摘要
目的探讨加速康复外科护理联合三时段多模式保温护理在前列腺增生(PH)经尿道前列腺电切术(TURP)患者中的应用效果。方法选择2021年1月—2023年1月采用收治的76例PH患者为研究对象,按随机数字表法将其分为对照组与观察组,各38例。对照组采用常规护理,观察组在对照组基础上采用加速康复外科护理联合三时段多模式保温护理。比较两组的体温变化、术后康复指标、并发症发生情况及护理满意度。结果手术30 min、1 h及术后2 h,观察组体温均高于对照组,组间差异有统计学意义(P<0.05)。护理后,观察组肛门排气时间、膀胱冲洗时间、进食时间、首次下床活动时间、尿管留置时间及住院时间均短于对照组,组间差异有统计学意义(P<0.05);观察组并发症发生率为5.26%,低于对照组的26.32%,差异有统计学意义(P<0.05);观察组入院接待、健康教育、护理技术、服务态度、康复指导及总分均高于对照组,组间差异有统计学意义(P<0.05)。结论针对PH行TURP患者应用加速康复外科护理联合三时段多模式保温护理的效果显著,可维持患者的体温稳定,改善康复指标,减少并发症,提高护理满意度。
Objective To explore the application effect of enhanced recovery after surgery nursing combined with three-period multi-mode heat preservation nursing in patients with prostatic hyperplasia(PH)undergoing transurethral resection of the prostate(TURP).Methods A total of 76 PH patients admitted to Rizhao Central Hospital from January 2021 to January 2023 were selected as the research subjects and randomly divided into a control group and an observation group using a random number table method,with 38 cases in each group.The control group was given routine nursing,and the observation group was given enhanced recovery after surgery nursing combined with three-period multi-mode heat preservation nursing on the basis of the control group.The changes of body temperature,postoperative rehabilitation indicators,occurrence of complications and nursing satisfaction were compared between the two groups.Results The body temperature 30 min,1 hours and 2 hours after operation in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the anal exhaust time,bladder irrigation time,eating time,first ambulation time,catheter indwelling time and hospitalization time in the observation group were shorter than those in the control group,and the difference between the groups was statistically significant(P<0.05);the incidence of complications in the observation group was 5.26%,which was lower than 26.32%in the control group,and the difference was statistically significant(P<0.05);the scores of admission reception,health education,nursing skills,service attitude,rehabilitation guidance and total score in the observation group were higher than those in the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion The application of enhanced recovery after surgery nursing combined with three-period multi-mode heat preservation nursing for PH patients undergoing TURP has a significant effect,which can maintain the body temperature stability of patients,improve rehabilitation indicators,reduce complications and improve nursing satisfaction.
作者
李玲玉
冷梅娜
LI Lingyu;LENG Meina(Department of Urology and Pediatric Surgery,Rizhao Central Hospital,Rizhao 276800,China;Department of Thoracic Surgery,Rizhao Central Hospital,Rizhao 276800,China)
出处
《反射疗法与康复医学》
2024年第23期166-169,共4页
Reflexology And Rehabilitation Medicine
关键词
前列腺增生
经尿道前列腺电切术
加速康复外科护理
三时段多模式保温护理
Prostatic hyperplasia
Transurethral resection of the prostate
Enhanced recovery after surgery nursing
Three-Period multi-mode heat preservation nursing
