摘要
目的了解家庭护理在良性前列腺增生症患者治疗中的作用。方法选取两个社区的老年前列腺增生症患者共180例,随机分为干预组82例,平均年龄(68.5±1.2)岁和对照组98例,平均年龄(66.8±0.8)岁。调查既往史、生活习惯、饮食习惯、药物服用的情况、心理状况等,并进行国际前列腺症状(IPSS)评分、生活质量(QOL)评分。干预组采取家庭护理,其中包括心理护理、指导药物治疗、改善生活及饮食习惯、加强身体锻炼、运动疗法等;对照组不采取任何措施,2、4、6个月后共进行3次调查,对患者不同时间段的IPSS、QOL进行评分。结果干预组干预2、4、6个月后IPSS评分改善率分别为14.6%,31.7%,52.4%,QOL评分改善率分别为12.2%,34.2%,57.3%;对照组IPSS评分改善率分别为4.0%,10.0%,18.4%,QOL评分改善率分别为3.1%,13.3%,16.3%;两组比较,差别有统计学意义(P<0.05)。结论通过家庭护理可以改善良性前列腺增生症患者的症状,改善患者的生活质量,在疾病的治疗和预防方面有一定的作用。
Objective To study the effects of home nursing on patients with benign prostatic hyperplasia. Methods One hundred and eighty patients with benign prostatic hyperplasia meeting our experimental conditions were selected. They were divided into experimental group and comparative group. The experimental group had 82 cases and the average age was 68.5 ±1.2 yrs, the comparative group had 98 cases and the average age was 66.8±0.8. The first prevalence survey was carried out including history of past illnesses, international prostate symptom score, quality of life assessment, customs of life, habits of diet, circumstances of medicine and statuses of psychology. The patients of experimental group received home nursing including psychology nursing, directions of medication, reformations of customs in life and diet, strength in body exercise and kinesitherapy. The patients of comparative group did not receive any nursing measures. After two, four, six months, three prevalence surveys were carried out. At the end of each time, the data were collected and statistical treatments were processed. Results The IPSS rates of improvement in experimental group were 14.6%, 31.7%, and 52.4%. The QOL rates of improvement in experimental group were 12.2%, 34.2%, 57.3%. The IPSS rates of improvement in comparative group were 4.0%, 10.0%, 18.4%. The QOL rates of improvement in comparative group were 3.1%, 13.3%, 16.3%. There was statistical differences between two groups in international prostate symptom score and quality of life assessment （P〈0.05）. Conclusion Home nursing may improve micturitional symptoms, IPSS and QOL of the patients with benign prostatic hyperplasia. There were a certain external affections.
出处
《中国慢性病预防与控制》
CAS
北大核心
2009年第1期93-94,共2页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
2008年唐山市科技局计划项目(08130230b)
关键词
家庭护理
前列腺增生
国际前列腺症状评分
生活质量评分
Home nursing
Benign prostatic hyperplasia
International prostate symptom score
Quality of life assessment
