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

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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

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	JIANG Wenhua SHI Xiaoping HUANG Jing LI Jieming GUO Xiao▲

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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[J]. 中国医药导报, 2020, 17(5): 164-168.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I5/164

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