循证护理对经尿道前列腺等离子电切术患者康复效果的影响
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摘要
目的:探讨循证护理(EBN)对经尿道前列腺等离子电切术(PKRP)患者康复效果的影响。方法:选取2018年1月-2019年1月60例PKRP患者,采用随机数字表法均分为C组(对照组)和EBN组(循证护理组)。C组给予手术室围术期常规护理,EBN组在C组基础上给予EBN,比较两组手术效果(术中出血量、手术时间),观察护理前后心理康复(负性情绪和睡眠质量)和术后康复(术后排气时间、术后下床时间和住院时间)情况。结果:EBN组术中出血量、手术时间均优于C组(P<0.05)。护理前,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分和匹茨堡睡眠质量指数(PSQI)评分比较,差异均无统计学意义(P>0.05)。护理后,EBN组各项评分均低于C组(P<0.05)。EBN组术后排气时间、术后下床时间和住院时间均短于C组(P<0.05)。结论:EBN可改善PKRP的手术效果,促进患者术后心理康复和身体康复。
Objective:To explore the effect of evidence-based nursing(EBN) on the rehabilitation of patients with transurethal plasmakinetic resection of prostate(PKRP).Method:60 patients with PKRP were selected from January 2018 to January 2019 and divided into the group C(the control group) and the EBN group(evidence-based nursing group) by random number table method.The group C was given routine perioperative nursing in the operating room and the EBN group was given EBN on the basis of group C.The effect of operation(intraoperative bleeding volume,operation time) were compared between the two groups.The psychological rehabilitation(negative mood and sleep quality) and postoperative rehabilitation(exhaust time,active time postoperation and hospitalization time) were observed before and after nursing.Result:The intraoperative bleeding volume and operation time in the EBN group were better than those of the group C(P<0.05).Before nursing,the scores of SAS,SDS and PSQI were compared between the two groups,the differences were not statistically significant(P>0.05).After nursing,all scores in the EBN group were lower than those of the group C(P<0.05).The exhaust time,active time postoperation and hospitalization time in the EBN group were shorter than those of the group C(P<0.05).Conclusion:EBN could improve the operative effect,promote the psychological rehabilitation and physical rehabilitation of patients with PKRP.
Objective:To explore the effect of evidence-based nursing(EBN) on the rehabilitation of patients with transurethal plasmakinetic resection of prostate(PKRP).Method:60 patients with PKRP were selected from January 2018 to January 2019 and divided into the group C(the control group) and the EBN group(evidence-based nursing group) by random number table method.The group C was given routine perioperative nursing in the operating room and the EBN group was given EBN on the basis of group C.The effect of operation(intraoperative bleeding volume,operation time) were compared between the two groups.The psychological rehabilitation(negative mood and sleep quality) and postoperative rehabilitation(exhaust time,active time postoperation and hospitalization time) were observed before and after nursing.Result:The intraoperative bleeding volume and operation time in the EBN group were better than those of the group C(P<0.05).Before nursing,the scores of SAS,SDS and PSQI were compared between the two groups,the differences were not statistically significant(P>0.05).After nursing,all scores in the EBN group were lower than those of the group C(P<0.05).The exhaust time,active time postoperation and hospitalization time in the EBN group were shorter than those of the group C(P<0.05).Conclusion:EBN could improve the operative effect,promote the psychological rehabilitation and physical rehabilitation of patients with PKRP.
引文
[1] Grechenkov A,Sukhanov R,Bezrukov E,et al.Risk factors for urethral stricture and/or bladder neck contracture after monopolar transurethral resection of the prostate for benign prostatic hyperplasia[J].Urologia,2018,85(4):150-157.
[2]欧阳好,王剑静,莫晓花.前列腺增生患者心理特征、生活质量及护理干预效果分析[J].沈阳医学院学报,2018,20(3):247-249.
[3]余菊叶.加速康复外科路径护理经尿道前列腺电切术的作用探讨[J].中国老年保健医学,2017,15(2):94-95.
[4] Brown A D,Stella S F,Simons M E.Minimally invasive treatment for benign prostatic hyperplasia:economic evaluation from a standardized hospital case costing system[J].Cardiovasc Intervent Radiol,2019,42(4):520-527.
[5]沈开忠.护理干预提高前列腺增生病人生活质量的研究进展[J].全科护理,2017,15(28):3476-3478.
[6] Gratzke C,Barber N,Speakman M J,et al.Prostatic urethral lift vs transurethral resection of the prostate:2-year results of the BPH6prospective,multicentre,randomized study[J].Bju International,2017,119(5):767-775.
[7] Wang P,Wang X.Effect of time management training on anxiety,depression,and sleep quality[J].Iranian Journal of Public Health,2018,47(12):1822-1831.
