院外健康教育对良性前列腺增生患者前列腺电切术后生活质量的影响

目的:探讨院外健康教育对良性前列腺增生(BPH)患者术后生活质量的影响。方法:选取行经尿道前列腺电切术(TURP)的BPH患者100例,分为观察组和对照组,每组50人。2组均进行常规出院指导,观察组同时通过电话随访进行院外健康教育。2组患者分别于出院时及术后3个月行国际前列腺症状评分(IPSS)、生活质量评分(QOLS)和最大尿流率(Qmax)检测,且计算3个月时的再住院率。结果:2组患者出院时和术后3个月IPSS、QOLS和Qmax比较,差异均有统计学意义(F组间=12.028、18.376和466.845,F时间=14.170、5.719和492.126,F交互=5.323、10.468和7.828;P均<0.05)。观察组和对照组再住院率分别为4.2%和20.0%,差异有统计学意义(χ2=4.021,P=0.008)。结论:院外健康教育进行连续性护理能够使行TURP的BPH患者尽快康复,提高患者的生活质量。

Impact of health education outside the hospital on quality of life for benign prostatic hyperplasia patients after trans-urethral resection of prostate

Aim:To study the impact of health education outside the hospital on quality of life for benign prostatic hyperplasia patients after trans-urethral resection of the prostate(TURP).Methods:A total of 100 cases of benign prostatic hyperplasia(BPH) patients after TURP were divided into the observation group and the control group,and each group had 50 persons.The control group only received routine discharge guidance and the observation group additionally received telephone follow-up to guide health education outside the hospital.International prostate symptom score(IPSS),quality of life scale(QOLS),and maximum urinary flow rate(Qmax) were assessed when TURP patients were discharged and 3 months later.The rehospitalization rate of the 2 groups was compared.Results:The Qmax,QOLS and Qmax in the 2 groups at discharge and 3 months later had significant differences(Fgroup=12.028,18.376 and 466.845,Ftime=14.170,5.719 and 492.126,Finteraction=5.323,10.468,and 7.828;P<0.05).The rehospitalizing rate between the control and observation group were 4.2% and 20.0%,respectively,and there were obvious differences(χ2=4.021,P=0.008).Conclusion:Continuous health education outside the hospital can improve their quality of life in BPH patients after TURP.