基于King达标理论的心理干预结合亲情干预模式对BPH患者行PKEP术后恢复情况及GQOLI-74、IPSS评分的影响

摘要
图/表
参考文献(22)
相关文章 (15)

全文: PDF (633 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的研究基于King达标理论的心理干预结合亲情干预模式对前列腺增生（BPH）患者行经尿道双极等离子前列腺剜除术（PKEP）术后恢复情况及生活质量综合评定问卷（GQOLI-74）、国际前列腺症状评分（IPSS）的影响。方法选择2017年8月～2019年2月浙江省嘉兴市第二医院收治的BPH患者120例作为研究对象，采用随机数字表法将其分为对照组和观察组，每组60例.两组患者均采取PKEP治疗，手术治疗后，对照组患者采取常规护理措施，观察组患者采取基于King达标理论的心理干预结合亲情干预模式，两组患者的护理时间均为4周。比较两组患者的围术期指标、症状改善情况、并发症、生命质量以及依从性之间的差异。结果两组IPSS评分、最大尿流速（Qmax）、残余尿量（RUV）组内治疗前后比较，差异均有统计学意义（均P ＜ 0.05），治疗后两组手术时间、术中出血量、切除组织量、IPSS评分、Qmax、RUV之间比较，差异均无统计学意义（P ＞ 0.05）；治疗后，两组患者的生命质量评分均升高，且观察组患者的生命质量评分均显著高于对照组，差异有统计学意义（P ＜ 0.05），两组患者的遵医嘱服药行为以及不良服药行为、日常生活管理行为、烟酒嗜好管理行为、依从性总分均高于治疗前，且观察组各项评分均高于对照组，差异均有统计学意义（P ＜ 0.05）。结论通过对BPH患者基于King达标理论的心理干预结合亲情干预模式护理，患者GQOLI-74、IPSS评分显著改善，患者的并发症显著下降，对患者的治疗具有积极的意义。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	蒋文华施晓萍黄静李洁鸣郭晓▲

关键词 ：前列腺增生, 依从性, 生命质量, King达标理论的心理干预, 亲情护理干预

Abstract：Objective To investigate the effect of psychological intervention combined with family intervention mode based on the King theory of compliance on the postoperative recovery, generic quality of life inventory questionnaire (GQOLI-74) and international prostate symptom score (IPSS) in patients with benign prostatic hyperplasia (BPH) after transurethral bipolar plasma kinetic enucleation of prostate(PKEP). Methods From August 2017 to February 2019, 120 male patients with BPH were treated at the Second Hospital of Jiaxing City, Zhejiang Province. They were divided into control group and observation group by random number table method, with 60 cases in each group. Both groups were treated with PKEP. After surgical treatment, patients in the control group took routine nursing measures, while patients in the observation group took psychological intervention based on the theory of King standards combined with the family intervention mode. The nursing duration of patients in both groups was 4 weeks. The perioperative indicators, symptom improvement, complications, quality of life and compliance of the two groups were compared. Results IPSS score, maximum urine flow rate (Qmax) and residual urine volume (RUV) of the two groups were compared before and after treatment, and the differences were statistically significant (all P ＜ 0.05). After treatment, there was no significant difference between the two groups in operation time, intraoperative blood loss, excised tissue volume, IPSS score, Qmax and RUV (P ＞ 0.05). After treatment, the quality of life score of patients of the two groups increased, and the quality of life score of the observation group was significantly higher than that of the control group, the difference was statistically significant (P ＜ 0.05). The patients′ behaviors of taking medicine as directed by the doctor and taking medicine badly, the total scores of tobacco and alcohol addiction management behavior and compliance of two groups were higher than before treatment. All scores in the observation group were higher than those in the control group, with statistically significant differences (P ＜ 0.05). Conclusion Through the combination of psychological intervention based on King standard theory and family intervention mode nursing for BPH patients, GQOLI-74 and IPSS scores of patients are significantly improved, and the complications of patients are significantly decreased, which is of positive significance for the treatment of patients.

Key words： Benign prostatic hyperplasia Compliance Quality of life King′s theory of psychological intervention Kinship nursing intervention

基金资助:浙江省嘉兴市科技计划课题（2019AD32098）。

通讯作者: ▲通讯作者

引用本文:

蒋文华施晓萍黄静李洁鸣郭晓▲. 基于King达标理论的心理干预结合亲情干预模式对BPH患者行PKEP术后恢复情况及GQOLI-74、IPSS评分的影响[J]. 中国医药导报, 2020, 17(5): 164-168.
JIANG Wenhua SHI Xiaoping HUANG Jing LI Jieming GUO Xiao▲. Effect of psychological intervention combined with family intervention mode based on the theory of King compliance on postoperative recovery, GQOLI-74 and IPSS score of BPH patients undergoing PKEP. 中国医药导报, 2020, 17(5): 164-168.

