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舒适体位护理对前列腺气化电切术患者护理满意度、舒适度及术后并发症的影响观察

作者:王 可 温海石

所属单位:河南省南阳市中心医院手术二部 (河南 南阳 473000)

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摘要

目的 探究舒适体位护理对前列腺气化电切术患者护理满意度、舒适度及术后并发症的影响。方法 选取2017年02 月-2018年02月于我院接受前列腺气化电切术的98例患者作为受试对象,按照随机数字表法随机分为观察组与对照 组各49例。对照组进行常规护理,观察组在此基础上增加舒适体位护理。巡回护士在患者术后第2d进行访视时,评 测患者对于手术室护理的满意度及术后舒适度(VAS),出院前由病区管床护士协助统计患者的术后并发症(术后感 染、术后出血、尿失禁等)发生情况。结果 术后第2d时,观察组患者的护理满意度和VAS评分显示为无不适的患者 比例明显高于对照组(P均<0.05)。出院前,观察组患者的术后并发症总发生率明显低于对照组(P<0.05)。结论 舒适体位护理有助于提高前列腺气化电切术患者的护理满意度和舒适度,可有效降低术后并发症发生率。

Objective To explore the effects of comfortable posture nursing on nursing satisfaction, comfort and postoperative complications in patients undergoing transurethral vaporization of prostate. Methods 98 patients who underwent transurethral vaporization of prostate in our hospital from February 2017 to February 2018 were selected as subjects and were divided into observation group and control group according to the random number table method, with 49 cases in each group. Control group was given routine nursing, and observation group was additionally given comfortable posture nursing on this basis. The patients were given visit by visiting nurse on the 2nd d after operation, and the patients’ satisfaction with operating room nursing and the postoperative comfort (VAS) were evaluated, and the occurrence of postoperative complications (postoperative infection, postoperative bleeding, urinary incontinence) was counted by assistance of ward nurse before discharge. Results On the 2nd d after operation, the nursing satisfaction and VAS scores in observation group showed that the proportion of patients with no discomfort was significantly higher than that of control group (all P<0.05). Before discharge, the total incidence rate of postoperative complications in observation group was significantly lower than that in control group (P<0.05). Conclusion Comfortable posture nursing can improve the nursing satisfaction and comfort of patients with transurethral vaporization of prostate, and it can effectively reduce the incidence rate of postoperative complications.

【关键词】舒适体位;前列腺气化电切术;护理满意度;舒适度

【中图分类号】R47

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2019.02.036

前言

前列腺增生是中老年男性群体的常见疾病,随着 我国社会人口老龄化形势越发严峻,前列腺增生发病 率亦逐渐升高。目前前列腺气化电切术作为该疾病的 临床有效治疗方法得到广泛应用,具有创伤小、手术 时间短、治愈率高、恢复快的优点[1]。但由于患者年 龄普遍较大,合并较多基础疾病,加上术中持续采用 截石位,容易出现各种术后并发症,严重影响患者术 后舒适度[2]。为提高前列腺气化电切术患者的术后舒 适度,降低术后并发症发生率,本研究对98例前列腺气化电切术患者进行随机分组,分别采取常规护理和 常规护理基础上增加舒适体位护理措施进行干预,结 果显示舒适体位护理获得良好效果,现报道如下。