摘要
目的研究基于King达标理论的心理干预结合亲情干预模式对前列腺增生(BPH)患者行经尿道双极等离子前列腺剜除术(PKEP)术后恢复情况及生活质量综合评定问卷(GQOLI-74)、国际前列腺症状评分(IPSS)的影响。方法选择2017年8月~2019年2月浙江省嘉兴市第二医院收治的BPH患者120例作为研究对象,采用随机数字表法将其分为对照组和观察组,每组60例.两组患者均采取PKEP治疗,手术治疗后,对照组患者采取常规护理措施,观察组患者采取基于King达标理论的心理干预结合亲情干预模式,两组患者的护理时间均为4周。比较两组患者的围术期指标、症状改善情况、并发症、生命质量以及依从性之间的差异。结果两组IPSS评分、最大尿流速(Qmax)、残余尿量(RUV)组内治疗前后比较,差异均有统计学意义(均P<0.05),治疗后两组手术时间、术中出血量、切除组织量、IPSS评分、Qmax、RUV之间比较,差异均无统计学意义(P>0.05);治疗后,两组患者的生命质量评分均升高,且观察组患者的生命质量评分均显著高于对照组,差异有统计学意义(P<0.05),两组患者的遵医嘱服药行为以及不良服药行为、日常生活管理行为、烟酒嗜好管理行为、依从性总分均高于治疗前,且观察组各项评分均高于对照组,差异均有统计学意义(P<0.05)。结论通过对BPH患者基于King达标理论的心理干预结合亲情干预模式护理,患者GQOLI-74、IPSS评分显著改善,患者的并发症显著下降,对患者的治疗具有积极的意义。
Objective To investigate the effect of psychological intervention combined with family intervention mode based on the King theory of compliance on the postoperative recovery,generic quality of life inventory questionnaire(GQOLI-74)and international prostate symptom score(IPSS)in patients with benign prostatic hyperplasia(BPH)after transurethral bipolar plasma kinetic enucleation of prostate(PKEP).Methods From August 2017 to February 2019,120 male patients with BPH were treated at the Second Hospital of Jiaxing City,Zhejiang Province.They were divided into control group and observation group by random number table method,with 60 cases in each group.Both groups were treated with PKEP.After surgical treatment,patients in the control group took routine nursing measures,while patients in the observation group took psychological intervention based on the theory of King standards combined with the family intervention mode.The nursing duration of patients in both groups was 4 weeks.The perioperative indicators,symptom improvement,complications,quality of life and compliance of the two groups were compared.Results IPSS score,maximum urine flow rate(Qmax)and residual urine volume(RUV)of the two groups were compared before and after treatment,and the differences were statistically significant(all P<0.05).After treatment,there was no significant difference between the two groups in operation time,intraoperative blood loss,excised tissue volume,IPSS score,Qmax and RUV(P>0.05).After treatment,the quality of life score of patients of the two groups increased,and the quality of life score of the observation group was significantly higher than that of the control group,the difference was statisti cally significant(P<0.05).The patients′behaviors of taking medicine as directed by the doctor and taking medicine badly,the total scores of tobacco and alcohol addiction management behavior and compliance of two groups were higher than before treatment.All scores in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion Through the combination of psychological intervention based on King standard theory and family intervention mode nursing for BPH patients,GQOLI-74 and IPSS scores of patients are significantly improved,and the complications of patients are significantly decreased,which is of positive significance for the treatment of patients.
作者
蒋文华
施晓萍
黄静
李洁鸣
郭晓
JIANG Wenhua;SHI Xiaoping;HUANG Jing;LI Jieming;GUO Xiao(Department of Urology,the Second Hospital of Jiaxing City,Zhejiang Province,Jiaxing314000,China)
出处
《中国医药导报》
CAS
2020年第5期164-168,共5页
China Medical Herald
基金
浙江省嘉兴市科技计划课题（2019AD32098）
关键词
前列腺增生
依从性
生命质量
King达标理论的心理干预
亲情护理干预
Benign prostatic hyperplasia
Compliance
Quality of life
King′s theory of psychological intervention
Kinship nursing intervention
作者简介
通讯作者:郭晓。
