老年良性前列腺增生患者经尿道前列腺电切术的循证护理

Evidence-based nursing for transurethral resection of prostate in elderly patients underwent benign prostatic hyperplasia

  • 摘要:
      目的  探讨基于循证护理(EBN)的强化护理干预在老年良性前列腺增生(BPH)经尿道前列腺电切术(TURP)中的应用价值。
      方法  将120例因BPH而行TURP的老年患者随机分为对照组与实验组各60例。对照组采取常规护理干预, 实验组在常规护理的基础上,采取基于EBN的强化护理干预,比较2组的护理效果。
      结果  实验组对BPH及TURP相关知识的掌握显著优于对照组(P < 0.05), 焦虑自评量(SAS)和抑郁自评量(SDS)得分及术后并发症发生率显著低于对照组(P < 0.05); 实验组术后膀胱冲洗时间、导尿管的留置时间及住院时间显著低于对照组(P < 0.05); 实验组治疗效果和护理满意度显著高于对照组(P < 0.05)。
      结论  基于EBN的强化护理干预在老年BPH的TURP中具有重要价值,有利于降低手术风险,减少术后并发症,改善治疗效果并提高护理满意度。

     

    Abstract:
      Objective  To explore the value of strengthening nursing intervention based on evidence-based nursing(EBN) in transurethral resection of prostate(TURP) of elderly patients with benign prostatic hyperplasia (BPH).
      Methods  A total of 120 elderly patients who accepted TURP due to BPH were randomly divided into control group and experimental group, with 60 cases in each group. The control group accepted routine nursing, while the experimental group traditionally accepted strengthened nursing intervention based on EBN. The nursing effect of the two groups was compared.
      Results  Mastery of corresponding knowledge of BPH and TURP of experimental group was better than that of control group(P < 0.05); postoperative Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores, and incidence of postoperative complications of experimental group were lower than that of control group(P < 0.05); duration of postoperative bladder irrigation, catheter indwelling time and hospital stay of experimental group were shorter than that of control group(P < 0.05); the effect of treatment and nursing satisfaction of experimental group were higher than that of control group(P < 0.05).
      Conclusion  Strengthened nursing intervention based on EBN is of great value in elderly BPH patients with TURP, it can reduce surgical risk and postoperative complications, improve nursing satisfaction and therapeutic effect.

     

/

返回文章
返回