摘要
目的 探究在机器人腹腔镜下前列腺癌根治术后尿失禁患者中应用医护患一体化护理干预的临床价值。方法 抽取2022年8月至2023年8月期间我院收治的机器人腹腔镜下前列腺癌根治术后尿失禁患者80例为研究对象，按照随机信封法规范分为对照组与实验组，对照组40例，接受常规护理干预；实验组40例，接受医护患一体化护理。对比指标：干预后排尿功能和尿失禁发生率、干预效果及生活质量评分。结果 干预后实验组尿失禁发生率显著低于对照组，排尿功能指标明显优于对照组（P＜0.05）；和对照组相比，实验组干预总有效率和生活质量评分更高（P＜0.05）。结论 在机器人腹腔镜下前列腺癌根治术后尿失禁患者中运用医护患一体化护理比常规护理效果更加理想，可显著改善患者排尿功能，减少尿失禁发生情况，提升患者术后生活质量。
关键词： 机器人；腹腔镜；前列腺癌根治术；医护患一体化护理；尿失禁
Abstract
Objective To explore the clinical value of integrated nursing intervention for patients with urinary incontinence after radical prostate cancer surgery by robotic laparoscopic surgery. Methods A total of 80 cases of urinary incontinence patients treated in our hospital from August 2022 to August 2023 after radical prostate cancer surgery under robotic laparoscopy were selected as research objects. They were divided into control group and experimental group according to the standard of random envelope method. 40 cases in the control group received routine nursing intervention. The experimental group of 40 patients received integrated nursing care. Comparison indicators: After the intervention, urinary function, incidence of urinary incontinence, intervention effect and quality of life score. Results After intervention, the incidence of urinary incontinence in the experimental group was significantly lower than that in the control group, and the index of urinary function was significantly better than that in the control group (P < 0.05). Compared with the control group, the total response rate and quality of life score of the experimental group were higher (P < 0.05). Conclusion In patients with urinary incontinence after radical prostate cancer surgery under robotic laparoscopy, the effect of integrated nursing is more ideal than that of conventional nursing, which can significantly improve the urination function of patients, reduce the occurrence of urinary incontinence, and improve the postoperative quality of life of patients.
Key words： Robot; Laparoscopy; Radical resection of prostate cancer; Integrated nursing care for medical and patient; Urinary incontinence
参考文献 References
[1] 付佳丽,杨红,马丹阳,等.医护患一体化护理在机器人腹腔镜下前列腺癌根治术后尿失禁患者中的应用[J].齐鲁护理杂志,2023,29(16):107-110.
[2] 徐锦,田洁,张莉.延续性护理在机器人辅助腹腔镜前列腺癌根治术后患者中的应用[J].天津护理,2019, 27(5):550-554.
[3] 陈燕.基于叙事干预的精益护理措施,探究其在腹腔镜前列腺根治术前列腺癌患者中的应用[J].中国科技期刊数据库 医药,2021,0(10):0068-0070.
[4] 许蒙蒙,丁佳蓉,王良梅.机器人辅助腹腔镜后入路根治性前列腺切除术患者的围术期护理[J].中文科技期刊数据库(引文版)医药卫生,2022,000(3):0133-0136.
[5] 王思颖,王莉萍,林根芳.快速康复医护一体化管理模式在机器人辅助腹腔镜膀胱癌根治术及原位“U”形回肠新膀胱患者中的应用[J].齐鲁护理杂志,2021,27(6):4-7.
[6] 薛梅平,王春樱,胡文婷,赵建新,陈明.机器人辅助手术改善腹腔镜下前列腺癌根治术患者术后尿控功能恢复程度的临床疗效观察[J].中华男科学杂志,2022,28(6):501-505.
[7] 关龙辉,喻娟,张成.机器人单孔经膀胱入路前列腺癌根治术的护理配合[J].机器人外科学杂志(中英文),2022, 3(1):62-65.
[8] 罗太勤.综合护理干预在前列腺癌根治术后患者尿失禁中的临床效果探讨[J].基层医学论坛,2023,27(05):118-120.