Effect of clinical pathway-guided rapid rehabilitation surgery nursing on recovery after transurethral resection of prostate
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摘要:目的 探讨临床路径引导快速康复外科护理对前列腺电切术后恢复的影响。方法 选取本院接收前列腺电切术的前列腺增生患者128例为研究对象, 随机分为对照组和研究组各64例，均行前列腺电切术。对照组予以常规护理，研究组在对照组基础上予以临床路径引导快速康复外科护理。观察并分析2组患者术后恢复情况、术后并发症发生情况以及护理满意度。结果 研究组患者持续膀胱冲洗时间、尿管留置时间、首次下床活动时间以及首次排气时间均显著短于对照组(P < 0.05); 研究组并发症发生率7.81%显著低于对照组18.75%(P < 0.05); 研究组护理满意度96.87%显著高于对照组81.25%(P < 0.05)。结论 临床路径引导快速康复外科护理对前列腺电切术患者的护理效果更显著，可促进患者术后恢复，降低患者并发症发生率，提高护理满意度。Abstract:Objective To explore the effect of rapid rehabilitation surgery nursing guided by clinical pathway on the recovery of patients after transurethral resection of prostate.Methods A total of 128 benign prostatic hyperplasia patients who underwent transurethral resection of the prostate were selected as study subjects. According to the random number table method, all patients undergoing prostatectomy were divided into control group (64 cases) and study group (64 cases). Patients in the control group were given routine nursing, while those in the study group were given clinical pathway-guided rapid rehabilitation surgical nursing on the basis of the control group. The postoperative recovery, complications and nursing satisfaction of the two groups were observed and compared.Results The duration of continuous bladder irrigation, indwelling time of urinary catheter, time to first ambulation and time to first exhaust in the study group were significantly shorter than those in the control group (P < 0.05). The incidence of complications in the study group was lower than that in the control group (7.81% vs. 18.75%, P < 0.05);the nursing satisfaction in the study group was higher than that in the control group (96.87% vs. 81.25%, P < 0.05).Conclusion The clinical pathway-guided rapid rehabilitation surgery nursing has a more significant effect for patients undergoing transurethral resection of the prostate, and can promote the recovery of patients, reduce the incidence of complications and improve patients′ nursing satisfaction.
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表 1 2组患者术后恢复情况比较(x±s)
组别 持续膀胱冲洗时间/d 尿管留置时间/d 首次下床活动时间/d 首次排气时间/h 对照组(n=64) 4.30±0.72 5.75±0.34 4.32±0.75 35.73±6.81 研究组(n=64) 3.38±0.63* 4.03±0.21* 1.64±0.61* 14.48±4.42* 与对照组比较, *P < 0.05。 
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表 2 2组患者术后并发症发生情况[n(%)]
组别 膀胱痉挛 血尿 尿道狭窄 尿失禁 合计 对照组(n=64) 3(4.69) 4(6.25) 2(3.13) 3(4.69) 12(18.75) 研究组(n=64) 1(1.56) 2(3.13) 1(1.56) 1(1.56) 4(7.81)* 与对照组比较, *P < 0.05。
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表 3 2组患者护理满意度比较[n(%)]
组别 满意 基本满意 不满意 总满意 对照组(n=64) 24(37.50) 28(43.75) 12(18.75) 52(81.25) 研究组(n=64) 41(64.06) 21(32.81) 2(3.13) 62(96.87)* 与对照组比较, *P < 0.05。
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