舒适护理对前列腺增生联合治疗的影响

目的研究拟胆碱能药物联合经尿道前列腺电切治疗前列腺增生过程中辅助舒适护理措施的治疗效果。方法选取前列腺增生并发逼尿肌无力患者66例,随机分为研究组（n=34）和对照组（n=32）两组。对照组采取拟胆碱能药物联合经尿道前列腺电切治疗,在治疗前后采取传统的常规护理;研究组采取拟胆碱能药物联合经尿道前列腺电切治疗,治疗前后在传统的常规护理基础上再对患者进行舒适护理措施。结果研究组术后IPSS低于对照组,且明显低于术前（P〈0.05或P〈0.01）;研究组术后QOL低于对照组,且明显低于术前（P〈0.05或P〈0.01）;研究组术后Qmax高于对照组,且明显高于术前（P〈0.05或P〈0.01）。研究组护理前后SAS评分分别为（57.02±3.36）分、（48.12±4.34）分,护理后SAS评分低于护理前（P〈0.01）;研究组护理前后SDS评分分别为（56.19±3.36）分、（48.14±4.36）分,护理后SDS评分低于护理前（P〈0.01）;研究组和对照组护理后SAS评分分别为（48.12±4.34）分、（52.73±3.36）分,研究组低于对照组（P〈0.01）;研究组和对照组护理后SDS评分分别为（48.14±4.36）分、（52.02±3.26）分,研究组低于对照组（P〈0.01）。结论拟胆碱能药物联合经尿道前列腺电切治疗伴发逼尿肌无力的前列腺增生患者可以获得比较好的治疗效果,在治疗过程中对患者辅助舒适护理措施,可以减少患者治疗过程中焦虑和抑郁等不良情绪的产生,从而增强治疗效果,值得临床进一步推广和应用。

The effect of comforting care in the combined treatment of prostate hyperplasia

Objective To study the auxiliary therapeutic effect of comforting care measures in the process of combined cholinergic drugs and transurethral resction of prostate treating prostatic hyperplasia.Methods Sixty-six patients with prostatic hyperplasia complicated with detrusor weak were selected as the study objects,randomly divided into the research group and the control group.The research group included 34 patients,who received comforting care measures on the basis of conventional nursing.The control group included 32 patients,who received conventional nursing care alone.Results The IPSS after surgery of 34 patients in the research group was lower than that in the control group,and was also significantly lower than that before surgery（P 0.05 or P 0.01）;The QOL after surgery of 34 patients in the research group was lower than that in the control group,and was also significantly lower than that before surgery（P 0.05 or P 0.01）;The Qmax after surgery of 34 patients in the research group was higher than that in the control group,and was also significantly higher than that before surgery（P 0.05 or P 0.01）.SAS scores before and after care in the research group were respectively：（57.02±3.36）points、（48.12±4.34） points.SAS scores after care in the research group were lower than that before care in the research group（P 0.01）.SDS scores before and after care in the research group were respectively：（56.19±3.36） points,（48.14±4.36） points.SDS scores after care in the research group were lower than that before care in the research group（P 0.01）.SAS scores after care in the research group and in the control group were（48.12 ±4.34） points,（52.73±3.36） points respectively.SAS score after care in the research group was lower than that in the control group（P 0.01）;SDS scores after care in the research group and in the control group were（48.14±4.36） points,（52.02±3.26） points respectively.SDS score after care in the research group was lower than that in the control group（P 0.01）.Conclusion The comprehensive effect of comforting care measures,in the process of the treatment of prostatic hyperplasia complicated with detrusor weak,is higher than that of conventional nursing measures.It is worth clinical extensive application and being promoted.