护理干预对TURP与SPP治疗超大腺体BPH术后勃起功能障碍和性生活质量的影响

目的比较护理干预对经尿道前列腺电切术(TURP)和耻骨上前列腺切除术(SPP)两种方法治疗超大体积前列腺BPH术后引起的勃起功能障碍(erectile dysfunction,ED)和性生活质量的影响。方法对76例患者和配偶进行1年护理干预，于干预后3个月、6个月、9个月对勃起功能（阴茎勃起硬度、IIEF-5）、性生活质量(SLQQ)进行评价。结果(1)干预后TURP组与SPP组REF-5、SLQQ评分均比干预前明显升高(P＜0.05)，而干预后TURP组比SPP组IIEF-5、SLQQ评分明显下降(P＜0.05)；(2)干预后两组的IIEF-5评分均有不同程度的升高，而SPP组IIEF-5评分于干预后3个月、6个月、9个月有显著统计学差异(P＜0.01)；(3)干预后TURP组和SPP组的SLQQ评分均有增高，干预前后有统计学差异(P＜0.05)，且SPP组统计学差异更明显。结论护理干预能改善TURP和SPP两种方法治疗超大体积前列腺BPH术后引起的勃起功能障碍和性生活质量，提高患者的性生活满意度.对SPP组效果更显著。

Effect of nursing intervention on erectile dysfunction and the quality of sex life afterthe operation of large glands BPH by TURP and SPP

Objective To compare the impact of nursing intervention on erectile dysfunction and the quality of sex life after the operation of large glands BPH by TURP and SPP.Methods Nursing intervention were done for 76 patients and their spouses for a year.The erectile function (penile erection hardness, IIEF-5) and the quality of sex life (SLQQ) were assessed separately at 3 months, 6 months and 9 months after intervention.Results (1) After the intervention, the IIEF-5 and the SLQQ scores of TURP group and SPP group were significantly higher (P ＜ 0.05) .And after the intervention, the IIEF-5 and the SLQQ score of TURP group were significantly decreased (P ＜ 0.05) than those of SPP group; (2) The IIEF-5 score of both groups were increased in varying degrees after the intervention.While the IIEF-5 scores of SPP group 3 months, 6 months, 9 months after the intervention were statistically significant differences (P ＜ 0.01) ; (3) The SLQQ scores of both groups were increased after intervention, There were statistical differences (P ＜ 0.05) .and the statistical differences of SPP group was more obvious.Conclusions Nursing intervention can improve the treatment effect of erectile dysfunction and quality of sex life with TURP and SIP and improve the patient's sex life satisfaction degree.There are remarkable effect on the SPP