集束化护理应用于经尿道前列腺电切术后谵妄患者的效果.docVIP

集束化护理应用于经尿道前列腺电切术后请妄患者的效果 周瑞芝邓敏康小兰 (第一人民医院泌尿外科 四川 内江641000) 【摘要】目的：探讨集束化护理应用于经尿道前列腺电切术后请妄患者的 实施方案效果。方法：将我科2009年1月至2014年1月经治的103例经尿道前 列腺电切术后发牛请妄患者采用电脑随机分组分成试验组和对照组，对照组50 例采用常规护理，试验组53例采用集束化护理，比较两组患者谑妄发牛后谑妄 持续时间、持续膀胱冲洗时间、留置尿管时间、静脉输液时间，住院天数、住院 费用及护理服务质量。结果：试验组谑妄持续时间、持续膀胱冲洗时间、留置尿 管时间、静脉输液时间，住院天数、住院费用均明显低于对照组(Plt;0.05)。 结论：集束化护理应用于前列腺电切术后谄妄患者能减少谄妄持续时间、持续膀 胱冲洗时间、留置尿管时间、静脉输液时间，住院天数、降低住院费用及提高护 理服务质量。 【关键词】集束化护理；经尿道前列腺电切术；请妄 【中图分类号】R472 【文献标识码】A 【文章编号】2095-1752 (2016) 05-0025-03 Nursing applied in delirium patients after transurethral resection of the prostate effect Zhou Ruizhi, Deng Min, Kang Xiaolan. First Peoples Hospital, Neijiang City, Sichuan , Neijiang 641000, China [Abstract] Objective To discuss the result of appling cluster based care to delirium patients after transurethral resection of prostate.Methods We divide the 103 patients who surrered from delirium after received a TURP operation in the Department of Urology from January 2009 to January 2014 into experimental group and control group.The 50 cases in control group used conventional care,and the 53 cases in experimental group used cluster based pared the duration of delirium,time of indwelling urinary catheter,intravenous infusion time,hospital day,hospitalization expenses and nursing quality.Results The date of experimental group including duration of delirium,time of indwelling urinary catheter,!ntravenous infusion time,hospital day,hospitalization expenses is lower than control group.Conclusions Applicaion of cluster based care in patients after TURP can reduce the duration of delirium,time of indwelling urinary catheter,!ntravenous infusion time,hospital day,hospitalization expenses and improve nursing quality? 【Key words] Cluster based care; Transurethral resection of prostate (TURP);Delirium 前列腺增生是老年男性的多发病、常见病。经尿道前列腺切除术是目前治疗 前列腺增生症的金标准。随着老龄社会的到来及高龄老人的增加，经尿道前列腺 电切术后请妄的发生率不断增加，调查显示:外科术后患者请妄发生率8?78%[1], 其中老年人发生率显著增加。请妄的发生可导致一系列严重的并发症和后遗症。 多项研究结果显示：谑妄与高并发症发生率、高病死率、住院时间延长及医疗费 用增加明显相关[2]。有研究显示集束化护理能够是将循证文化引入