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综合护理干预对前列腺增生症合并腹股沟疝术后自我护理及生活质量的影响
引用本文:周海霞,聂婷,蒋媛,唐青.综合护理干预对前列腺增生症合并腹股沟疝术后自我护理及生活质量的影响[J].中华疝和腹壁外科杂志(电子版),2022,16(2):227-231.
作者姓名:周海霞  聂婷  蒋媛  唐青
作者单位:1. 830001 乌鲁木齐,新疆自治区人民医院泌尿中心 2. 830001 乌鲁木齐,新疆自治区人民医院微创、疝和腹壁外科 3. 830001 乌鲁木齐,新疆自治区人民医院干部保健中心
基金项目:国家卫生健康委医药卫生科技发展研究中心(HDSL202001089)
摘    要:目的探究综合护理干预对前列腺增生症合并腹股沟疝术后自我护理及生活质量的影响。 方法选取2018年3月至2020年3月于新疆维吾尔自治区人民医院就诊的132例前列腺增生症合并腹股沟疝术后患者,采用随机表法分为对照组和观察组,各66例。比较2组患者术后恢复情况、并发症发生率以及2组患者在护理干预前、出院时的焦虑自评量表(SAS)、自评抑郁量表(SDS)、生活质量调查简表(SF-36)评分,出院时患者对护理工作的满意度调查结果。 结果观察组患者术后恢复时间均短于对照组(P<0.05)。观察组患者术后的并发症发生率(3.03%)远低于对照组术后并发症发生率(9.09%)(P<0.05)。2组患者出院时SAS、SDS评分均比干预前明显降低,且观察组显著低于对照组(P<0.05)。出院时,2组患者生理健康总评(PCS)和心理健康总评(MCS)评分均较干预前有所升高(P<0.05),且观察组PCS和MCS评分显著高于对照组(P<0.05)。出院时,观察组患者对护理工作各项满意度的评分均显著高于对照组(P<0.05)。 结论综合护理干预对前列腺增生症合并腹股沟疝患者的术后自我护理有着极好的引导作用,患者能够尽快适应术后变化,进而调动患者的自主能动性,提高患者生活质量。

关 键 词:前列腺增生  疝,腹股沟  综合护理  术后护理  自我护理  生活质量  
收稿时间:2020-12-16

Effects of comprehensive nursing intervention on postoperative self-care and quality of life of patients with prostatic hyperplasia complicated with inguinal hernia
Authors:Haixia Zhou  Ting Nie  Yuan Jiang  Qing Tang
Institution:1. Urology Center, Xinjiang Autonomous Region People's Hospital, Urumqi 830001, China 2. Minimally Invasive, Hernia and Abdominal Wall Surgery, Xinjiang Autonomous Region People's Hospital, Urumqi 830001, China 3. Cadre Health Care Center, Xinjiang Autonomous Region People's Hospital, Urumqi 830001, China
Abstract:ObjectiveTo explore the effects of comprehensive nursing intervention on postoperative self-care and quality of life for patients with prostatic hyperplasia complicated with inguinal hernia. MethodsA total of 132 patients with prostatic hyperplasia complicated with inguinal hernia who came to our hospital from March 2018 to March 2020 were selected and divided into control group and observation group by the random table method, 66 in each group. The postoperative recovery and complication rates of patients in the two groups were compared, as well as the scores of the self-rated anxiety scale (SAS), self-rated depression scale (SDS), and Short Form 36 questionnaire (SF-36) before nursing intervention and at discharge. Results of the survey on patient satisfaction with nursing work at discharge. ResultsThe postoperative recovery time of the observation group was shorter than that of the control group (P<0.05). The incidence of postoperative complications in the observation group (3.03%) was much lower than that in the control group (9.09%), P<0.05. SAS and SDS scores in 2 groups at discharge were significantly lower than before intervention, and the observation group was significantly lower than the control group (P<0.05). At discharge, the Physical Component Summary (PCS) and Mental Component Summary (MCS) scores of 2 groups were increased compared with those before intervention (P<0.05). PCS and MCS scores in the observation group were significantly higher than those in the control group (P<0.05). At discharge, the scores of nursing satisfaction in the observation group were significantly higher than those in the control group (P<0.05). ConclusionComprehensive nursing intervention has an excellent guiding effect on the postoperative self-care of patients with prostatic hyperplasia complicated with inguinal hernia. Patients can adapt to postoperative changes as soon as possible, and then mobilize their own independent initiative, improving their quality of life.
Keywords:Prostatic hyperplasia  Hernia  inguinal  Comprehensive nursing  Postoperative care  Self-care  Quality of life  
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