链接本文:

http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2020/V17/I5/164

[1] 罗娜，蒋聿瑛，徐肖肖.优质护理模式对前列腺增生患者护理效果分析及对其生活质量的影响[J].中国妇幼健康研究，2017，28（S3）：607-608.
[2] 黄海琴.护理风险干预对前列腺增生术后引流安全的影响[J].实用临床医药杂志，2017，21（24）：215-216.
[3] 孟晓琴，王琪，周红，等.家庭护理干预对良性前列腺增生患者术后生活质量的影响[J].华西医学，2017，32（2）：82-86.
[4] 秦淑萍，张丽，廖理，等.出院持续护理对老年前列腺增生患者术后自我护理与生活质量的影响[J].解放军护理杂志，2017，34（18）：67-72.
[5] 郑小丽，胡秀丽.经激光汽化术治疗高危前列腺增生症病人的围手术期精细化护理[J].安徽医药，2019，23（6）：82-84.
[6] 陶卫琦，孙毅海.经尿道等离子前列腺剜除术治疗良性前列腺增生症385例临床分析[J].广西医科大学学报，2018，35（12）：118-120.
[7] 孙祖刚，王哲，刘硕，等.前列腺增生合并原发性浸润性高级别尿路上皮癌1例报道并文献复习[J].肿瘤预防与治疗，2018，31（5）：76-78.
[8] Lim Z，Killick SU，Cavenagh J，et al. Low IPSS score and bone marrow hypocellularity in MDS patients predict hematological responses to antithymocyte globulin [J]. Leukemia，2007，31（7）：S36-S37.
[9] Zhang SJ，Huang LH，Wen YL，et al. Impact of personality and coping mechanisms on health related quality of life in liver transplantation recipients [J]. Hepatobiliary Pancreat Dis Int，2005，4（3）：356-359.
[10] He W，Bonner A，Anderson D. Patient reported adherence to hypertension treatment：A revalidation study [J]. Eur J Cardiovasc Nurs，2016，15（2）：150-156.
[11] 杨博宇，夏术阶.应高度重视良性前列腺增生症患者的膀胱问题[J].中华医学杂志，2017，97（22）：1681-1682.
[12] 王飘，常雅卉，赵思俊，等.建立良性前列腺增生动物模型的时间评定[J].中国药物与临床，2019，19（6）：870-873.
[13] 陆奇杰，白文坤，曹乃龙.良性前列腺增生相关发生机制[J].国际泌尿系统杂志，2018，38（5）：855-858.
[14] 程旭，王荫槐.良性前列腺增生症微创治疗的进展[J].现代泌尿外科杂志，2018，23（7）：68-73.
[15] 董强，屈锐，柳良仁.前列腺增生症外科微创治疗[J].西部医学，2019，31（2）：7-11.
[16] 毛杨兴，李龙坤，龚桂芝.152例良性前列腺增生伴急性尿潴留患者的护理方法研究[J].检验医学与临床，2018，15（8）：1178-1181.
[17] Xu H，Fu S，Chen Y，et al. Oxytocin：its role in the benign prostatic hyperplasia （BPH） via the ERK pathway [J]. Clinical Science，2017，131（7）：CS20170030.
[18] Xu H，Fu S，Chen Y，et al. Oxytocin：its role in benign prostatic hyperplasia via the ERK pathway [J]. Clinical Science，2017，131（7）：595-607.
[19] Fang CW ，Liao CH，Wu SC，et al. Association of benign prostatic hyperplasia and subsequent risk of bladder cancer：an Asian population cohort study [J]. World J Urol，2018，36（5）：1-8.
[20] 张莹，王希喆，周露，等.p504s、ck5/6和p63表达水平在前列腺增生和前列腺癌中的诊断价值[J].中国医药导报，2018，15（17）：106-109.
[21] 吴福敏，江敏，吴海涛，等.经尿道等离子前列腺电切术和前列腺剜除术治疗前列腺增生的临床疗效观察[J].当代医学，2019（18）：21-24.
[22] 朱宇虹，吴丽芬.基于King达标理论的心理护理干预在前列腺增生患者术后的应用效果[J].中国地方病防治杂志，2017，32（9）：1044-1045.