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家庭健康教育在显微镜精索静脉曲张术后护理中的临床研究
邱爱萍1      范晓猛1      朱志敏2      刘永胜1      郝捷1
1.河北省保定市第二医院泌尿外科,河北保定   071000;
2.河北省保定市妇幼保健院妇产科,河北保定   071000
Clinical study of family health education on postoperative nursing of microscopical varicocele#br#
QIU Aiping1   FAN Xiaomeng1   ZHU Zhimin2   LIU Yongsheng1   HAO Jie1
1.Department of Urology, Baoding Second Hospital, Hebei Province, Baoding   071000, China; 
2.Department of Obstetrics and Gynecology, Baoding Maternal and Child Health Hospital, Hebei Province, Baoding   071000, China
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摘要 目的 探讨家庭健康教育在显微镜精索静脉曲张术后护理中的应用效果。 方法 选取2014年1月至2018年1月河北省保定市第二医院确诊无精神疾病阴囊重度静脉曲张成年男性患者100例,患者均采用显微镜精索静脉曲张结扎术,根据随机数字表法将其分为对照组和观察组,每组各50例。对照组予以常规护理措施,观察组在对照组的基础上予以家庭健康教育干预,于术后3、6个月时观察阴囊彩超及精液分析结果,比较精索静脉直径和精液恢复情况;并调查患者负情绪、依从性、满意度情况及术后并发症发生概率和患者妻子怀孕情况。 结果 术后3个月,观察组精液浓度、精子存活率、向前运动和睾酮含量高于对照组,精索静脉最大内径小于对照组,差异有统计学意义(P < 0.05)。两组精子总活力和睾丸体积指标比较,差异无统计学意义(P > 0.05)。术后6个月时两组精液浓度、精子存活率、向前运动、睾酮含量、精子总活力和睾丸体积精索静脉最大内径指标比较,差异无统计学意义(P > 0.05)。观察组负情绪评分低于对照组,差异有统计学意义(P < 0.05);观察组满意度评分高于对照组,差异有统计学意义(P < 0.05);两组依从性比较,差异无统计学意义(P > 0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P < 0.05)。两组妻子怀孕率比较,差异无统计学意义(P > 0.05)。 结论 开展家庭健康教育的观察组术后前3个月内患者恢复程度优于对照组,并且术后并发症发生率较低。显微镜下精索静脉低位结扎术的术后家庭健康教育是一种姑息、有效的护理方式,促进患者恢复和保证疗效具有重要意义。
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邱爱萍1 范晓猛1 朱志敏2 刘永胜1 郝捷1
关键词 精索静脉曲张护理家庭健康教育精液质量    
Abstract:Objective To explore the application effect of family health education on postoperative nursing of microscopical varicocele. Methods A total of 100 adult male patients with severe varicocele without mental illness diagnosed in Baoding Second Hospital of Hebei Province from January 2014 to January 2018 were selected, and all patients adopted microscopic varicocele ligation. According to the random number table method, they were divided into control group and observation group, with 50 cases in each group. The control group was given routine nursing measures, and the observation group was given family health education intervention based on the control group. The results of scrotal ultrasonography and semen analysis were observed three and six months after operation, and the diameter of spermatic vein and semen recovery were compared. Negative emotions, compliance, satisfaction, postoperative complications and pregnancy of the patient’s wife were investigated. Results Three months after operation, the semen concentration, sperm survival rate, forward movement, and testosterone content in the observation group were significantly higher than those in the control group, the maximum diameter of the spermatic vein was smaller than that of the control group the differences were statistically significant (P < 0.05). There was no significant difference in total sperm motility and testicular volume between the two groups (P > 0.05). There were no significant differences in semen concentration, sperm survival rate, forward movement, testosterone content, total sperm motility, and testicular volume between the two groups at six months after operation (P > 0.05). The negative emotion score of the observation group was lower than that of the control group, the difference was statistically significant (P < 0.05); the satisfaction score of the observation group was higher than that of the control group, the difference was statistically significant (P < 0.05); there was no statistical significance in compliance between the two groups (P > 0.05). The incidence rate of postoperative complications in the observation group was significantly lower than that in the control group, the difference was statistically significant (P < 0.05). There was no significant difference in pregnancy rate of wife between the two groups (P > 0.05). Conclusion The recovery degree of patients in the observation group with family health education in the first three months after operation was better than that in the control group, and there were fewer postoperative complications. Family health education after low ligation of spermatic vein under microscope is a palliative and effective nursing method, which is of great significance to promote the recovery of patients and ensure the curative effect.
Key wordsVaricocele    Nursing    Family health education    Semen quality
    
引用本文:   
邱爱萍1 范晓猛1 朱志敏2 刘永胜1 郝捷1. 家庭健康教育在显微镜精索静脉曲张术后护理中的临床研究[J]. 中国医药导报, 2022, 19(7): 194-封三.
QIU Aiping1 FAN Xiaomeng1 ZHU Zhimin2 LIU Yongsheng1 HAO Jie1. Clinical study of family health education on postoperative nursing of microscopical varicocele#br#. 中国医药导报, 2022, 19(7): 194-封三.
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