基于目标策略的针对性护理在行经尿道前列腺电切术后并发膀胱痉挛患者中的应用OA
Application of targeted nursing based on target strategy in patients with bladder spasms after transurethral resection of prostate
目的 探讨基于目标策略的针对性护理在行经尿道前列腺电切术(TURP)后并发膀胱痉挛患者中的应用效果.方法 回顾性分析2020年3月至2022年9月于华中科技大学同济医学院附属协和医院行TURP术后并发膀胱痉挛的108例患者的资料,根据护理模式的不同分为观察组(54例)和对照组(54例).对照组行常规术后护理,观察组行基于目标策略的针对性护理.比较2组的视觉模拟量表(VAS)评分、膀胱状况感知量表(PPBC)评分、膀胱初感容积、最大尿流率、膀胱痉挛次数和痉挛持续时间等指标.结果 观察组的术后拔管时间早于对照组,拔管后尿潴留和尿失禁发生率均低于对照组(P均＜0.05).干预2周和1个月后,2组的VAS评分和PPBC评分均低于术后当日,膀胱初感容积和最大尿流率均大于术后当日(P均＜0.05),且观察组的VAS评分和PPBC评分均低于同期对照组,膀胱初感容积和最大尿流率均大于同期对照组(P均＜0.05).术后3 d和5 d,2组的膀胱痉挛次数均少于术后当日,痉挛平均时间均短于术后当日(P均＜0.05),且观察组的膀胱痉挛次数均少于同期对照组,痉挛平均时间均短于同期对照组(P均＜0.05).结论 基于目标策略的针对性护理能够有效缓解行TURP术后并发膀胱痉挛患者的膀胱痉挛症状及疼痛,促进膀胱功能恢复.
Objective To explore the application effect of targeted nursing based on target strategy in patients with bladder spasms after transurethral resection of prostate(TURP).Methods The data of 108 patients with bladder spasms after TURP at Union Hospital,Tongji Medical College,Huazhong University of Science and Technology from March 2020 to September 2022 were retrospectively analyzed,and they were divided into an observation group(54 cases)and a control group(54 cases)according to different nursing modes.The control group received routine postoperative nursing,and the observation group received targeted nursing based on target strategy.The Visual Analogue Scale(VAS)score,Patient Perception of Bladder Condition(PPBC)scale score,initial bladder volume,maximum urine flow rate,frequency and duration of bladder spasms were compared between the two groups.Results The time of extubation after operation in the observation group was earlier than that in the control group,and the incidence of urinary retention and incontinence after extubation in the observation group was lower than that in the control group(all P＜0.05).After 2 weeks and 1 month of intervention,the VAS scores and PPBC scores of both groups were lower than those on the postoperative day,and the initial bladder volume and maximum urine flow rate were higher than those on the postoperative day(all P＜0.05).The VAS score and PPBC score of the observation group were lower than those of the control group during the same period,and the initial bladder volume and maximum urine flow rate of the observation group were higher than those of the control group during the same period(all P＜0.05).On the 3rd and 5th day after surgery,the frequency of bladder spasms in both groups was lower than that on the postoperative day,and the average time of spasms was shorter than that on the postoperative day(all P＜0.05).The frequency of bladder spasms in the observation group was lower than that in the control group during the same period,and the average time of spasms in the observation group was shorter than that in the control group during the same period(all P＜0.05).Conclusion Targeted nursing based on target strategy can effectively alleviate bladder spasm symptoms and pain in patients with bladder spasms after TURP surgery,and promote the recovery of bladder function.
李一帆;郭潇;钱慧;徐畅
华中科技大学同济医学院附属协和医院,湖北武汉,430000
临床医学
前列腺增生经尿道前列腺电切术膀胱痉挛基于目标策略针对性护理
prostatic hyperplasiatransurethral resection of prostatebladder spasmgoal-based strategytargeted nursing
《中西医结合护理（中英文）》 2024 (003)
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