前列腺癌根治手术后尿失禁患者施予优质护理干预的价值及效果观察

陈丹丹

【摘要】 目的：对前列腺癌根治手术后尿失禁患者施予优质护理干预的价值及效果进行观察评价。方法：选取2015年6月-2018年5月于笔者所在医院接受根治术治疗的前列腺癌患者56例为研究对象，以随机数字表法将其分为优质化施护组与常规化施护组，每组28例，常规化施护组以前列腺癌常规围术期护理方案施护，术后尿失禁防控主要为于术后尿管拔除后行肛提肌训练指导，优质化施护组施以针对术后尿失禁防控的优质化护理管理，比较两组患者术后尿失禁发生率、尿失禁持续时间、尿失禁专项防控护理认可度。结果：优质化施护组干预后的尿失禁发生率与尿失禁持续时间均显著优于常规化施护组，尿失禁专项防控护理的认可度评分显著较常规化施护组高，差异均有统计学意义（P<0.05）。结论：将优质化施护模式应用实践于前列腺癌根治术患者围术期护理中，可实现可靠度较高的尿失禁防控管理效果，深受患者高度认可。

【关键词】 前列腺癌根治术; 尿失禁; 优质护理

doi：10.14033/j.cnki.cfmr.2019.17.045 文献标识码 B 文章编号 1674-6805（2019）17-0-03

【Abstract】 Objective：To observe and evaluate the value and effect of quality nursing intervention for urinary incontinence patients after radical prostate cancer surgery.Method：A total of 56 patients with prostate cancer who received radical prostatectomy in our hospital from June 2015 to May 2018 were selected as research objects.By random number table method，they were divided into the high-quality nursing group and the routine nursing group，with 28 cases in each group.The routine nursing group used the routine perioperative nursing scheme for prostate cancer.The prevention and control of urinary incontinence after operation was mainly guided by levator ani muscle training after the removal of urinary catheter.The high-quality nursing group was given high-quality nursing management for prevention and control of urinary incontinence after operation.The incidence of urinary incontinence，duration of urinary incontinence，recognition of special prevention and control nursing for urinary incontinence were compared between the two groups.Result：The incidence of urinary incontinence and duration of urinary incontinence in the high-quality nursing group were significantly better than those in the routine nursing group，and the recognition score of special prevention and control nursing for urinary incontinence was significantly higher than that in the routine nursing group，the differences were statistically significant（P<0.05）.Conclusion：The application of high quality nursing model in perioperative care of patients with radical prostatectomy can achieve a high reliability of urinary incontinence prevention and control management effect，which is highly recognized by patients.

【Key words】 Radical prostatectomy; Urinary incontinence; Quality nursing

First-authors address：Guangzhou First Peoples Hospital，Guangzhou 510180，China

前列腺癌是老年男性常見的泌尿生殖系统肿瘤类型，且处于发病率逐年走高状态，前列腺癌根治术为该类肿瘤的主流化首选疾控技术，但接受根治术后有高达60%的受术者会受尿失禁问题困扰，在生理心理社会等多个层次与角度对患者形成痛苦折磨，故而对前列腺癌根治术者施以术后尿失禁积极防控管理至关重要，在术时谨慎操作严防盆底肌肉损伤并行膀胱颈部重建的同时，亦需于根治术围术期提供高质高效的专项尿失禁防控护理，如此方能提高前列腺癌根治术受术者的手术获益度[1-3]。本研究尝试将优质化施护模式应用实践于前列腺癌根治术患者围术期护理中，得到较高的护理见效度，现报告如下。