摘要
目的探讨基于现象描述式的康复指导应用于前列腺癌患者围术期的效果。方法选择2020年6月—2021年6月医院收治的前列腺癌患者110例为研究对象,按基本资料匹配原则分为观察组和对照组,各55例。对照组行常规康复干预,观察组行基于现象描述式的康复指导干预。比较两组干预前后恐惧疾病进展水平、控尿功能、生活质量变化及术后不良反应发生情况。结果实施基于现象描述式的康复指导后,观察组术后7 d恐惧疾病进展水平低于对照组,恢复控尿功能时间短于对照组,总漏尿次数少于对照组,术后7 d的MUCP、LPP水平均高于对照组;观察组术后4周生活质量各维度评分均优于对照组,术后尿失禁、膀胱痉挛、尿路感染发生率均低于对照组。上述指标组间比较差异均有统计学意义(P<0.05)。结论基于现象描述式的康复指导应用于前列腺癌患者围术期中可降低恐惧疾病进展水平,改善控尿功能及生活质量,减少不良反应发生。
Objective To explore the effects of phenomenon-based rehabilitation guidance in patients with prostate cancer during perioperative period.Methods 110 patients with prostate cancer admitted in the hospital from June 2020 to June 2021 were selected as the research objects.According to the principle of matching basic data,they were divided into observation group and control group,with 55 cases in each group.The control group received routine rehabilitation intervention,the observation group received rehabilitation guidance intervention based on phenomenon description.The level of fear disease progression,urinary control function,quality of life and postoperative adverse reactions were compared between the two groups before and after intervention.Results After the implementation of the phenomenon description based rehabilitation guidance,the observation group was lower than the control group 7 days after the operation of fear disease progression level,the recovery time of urine control function was shorter than the control group,the total number of urine leakage was less than the control group,7 days after the operation of MUCP,LPP levels were higher than the control group.The quality of life scores of the observation group were better than the control group 4 weeks after surgery,and the incidence of urinary incontinence,bladder spasm and urinary tract infection were lower than the control group.There were statistically significant differences among the above indexes(P<0.05).Conclusion The application of phenomenon-based rehabilitation guidance in prostate cancer patients during perioperative period could reduce the level of fear disease progression and improve urinary control could improve the quality of life,reduce the occurrence of adverse reactions.
作者
毛奇娜
张成伟
MAO Qi’na;ZHANG Chengwei(Nanjing Drum Tower Hospital,Nanjing,210008,China)
出处
《护理实践与研究》
2023年第1期94-98,共5页
Nursing Practice and Research
关键词
现象描述式
康复指导
前列腺癌
围术期
恐惧疾病进展
控尿功能
生活质量
Phenomenon description
Rehabilitation guidance
Prostate cancer
Perioperative period
Fear of disease progression
Urinary control function
Quality of life