[8] Snyder E,Cai B,DeMuro C,et al.A new single-item sleep quality scale:results of psychometric evaluation in patients with chronic primary insomnia and depression[J].Journal of Clinical Sleep Medicine,2018,14(11):1849-1857.
[9] Deng Z,Sun M,Zhu Y,et al.Thulium laser vapo resection of the prostate versus traditional transurethral resection of the prostate or transurethral plasmakinetic resection of prostate for benign prostatic obstruction:a systematic review and meta-analysis[J].World Journal of Urology,2018,36(9):1355-1364.
[10] Thiel L M,Ko A,Turner J A.Home healthcare nurses’ attitudes,confidence,and engagement in evidence-based practice[J].Home Healthc Now,2019,37(2):79-87.
[11]谭衡清.循证护理在TEM直肠肿瘤切除手术巡回护士配合中的应用效果[J].结直肠肛门外科,2018,24(S1):127-129.
[12]成磊,冯升,胡雁,等.我国循证护理实践中证据应用概念模式的构建[J].护理学杂志,2019,34(3):72-77.
[13]谭燕青.循证护理对CHD患者不良生活方式及负性情绪的影响[J].齐鲁护理杂志,2017,23(17):7-9.
[14]尚宇瑞.循证护理干预改善慢性肾炎患者睡眠状态及生命质量的作用分析[J].世界睡眠医学杂志,2018,5(8):971-973.
[15]张文毅,程书栋,王建文,等.快速康复外科在经尿道等离子前列腺剜除术的应用研究[J].中国药物与临床,2019,19(4):608-610.
[16]邓兰,汪宇,余咿淼,等.加速康复外科理念在良性前列腺增生围手术期护理中的应用[J].华西医学,2017,32(10):1579-1581.
[2]欧阳好,王剑静,莫晓花.前列腺增生患者心理特征、生活质量及护理干预效果分析[J].沈阳医学院学报,2018,20(3):247-249.
[3]余菊叶.加速康复外科路径护理经尿道前列腺电切术的作用探讨[J].中国老年保健医学,2017,15(2):94-95.
[4] Brown A D,Stella S F,Simons M E.Minimally invasive treatment for benign prostatic hyperplasia:economic evaluation from a standardized hospital case costing system[J].Cardiovasc Intervent Radiol,2019,42(4):520-527.
[5]沈开忠.护理干预提高前列腺增生病人生活质量的研究进展[J].全科护理,2017,15(28):3476-3478.
[6] Gratzke C,Barber N,Speakman M J,et al.Prostatic urethral lift vs transurethral resection of the prostate:2-year results of the BPH6prospective,multicentre,randomized study[J].Bju International,2017,119(5):767-775.
[7] Wang P,Wang X.Effect of time management training on anxiety,depression,and sleep quality[J].Iranian Journal of Public Health,2018,47(12):1822-1831.
[8] Snyder E,Cai B,DeMuro C,et al.A new single-item sleep quality scale:results of psychometric evaluation in patients with chronic primary insomnia and depression[J].Journal of Clinical Sleep Medicine,2018,14(11):1849-1857.
[9] Deng Z,Sun M,Zhu Y,et al.Thulium laser vapo resection of the prostate versus traditional transurethral resection of the prostate or transurethral plasmakinetic resection of prostate for benign prostatic obstruction:a systematic review and meta-analysis[J].World Journal of Urology,2018,36(9):1355-1364.
[10] Thiel L M,Ko A,Turner J A.Home healthcare nurses’ attitudes,confidence,and engagement in evidence-based practice[J].Home Healthc Now,2019,37(2):79-87.
[11]谭衡清.循证护理在TEM直肠肿瘤切除手术巡回护士配合中的应用效果[J].结直肠肛门外科,2018,24(S1):127-129.
[12]成磊,冯升,胡雁,等.我国循证护理实践中证据应用概念模式的构建[J].护理学杂志,2019,34(3):72-77.
[13]谭燕青.循证护理对CHD患者不良生活方式及负性情绪的影响[J].齐鲁护理杂志,2017,23(17):7-9.
[14]尚宇瑞.循证护理干预改善慢性肾炎患者睡眠状态及生命质量的作用分析[J].世界睡眠医学杂志,2018,5(8):971-973.
[15]张文毅,程书栋,王建文,等.快速康复外科在经尿道等离子前列腺剜除术的应用研究[J].中国药物与临床,2019,19(4):608-610.
[16]邓兰,汪宇,余咿淼,等.加速康复外科理念在良性前列腺增生围手术期护理中的应用[J].华西医学,2017,32(10):1579-1581.