摘要
目的探究加速康复外科理念结合个案管理对前列腺增生患者术后恢复及控尿功能的影响.方法选择本院2020年9月—2021年9月收治的98例前列腺增生患者,按照随机数字表法分为对照组和观察组,每组49例.对照组采用常规护理,观察组采用加速康复外科理念结合个案管理,均持续护理至术后1周.比较两组术后恢复情况、控尿功能、负性情绪、疼痛程度及并发症发生情况.结果护理前,两组术后恢复情况比较,差异无统计学意义(P>0.05);护理后,观察组首次排气、膀胱冲洗、留置尿管时间分别为(25.77±3.43)h、(1.59±0.25)d、(3.45±0.58)d,均短于对照组,组间差异有统计学意义(P<0.05).护理前,两组控尿功能比较,差异无统计学意义(P>0.05);护理后,观察组残余尿量(10.26±1.84)mL少于对照组,最大尿流率(22.20±4.05)mL/s大于对照组,组间差异有统计学意义(P<0.05).护理前,两组负性情绪、疼痛程度比较,组间差异无统计学意义(P>0.05);护理后,观察组抑郁自评量表、焦虑自评量表、疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05).观察组并发症发生率为4.08%,低于对照组的18.37%,差异有统计学意义(P<0.05).结论加速康复外科理念结合个案管理能够有效减轻前列腺增生患者的疼痛程度及负性情绪,提高控尿能力,减少并发症的发生,进而加快术后恢复.
Objective To investigate the effect of accelerated rehabilitation surgical concept combined with case management on postoperative recovery and urinary control function in patients with prostatic hyperplasia.Methods Ninety-eight patients with prostatic hyperplasia admitted to our hospital from September 2020 to September 2021 were selected and divided into a control group and an observation group according to the random number table method,with 49 cases in each group.The control group used conventional care,while the observation group used the concept of accelerated rehabilitation surgery combined with case management,and both continued care until 1 week after surgery.The two groups were compared in terms of postoperative recovery,urinary control function,negative emotions,pain level and complications.Results Before care,there was no statistically significant difference between the two groups in terms of postoperative recovery(P>0.05);after care,the time to first venting,bladder flushing and indwelling urinary catheter was(25.77±3.43)h,(1.59±0.25)d and(3.45±0.58)d respectively in the observation group,all shorter than the control group,with statistically significant differences between the groups(P<0.05).Before care,there was no statistically significant difference between the two groups in terms of urinary control function(P>0.05);after care,the residual urine volume(10.26±1.84)mL in the observation group was less than that in the control group,and the maximum urinary flow rate(22.20±4.05)mL/s was greater than that in the control group,with statistically significant differences between the groups(P<0.05).Before care,there was no statistically significant difference between the two groups when comparing negative emotions and pain levels(P>0.05);after care,the depression self-rating scale,anxiety self-rating scale and pain visual analogue scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).The complication rate in the observation group was 4.08%,lower than the 18.37%in the control group,and the difference was statistically significant(P<0.05).Conclusion The accelerated rehabilitation surgical concept combined with case management can effectively reduce pain levels and negative emotions in patients with prostate enlargement,improve urinary control,reduce complications and thus speed up post-operative recovery.
作者
张秀清
ZHANG Xiuqing(Department of Surgery IV,Zaozhuang Hospital of Traditional Chinese Medicine,Zaozhuang Shandong,277100,China)
出处
《反射疗法与康复医学》
2022年第10期163-166,共4页
Reflexology And Rehabilitation Medicine
关键词
前列腺增生
加速康复外科理念
个案管理
控尿功能
负性情绪
疼痛程度
并发症
Benign prostatic hyperplasia
The concept of accelerated rehabilitation surgery
Case management
Urinary control function
Degree of pain
Complication
