摘要
目的探讨出院后持续护理对老年良性前列腺增生症(benign prostatic hyperplasia,BPH)患者自我护理及生活质量的影响。方法 2015年1-12月,便利抽样法选择在长沙市某医院行经尿道前列腺电切术(tuansurethral resection of prostate,TURP)的112例老年BPH患者为研究对象,按随机数字表法分为观察组和对照组。观察组患者出院后予持续护理干预,对照组患者采用传统的出院后护理。出院时及出院3个月后,采用自我护理能力测定量表(exercise of self-care agency scale,ESCA)、自我护理行为测定量表(selfcare behavior scale,SCBS)评价患者自我护理情况;采用良性前列腺增生症患者生活质量专用量表(benign prostatic hyperplasia patients quality of life scale,BPHQLS)评价患者的生活质量;采用国际前列腺症状评分表(international prostate symptom score,IPSS)、最大尿流率(maximum flow rate,Qmax)比较两组患者的疗效,并比较总体并发症发生率。结果出院3个月,观察组ESCA总分及自我护理技能和健康知识水平得分改善幅度、SDBS总分及健康营养及心理健康和压力调节得分改善幅度均高于对照组,且Qmax大于对照组,差异均有统计意义(均P<0.05)。观察组总体并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论老年BPH患者TURP术后实施持续护理,能提高患者自我护理能力,改善其自我护理行为,减少术后并发症的发生。
Objective To investigate the effects of continuous nursing intervention on self-care ability and quality of life of elderly patients with benign prostatic hyperplasia(BPH)patients after transurethral resection of prostate(TURP).Methods By convenience sampling,112 elderly patients underwent TURP on January to December 2015 were selected and randomly divided into observation group and control group,with 56 cases in each group.The observation group received 3 months of continuous nursing intervention after discharge,while control group received traditional nursing after discharge.3 months after discharge and at the time of discharge,patients were investigated by using exercise of self-care agency scale(ESCA),self-care behavior scale(SCBS)and benign prostatic hyperplasia patients quality of life scale(BPHQLS).In the meantime,the international prostate symptom score(IPSS)and maximum flow rate(Qmax)were applied to evaluate the clinical effect,the incidence rate of complications were compared.Results After 3 months,the ESCA total score and the scores of self-care ability,health knowlege level in observation group were higher than that of control group,and the SDBS total score and the scores of health &nutrition,mental health and pressure regulation in observation group were higher than that of control group,as well as the Qmax score in observation group was higher than that of control group(all P<0.05).The incidence rate of complications in observation group was significantly lower than that of control group(P<0.05).Conclusion The elderly BPH patients underwent TURP with continuous nursing after discharge can significantly improve self-care ability and behavior,reduce postoperative complications.
出处
《解放军护理杂志》
CSCD
2017年第18期61-66,共6页
Nursing Journal of Chinese People's Liberation Army
关键词
良性前列腺增生症
持续护理
自我护理
生活质量
benign prostatic hyperplasia
continuous nursing
self-nursing
quality of life
