摘要
目的探讨家庭护理干预对良性前列腺增生(benign prostatic hyperplasia,BPH)患者术后生活质量的影响。方法选取2012年12月—2014年1月出院的行经尿道前列腺切除术后的BPH患者60例,随机分为试验组和对照组,每组各30例。对照组按常规进行定期门诊随访、复查;试验组在对照组的基础上由专业护士以电话回访及家庭访视方式进行护理干预。分别于出院时和出院后6个月对患者进行生活质量综合评定问卷(generic quality of life inventoy-74,GQOLI-74)和国际前列腺症状评分(international prostate symptom score,IPSS)测评和分析。结果出院时,两组患者GQOLI-74各维度评分比较差异均无统计学意义(P>0.05)。出院后6个月,两组患者GQOLI-74各维度评分比较差异均有统计学意义(P<0.05);与该组出院时比较差异也有统计学意义(P<0.05)。出院时,两组IPSS比较差异无统计学意义(P>0.05);出院后6个月,试验组IPSS[(6.33±1.03)分]与对照组[(7.83±0.94)分]比较差异有统计学意义(P<0.05);与该组出院时[试验组(7.93±1.31)分,对照组(8.10±1.06)分]比较差异也有统计学意义(P<0.05)。对照组有3例(10.0%)患者分别于出院后3、4周及2个月因继发出血而再次入院治疗,试验组患者无出血发生。两组患者均无尿道狭窄及尿失禁等并发症发生。结论家庭护理干预能有效提高BPH患者术后的生活质量。
Objecties To investigate the impact of family nursing intervention on the quality of life in postoperative patients with benign prostatic hyperplasia（BPH）. Methods In total, 60 consecutive patients who underwent BPH surgeries between December 2012 and January 2014 were enrolled and randomly assigned to receive either timely outpatient follow-ups and routine rechecks（control group） or nursing intervention of telephone call followups and family visits by professional nurses（intervention group）. Quality of life was assessed by international prostate symptom score（IPSS） and generic quality of life inventory-74（GQOLI-74）, and was compared before and after intervention between the two groups. Results There were no statistically significant differences in GQOLI-74 scores of all dimensions at discharge between the intervention group and the control group（P〈0.05）. However, six months after discharge, GQOLI-74 scores of all dimensions were significantly different between the two groups（P〈0.05）, and were also significantly different from the scores at discharge in both groups（P〈0.05）. At discharge, IPSS scores were not significantly different between the two groups（P〈0.05）. Six months after discharge, IPSS scores of the intervention group（6.33±1.03） and the control group（7.83±0.94） were significantly different（P〈0.05）, and were also significantly different from the scores at discharge in the intervention group（7.93±1.31） and the control group（8.10±1.06）（P〈0.05）. Three patients in the control group（10.0%） were admitted into the hospital again due to bleeding, while there was no bleeding case in the intervention group. No such complications as urethrostenosis or urinary incontinence occurred in both groups.Conclusion Family nursing intervention improves effectively the quality of life in postoperative patients after surgeries for benign prostatic hyperplasia.
出处
《华西医学》
CAS
2017年第2期237-241,共5页
West China Medical Journal
基金
四川省卫生厅科研课题(130541)
关键词
良性前列腺增生
家庭护理干预
生活质量
Benign prostatic hyperplasia
Family nursing intervention
Quality of life
