对经尿道前列腺电切术患者实施综合护理干预临床效果及对尿失禁影响.docVIP

对经尿道前列腺电切术患者实施综合护理干预临床效果及对尿失禁影响 　　【摘要】 目的 分析对经尿道前列腺电切术患者实施综合护理干预的临床效果及对尿失禁的影响。方法 80例良性前列腺增生症患者， 按照抽签法分为对照组和观察组， 每组 40例。两组均行经尿道前列腺电切术治疗， 对照组开展泌尿外科常规护理， 观察组在对照组基础上实施综合护理干预措施。比较两组治疗效果。结果 观察组焦虑自评量表（SAS）评分为（36.35±7.92）分， 抑郁自评量表 （SDS）评分为（35.40±7.71）分， 低于对照组的（51.44±9.50）、（52.61±8.77）分， 差异有统计学意义（P0.05）。对照组膀胱痉挛3例、继发性出血3例、尿失禁2例、尿路感染1例， 并发症发生率为22.5%；观察组仅膀胱痉挛1例， 并发症发生率为2.5%；两组并发症发生率比较差异有统计学意义（P0.05）。结论 经尿道前列腺电切术后开展综合护理干预可有效改善患者负性情绪， 巩固手术疗效， 避免术后尿失禁等并发症的发生， 值得临床推广。 　　【关键词】 前列腺增生症；经尿道前列腺电切术；尿失禁；综合护理干预 　　DOI：10.14163/j.cnki.11-5547/r.2016.16.158 　　【Abstract】 Objective To analyze clinical effect by comprehensive nursing intervention for transurethral resection of prostate patients and influence on uracratia. Methods A total of 80 benign prostatic hyperplasia patients were randomly divided into control group and observation group， with 40 cases in each group. Both groups received transurethral resection of prostate， the control group received conventional urology nursing， and the observation group also received additional comprehensive nursing intervention. Curative effects were compared between the two groups. Results The observation group had better self-rating anxiety scale （SAS） score as （36.35±7.92） points and self-rating depression scale （SDS） score as （35.40±7.71） points than （51.44±9.50） and （52.61±8.77） points of the control group. Their difference had statistical significance （P0.05）. There were 3 cases with cystospasm， 3 cases with secondary hemorrhage， 2 cases with uracratia， and 1 case with urinary tract infection in the control group， with incidence of complications as 22.5%. There was only 1 case with cystospasm in the observation group， with incidence of complications as 2.5%. The difference of incidence of complications between the two groups had statistical significance （P0.05）. Conclusion Implement of comprehensive nursing intervention after transurethral resection of prostate can effectively relieve negative emotion， enhance surgical effect and avoid complic