摘要
目的:探讨基于奥马哈系统的管理方案联合排尿功能训练对机器人辅助原位新膀胱术后患者的影响。方法:选取2021年2月—2023年2月淮安市第一人民医院行机器人辅助原位新膀胱术的120例患者为研究对象,按随机数学表法分两组,每组各60例。对照组采用排尿功能训练,观察组采用基于奥马哈系统的管理方案联合排尿功能训练。比较两组患者干预后围手术期指标、控尿功能、并发症发生率、生活质量及护理满意度情况。结果:观察组术后肛门排气时间、首次下床活动时间、导尿管拔除时间、住院时间显著低于对照组(P<0.05)。观察组最大尿流率、平均尿流率、术后新膀胱容量、膀胱内压、术后15 d控尿率显著高于对照组,尿动力学检查残余尿量显著低于对照组(P<0.05)。与干预前比较,两组患者干预后的生活质量各维度评分均升高;与对照组相比,观察组干预后生活质量评分更高(P<0.05)。观察组并发症发生率显著低于对照组(P<0.05)。观察组护理满意度情况均优于对照组(P<0.05)。结论:基于奥马哈系统的管理方案联合排尿功能训练可有效改善机器人辅助原位新膀胱术后患者的控尿功能,减少手术并发症的发生,提高患者生活质量及护理满意度。
Objective:To explore the effect of management scheme based on Omaha system combined with urination function training on patients underwent robot-assisted orthotopic neobladder reconstruction.Methods:A total of 120 patients who underwent robot-assisted neobladder reconstruction in Huai’an First People’s Hospital from February 2021 to February 2023 were selected.They were divided into the control group and the observation group using a random number table,with 60 cases in each group.The control group received urination function training,and the observation group received the management program based on Omaha system combining with urination function training.Perioperative indexes,urinary control function,complication rate,quality of life and nursing satisfaction after intervention were compared between the two groups of patients.Results:The time to anal exhaust,the first time of getting out of bed,the time of catheter removal and the length of hospital stay in the observation group were significantly lower than those in the control group(P<0.05).The maximum urine flow rate,average urine flow rate,postoperative bladder volume,internal bladder pressure and urinary control rate 15 days after surgery in the observation group were significantly higher than those in the control group,and the residual urine volume by urodynamic examination was significantly lower than that in the control group(P<0.05).Compared with that before intervention,scores on quality of life scores in both groups were improved after intervention.Compared with the control group,the quality of life scores of the observation group were higher after intervention(P<0.05).The complication rate of the observation group was significantly lower than that of the control group(P<0.05).The nursing satisfaction degree of the observation group was better than that of the control group(P<0.05).Conclusion:The Omaha System-based management scheme combining with urination function training can effectively improve the urination function of patients who underwent r
作者
胡晓鹰
仲冰
HU Xiaoying;ZHONG Bing(Department of Urology,Huai’an First People’s Hospital,Huai’an 223300,China)
基金
淮安市科研计划项目(HAB202107)。
关键词
奥马哈系统
排尿功能训练
机器人辅助手术
原位新膀胱术
Omaha System
Urination Function Training
Robot-assisted Surgery
Orthotopic Neobladder Reconstruction
