摘要
目的探讨护理干预对经尿道前列腺电切术(TURP)后认知功能影响及疗效观察。方法 72例TURP患者随机分为观察组和对照组。对照组予以围手术期常规护理,观察组予以综合性护理干预。结果术后1d两组MMSE和HDS评分均明显下降(P<0.05),观察组下降值少于对照组(P<0.05)。术后3 d观察组MMSE和HDS评分恢复术前水平(P>0.05),而对照组仍低于术前水平(P<0.05)。随访3个月,观察组术后总有效率明显优于对照组(χ2=4.18,P<0.05)。结论综合性护理干预可减少TURP术后认知功能下降幅度,并能改善下尿路梗阻症状,提高术后疗效,有利于患者康复。
Objective To discuss influence and curative effect observation of nursing intervention on cognitive function after transurethral resection of prostate （TURP）. Methods Seventy-two cases of patients with TURP were divided into observation group and control group at random. The patients in control group were given routine nursing in periopera- tive period. The patients in observation group were additionally given comprehensive nursing intervention. Results The MMSE and HDS scores of patients in two groups one day after the operation obviously were declined（P 〈 0.05）, and the declining rate in observation group was lower than that in control group （P 〈 0.05）. The MMSE and HDS scores of pa- tients in observation 3 days before the operation were return to the same levels as those before the operation（P 〉 0.05）, while the MMSE and HDS scores of patients in control group were still obviously lower than those before the operation （P 〈 0.05）. According to 3 months＇ following-up after the operation, the total clinical efficiency of patients in observation group after the operation was much higher than that in control group（x2=4.18, P 〈 0.05）. Conclusion＇The compre- hensive nursing intervention can reduce the occurrence rate thereof operated on TURP, obviously improve the symptoms of lower urinary tract obstruction, enhance the curative effect after the operation, and is in favor of the recovery of patients.
出处
《中国现代医生》
2014年第11期82-84,共3页
China Modern Doctor
基金
浙江省医学会临床科研基金(2006ZYC23)
关键词
经尿道前列腺电切术
综合性护理
认知功能
Transurethral resection of prostate （TURP）
Comprehensive nursing
Cognitive function
