基于Neuman理论的护理干预联合提肛肌锻炼在前列腺癌术后患者中的应用

doi:10.20047/j.issn1673-7210.2023.24.40

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Abstract Objective To explore the application of nursing intervention based on Neuman theory combined with levator ani muscle exercise in patients with prostate cancer after operation. Methods A total of 120 patients with prostate cancer who planned to undergo radical prostatectomy in Nanjing First Hospital from April 2020 to July 2022 were selected as the study objects. According to the random envelope method, the patients were divided into control group and experimental group, with 60 cases in each group. The control group was given conventional nursing combined with levator ani muscle exercise intervention, and the experimental group was given nursing intervention based on Neuman theory. Urodynamic indexes, functional assessment of cancer therapy-prostate (FACT-P), self-rating anxiety scale (SAS), and self-rating depression scale (SDS) scores were compared between the two groups, and the incidence of postoperative complications was compared between the two groups. Results After three months of follow-up, the maximum closed urethral pressure of both groups was higher than that at discharge, and the experimental group was higher than that of the control group (P＜0.05). The maximum urinary flow and maximum bladder capacity of both groups were higher than those at discharge, and the experimental group was higher than that of the control group (P＜0.05). After three months of follow-up, the FACT-P scores of both groups were higher than those at discharge, and the experimental group was higher than that of the control group (P＜0.05). At discharge, the scores of SAS and SDS in both groups were lower than those of before intervention, and the experimental group was lower than that of the control group (P＜0.05). The total incidence of urinary incontinence in experimental group was lower than that in control group (P＜0.05). Conclusion Nursing intervention based on Neuman theory combined with levator ani muscle exercise can improve the urodynamic indicators and emotional state of patients after radical prostatectomy, improve their quality of life, and reduce the incidence of postoperative urinary incontinence.

Key words： Radical prostatectomy Newman theory Levator ani muscle exercise Urodynamics Quality of life

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	SONG Silin YANG Xilan▲

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SONG Silin YANG Xilan▲. Application of nursing intervention based on Neuman theory combined with levator ani muscle exercise in patients with prostate cancer after operation[J]. 中国医药导报, 2023, 20(24): 169-173.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.24.40 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I24/169

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