以护理结局分类为基础的干预方案在良性前列腺增生护理中的应用

doi:10.3760/cma.j.issn.1007-1245.2024.19.031

国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (19): 3318-3322.DOI: 10.3760/cma.j.issn.1007-1245.2024.19.031

以护理结局分类为基础的干预方案在良性前列腺增生护理中的应用

高娟¹ 牛文涛¹ 张静¹ 毛玲¹ 张治华¹ 杨旭¹ 杨琼²

¹咸阳市中心医院泌尿外科，咸阳　712000；²咸阳市中心医院慢病管理中心，咸阳　712000

收稿日期:2024-05-06 出版日期:2024-10-01 发布日期:2024-10-17
通讯作者: 杨琼，Email：yangqiong200088@126.com
基金资助:
陕西省自然科学基础研究计划（2020JQ-544）

Application of intervention program based on nursing outcome classification in nursing care for patients with benign prostatic hyperplasia

Gao Juan¹, Niu Wentao¹, Zhang Jing¹, Mao Ling¹, Zhang Zhihua¹, Yang Xu¹, Yang Qiong²

¹Urology Department, Xianyang Central Hospital, Xianyang 712000, China; ²Chronic Disease Management Center, Xianyang Central Hospital, Xianyang 712000, China

Received:2024-05-06 Online:2024-10-01 Published:2024-10-17
Contact: Yang Qiong, Email: yangqiong200088@126.com
Supported by:
Basic Research Plan of Natural Science in Shaanxi (2020JQ-544)

摘要/Abstract

摘要：

目的　在良性前列腺增生护理中开展以护理结局分类为基础的干预方案，观察其对护理质量的影响。方法　本文为回顾性研究，选取2022年1月至2023年10月期间咸阳市中心医院收治良性前列腺增生患者552例，根据干预方案不同分为观察组和对照组，各276例。观察组年龄（74.99±5.91）岁，病程（7.03±0.48）个月；实施以护理结局分类为基础的干预方案。对照组年龄（73.52±5.44）岁，病程（7.11±0.57）个月，实施常规护理方案。对比两组护理效果，使用前列腺症状量表（IPSS-CH）和生命质量测定量表（QLQ-C30）于入院当天、出院前1 d对两组患者的前列腺症状和生命质量进行评估。采用SPSS 26.0软件进行分析，组间比较采用t检验。结果　入院当天，两组IPSS-CH、QLQ-C30量表评分差异均无统计学意义（均P>0.05）。出院前1 d，观察组患者QLQ-C30量表评分［食欲（33.95±3.77）分、精神（34.64±4.08）分、日常生活（32.97±3.66）分、疲乏（35.58±4.32）分、疼痛（37.71±3.91）分、总分（172.45±22.45）分］及护理效果评分［睡眠状况（40.23±3.65）分、精神心态（39.93±3.22）分、泌尿功能（39.18±3.55）分］均高于对照组［食欲（31.99±3.64）分、精神（32.71±3.89）分、日常生活（30.98±3.43）分、疲乏（33.51±4.22）分、疼痛（35.82±3.77）分、总分（161.99±20.33）分、睡眠状况（37.83±3.22）分、精神心态（36.73±3.11）分、泌尿功能（36.99±3.05）分］，差异均存在统计学意义（均P<0.05）；观察组患者IPSS-CH量表评分［憋尿困难（1.08±0.11）分、尿不尽（1.15±0.19）分、尿线变细（1.21±0.16）分、尿频（1.17±0.15）分、排尿中断次数（0.99±0.09）分］均低于对照组［憋尿困难（1.99±0.25）分、尿不尽（1.57±0.33）分、尿线变细（1.77±0.20）分、尿频（1.35±0.25）分、排尿中断次数（1.32±0.14）分］，差异均有统计学意义（均P<0.05）。结论　以护理结局分类为基础的干预方案可提升良性前列腺增生患者的护理效果，改善前列腺症状表现，提高生活质量。

关键词:

良性前列腺增生, 护理结局分类, 护理效果, 生命质量, 前列腺症状

Abstract:

Objective　To observe the impact of implementing the intervention program based on nursing outcome classification in nursing care for benign prostatic hyperplasia on its nursing quality. Methods　Five hundred and fifty-two with patients benign prostatic hyperplasia admitted to Xianyang Central Hospital between January 2022 and October 2023 were selected and divided into an observation group and a control group according to the different intervention plans, with 276 cases in each group. The observation group were (74.99±5.91) years old; their disease course was (7.03±0.48) months. The control group were (73.52±5.44) years old; their disease course was (7.11±0.57) months. The observation group took the intervention program based on the nursing outcome classification. The control group took the conventional care program. The nursing effects were compared between the two groups. The prostatic states and life quality in both groups were evaluated by International Prostate Symptom Score (IPSS-CH) and Quality of Life Measurement Scale (The European Organization for Research and Treatment of Cancer 30, QLQ-C30). The SPSS26.0 software was used to statistically analyze the clinical data. The data were compared by t test. Results　On the day of admission, there were no statistical differences in the scores of IPSS-CH and QLQ-C30 between the two groups (all P>0.05). One day before discharge, the scores of appetite, spirit, daily life, fatigue, and pain and full score of QLQ-C30 and the scores of sleep state, mental sate, and urinary function of nursing effect in the observation group were higher than those in the control group [(33.95±3.77) vs. (31.99±3.64), (34.64±4.08) vs. (32.71±3.89), (32.97±3.66) vs. (30.98±3.43), (35.58±4.32) vs. (33.51±4.22), (37.71±3.91) vs. (35.82±3.77), (172.45±22.45) vs. (161.99±20.33), (40.23±3.65) vs. (37.83±3.22), (39.93±3.22) vs. (36.73±3.11), and (39.18±3.55) vs. (36.99±3.05)], with statistical differences (all P<0.05). The scores of difficulty in holding urine, dysuria, thinning of the urine line, frequent micturition, and number of interruptions of urination of IPSS-CH in the observation group were lower than those in the control group [(1.08±0.11) vs. (1.99±0.25), (1.15±0.19) vs. (1.57±0.33), (1.21±0.16) vs. (1.77±0.20), (1.17±0.15) vs. (1.35±0.25), and (0.99±0.09) vs. (1.32±0.14)], with statistical differences (all P<0.05). Conclusion　Intervention program based on nursing outcome classification for patients with benign prostatic hyperplasia can significantly improve the nursing effect, their prostate symptoms, and their quality of life.

Key words:

Benign prostatic hyperplasia, Nursing outcome classification, Nursing effect, Quality of life, Prostate symptoms

高娟牛文涛张静毛玲张治华杨旭杨琼.

以护理结局分类为基础的干预方案在良性前列腺增生护理中的应用 [J]. 国际医药卫生导报, 2024, 30(19): 3318-3322.

Gao Juan, Niu Wentao, Zhang Jing, Mao Ling, Zhang Zhihua, Yang Xu, Yang Qiong.

Application of intervention program based on nursing outcome classification in nursing care for patients with benign prostatic hyperplasia [J]. International Medicine and Health Guidance News, 2024, 30(19): 3318-3322.

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以护理结局分类为基础的干预方案在良性前列腺增生护理中的应用

Application of intervention program based on nursing outcome classification in nursing care for patients with benign prostatic hyperplasia

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