摘要
目的 研究协同护理模式对腹腔镜前列腺癌根治术(Laparoscopic radical prostatectomy, LRP)术后尿失禁患者的临床疗效。方法 选择2019年3月-2021年8月新疆医科大学第一附属医院泌尿二科诊治的43例行LRP术后尿失禁患者为研究对象,根据患者自愿和匹配原则将研究对象分为试验组(n=23)和对照组(n=20)。对照组给予常规护理,试验组在常规护理基础上应用协同护理模式干预。两组患者分别在术后第1周和第12周进行状态特质焦虑量表(State trait anxiety inventory, STAI)、尿失禁生活质量量表(Quality of life scale for urinary incontinence, I-QOL)和尿失禁程度评估,比较两组的评分结果。结果 与对照组干预12周后比较,试验组干预12周后状态焦虑量表(State anxiety inventory, S-AI)和特质焦虑量表(Trait anxiety inventory, T-AI)评分降低,差异有统计学意义(P<0.05)。在I-QOL上,与对照组干预12周后比较,试验组干预12周后在行为限制、社交限制、心理影响和生活质量评分升高,差异有统计学意义(P<0.05)。术后12周对照组患者尿失禁的治愈率为45.0%(9/20),试验组患者尿失禁的治愈率为56.5%(13/23)。结论 将协同护理模式应用于RP患者的术后护理中,能明显改善患者的生活质量和心理状态,加快患者尿失禁的康复。
Objective To study the clinical effect of collaborative nursing mode on urinary incontinence patients after laparoscopic radical prostatectomy(LRP).Methods43 patients with urinary incontinence after LRP were selected from the hospital from March 2019 to August 2021 as the study objects,and the patients were divided into experimental group(n=23)and control group(n=20)according to the principle of patient willingness and matching.The control group was given routine nursing,and the experimental group was given collaborative nursing intervention based on routine nursing.The status trait anxiety scale(STAI),quality of life scale for urinary incontinence(I-QOL)and urinary incontinence degree were evaluated at the 1st and 12th week after the surgery,respectively,and the scores of the 2 groups were compared.ResultsCompared with the control group after 12 weeks of intervention,the scores of state trait anxiety inventory(STAI)and trait anxiety inventory(T-AI)in the experimental group were decreased after 12 weeks of intervention,and the difference was statistically significant(P<0.05).On I-QOL,compared with the control group after 12 weeks of intervention,the scores of behavioral restriction,social restriction,psychological impact and quality of life of the experimental group were increased after 12 weeks of the intervention,and the differences were statistically significant(P<0.05).The cure rate of urinary incontinence was 45.0%(9/20)in control group and 56.5%(13/23)in experimental group 12 weeks after the surgery.ConclusionThe application of collaborative care model in LRP patients can significantly improve the quality of life and psychological state and accelerate the rehabilitation of urinary incontinence.
作者
杨妮荣
郭小丽
阿斯木江·阿不拉
YANG Nirong;GUO Xiaoli;Asimu Jiangabula(Department of Urology,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)
出处
《新疆医科大学学报》
CAS
2023年第12期1680-1683,共4页
Journal of Xinjiang Medical University
基金
新疆维吾尔自治区自然科学基金项目(2019D01C314)。
关键词
协同护理模式
前列腺癌
尿失禁
生活质量
collaborative care model
prostate cancer
urinary incontinence
quality of life
