摘要
目的探讨思维导图模式在前列腺增生症术后尿失禁护理中的应用效果。方法选取本院2013年1月~2014年12月120例前列腺增生症手术患者为此次的临床研究对象,将其按照随机数字表法分为观察组与对照组。对照组给予尿失禁的常规护理,观察组建立尿失禁思维导图模式,并依据导图模式进行施护,观察两组的护理效果,对尿失禁发生率、尿失禁持续时间、住院时间和护理满意度以及患者护理前后SAS和SDS评分进行对比分析。结果观察组术后尿失禁发生率为10.0%,明显低于对照组的31.7%,差异有统计学意义（P〈0.05）。观察组患者尿失禁持续时间和住院时间分别为（4.2±0.7）d、（8.4±1.1）d,对照组患者尿失禁持续时间和住院时间分别为（6.7±1.1）d、（10.6±1.7）d,两组比较差异有统计学意义（P〈0.05）。观察组患者临床护理总满意度为95.0%,明显高于对照组的75.0%,差异有统计学意义（P〈0.05）。护理前观察组与对照组不良情绪的SDS评分和SAS评分比较差异无统计学意义（P〉0.05）;护理后两组患者的SDS评分和SAS评分均较护理前明显降低,观察组降低程度明显高于对照组,差异有统计学意义（P〈0.05）;护理后两组的ICI-Q-SF评分均较护理前有明显的降低,观察组降低程度优于对照组,差异有统计学意义（P〈0.05）。结论临床中应用思维导图模式护理可以降低前列腺增生症患者术后尿失禁的发生,缩短尿失禁持续时间和住院时间,进一步提高患者的临床护理满意度。同时,思维导图护理模式的实施,可以有效改善患者的不良情绪,值得临床中应用。
Objective To explore the application effects of mind mapping model in the nursing care of postoperative incontinence of patients with prostatic hyperplasia. Methods One hundred and twenty patients who underwent prostatic hyperplasia operation in our hospital from January 2013 to December 2014 were selected as the clinical study subjects.The patients were randomly assigned into the observation group and the control group, using the random number table method. The usual nursing care was administered in the control group, and the mind mapping model was established in the observation group, according to which the nursing care was implemented. The nursing effects of both groups were observed. The incidences and duration of urinary incontinence, hospital stays, and nursing satisfaction as well as the SAS and SDS scores before and after nursing care were compared and analyzed. Results Compared with the control group（31.7%）, the incidence of urinary incontinence of the observation group（10.0%） was significantly lower, with statistically significant difference（P〈0.05）. The duration of urinary incontinence and hospital stay of patients in the observation group were（4.2±0.7） days and（8.4±1.1） days respectively, and those in the control group were（6.7±1.1） days and（10.6±1.7） days respectively, with statistically significant difference（P〈0.05）. The total clinical nursing satisfaction in the observation group（95.0%） was significantly higher than that（75.0%） in the control group, with statistically significant difference（P〈0.05）. The comparative differences of SDS and SAS negative emotions scores between the two groups before nursing care were found to be insignificant（P〈0.05）. The SDS and SAS negative emotions scores after nursing care were significantly lower than those before nursing care in both groups, but the decrease was more significant in the observation group, with statistically significant differences between the two groups（P〈0.05）. The ICI-Q-SF scores also decreased after nursing care in both groups, but the decrease degree was better in the observation group, with statistically significant difference（P〈0.05）. Conclusion The clinical application of mind mapping model nursing care can reduce the occurrence of postoperative incontinence, shorten the duration and hospital stay, and further improve the clinical nursing satisfaction of the patients with prostatic hyperplasia. Meanwhile, the model is effective in improving the patients＇ negative emotions and has a great application value in clinical practice.
出处
《中国现代医生》
2015年第34期128-131,135,共5页
China Modern Doctor
基金
浙江省温州市第一期科技计划项目(Y20140127)
关键词
前列腺增生症
尿失禁
思维导图
焦虑
抑郁
护理
Prostatic hyperplasia
Urinary incontinence
Mind mapping
Anxiety
Depression
Nursing
