow rate of 4.3 ~ 11.6 ml / s, an average of 9 ml / s, preoperative prostate symptom score (IPSS) 20 ~ 34 minutes, an average of 28.2 points, quality of life scores (QOL) 4 ~ 6 minutes, an average of 4.9 points. 1.2 Methods 671 patients underwent transurethral resection of the prostate, place of surgery from 22 to 24, three-cavity catheter drainage bag with 20 ~ 30 ml normal saline filled catheter connected to normal saline and then washed. 1.3 Results were successfully transurethral resection of the prostate, surgical time of 30 ~ 75 min, an average of 55 min, satisfactory postoperative care, average length of stay 10 d, were cured. 2 Care 2.1 Preoperative Care 2.1.1 The psychological care of patients facing surgery is easy to produce tension, fear, fear of accidents surgery, postoperative recovery is not satisfactory and so, nurses should be patient and carefully explain to patients the necessity and importance of surger