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基于微信主导的延续性康复干预模式在前列腺癌根治术后尿失禁患者中的应用
刘丹      谢婷婷
江苏省淮安市第一人民医院泌尿外科,江苏淮安   223300
Application of continuous rehabilitation intervention mode based on WeChat in urinary incontinence patients after radical resection of prostate cancer
LIU Dan   XIE Tingting
Department of Urology, Huai’an First People’s Hospital, Jiangsu Province, Huai’an   223300, China
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摘要 目的 探讨基于微信主导的延续性康复干预模式对前列癌根治术后尿失禁患者尿动力学及生活质量的影响。 方法 选择2017年7月—2018年6月江苏省淮安市第一人民医院收治的机器人辅助前列腺癌根治术后尿失禁患者120例,根据手术时间分为观察组(2018年1月—6月)62例、对照组(2017年7月—12月)58例。对照组给予常规延续康复护理,观察组给予基于微信主导的延续性康复干预模式。随访3个月,比较两组临床疗效、尿动力学、生活质量。 结果 随访3个月后,观察组总有效率明显高于对照组(P < 0.05);两组尿动力学指标明显高于同组出院前(P < 0.01),观察组最大尿流量、Valsalva漏点压力、最大尿道闭合压、最大膀胱容量明显高于对照组(P < 0.05);两组生活质量评分明显高于同组出院时(P < 0.01),观察组疼痛、体力、食欲、便秘情况、排尿情况、总体感觉评分明显高于对照组(P < 0.05)。 结论 基于微信主导的延续性康复护理有助于促进前列腺癌根治术后尿失禁患者尿动力学恢复,提高临床疗效,改善患者生活质量。
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刘丹 谢婷婷
关键词 前列腺癌根治术尿失禁康复护理微信尿动力学生活质量    
Abstract:Objective To investigate the effect of WeChat-led continuous rehabilitation intervention mode on urodynamics and quality of life of patients with urinary incontinence after radical resection of prostate cancer. Methods From July 2017 to June 2018, 120 patients with urinary incontinence after robot-assisted radical prostatectomy admitted to Huai’an First People’s Hospital were admitted. According to the operation time, they were randomly divided into 62 cases in the treatment group (January-June 2018) and 58 cases in the control group (July-December 2017). The control group was given routine continuous rehabilitation care, and the treatment group was given a continuous rehabilitation intervention model based on WeChat. Followed up for three months, the clinical efficacy, urodynamics and quality of life were compared between the two groups. Results Followed-up was performed for three months. The effective rate in the treatment group was significantly higher than in the control group (P < 0.05); the urodynamic indexes of the two groups were significantly higher than those before discharge (P < 0.01), the maximum urine flow, Valsalva leak point pressure, maximum urethral closure pressure, and maximum bladder volume in the treatment group were significantly higher than those in the control group (P < 0.01); the quality of life score of two groups was significantly higher than that of the same group at discharge (P < 0.01), pain, physical strength, appetite, constipation, urination, and overall sensory score were significantly higher than those of the control group (P < 0.01). Conclusion Continuous rehabilitation care based on WeChat is helpful to promote urodynamic recovery of patients with urinary incontinence after radical prostatectomy, improve clinical efficacy, and improve the quality of life of patients.
Key wordsRadical prostatectomy    Urinary incontinence    Rehabilitation care    WeChat    Urodynamics    Quality of life
    
基金资助:江苏省医药卫生科技计划项目(J256484)。
引用本文:   
刘丹 谢婷婷. 基于微信主导的延续性康复干预模式在前列腺癌根治术后尿失禁患者中的应用[J]. 中国医药导报, 2021, 18(17): 181-184.
LIU Dan XIE Tingting. Application of continuous rehabilitation intervention mode based on WeChat in urinary incontinence patients after radical resection of prostate cancer. 中国医药导报, 2021, 18(17): 181-184.
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https://www.yiyaodaobao.com.cn/CN/     或     https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I17/181

 

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