纪天慧 马艳茹 代杰 李曼

【摘要】 目的：探讨预见性护理对老年前列腺增生患者经尿道前列腺电切术后的影响。方法：选择2018年3-9月在牡丹江医学院附属红旗医院泌尿外科接受手术治疗的90例老年前列腺增生患者作为护理对象。采取随机数字表法将患者分为对照组和观察组，各45例。对照组采取常规护理方法，观察组进行预见性护理。从患者术后并发生发生率、住院时间和护理满意度3个方面对护理效果进行评价。结果：观察组术后并发症发生率低于对照组，住院时间短于对照组，护理满意度高于对照组，差异均有统计学意义（P<0.05）。结论：预见性护理可有效提高老年前列腺增生患者行经尿道前列腺电切术后的康复效果。

【关键词】 预见性护理 老年前列腺增生 经尿道前列腺电切术 康复效果

doi：10.14033/j.cnki.cfmr.2019.29.033 文献标识码 B 文章编号 1674-6805（2019）29-00-02

[Abstract] Objective： To explore the influence of predictive nursing on elderly patients with prostate hyperplasia after transurethral resection of prostate. Method： From March to September 2018， a total of 90 elderly patients with prostate hyperplasia who received surgical treatment in the urology department of Hongqi Hospital Affiliated to Mudanjiang Medical University were selected as nursing objects. The patients were divided into the control group and the observation group by random number table method， 45 cases in each group. The control group received routine nursing and the observation group received predictive nursing. The nursing effect was evaluated from three aspects of incidence of postoperative complications， length of hospital stay and nursing satisfaction. Result： The incidence of postoperative complications in the observation group was lower than that of the control group， and the length of hospital stay was shorter than that of the control group， and the nursing satisfaction was higher than that of the control group， and the differences were statistically significant （P<0.05）. Conclusion： Predictive nursing can effectively improve the rehabilitation effect of elderly patients with prostatic hyperplasia after transurethral resection of prostate.

[Key words] Predictive nursing Hyperplasia of prostate in old age Transurethral resection of prostate Effect of rehabilitation

First-authors address： Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China

前列腺增生症即良性前列腺增生的简称，也称良性前列腺肥大，是泌尿外科常见的疾病之一，且年龄越大，發病率越高[1]。据相关医学统计，在50岁以上的男性人群中，前列腺增生的发病率为50%～70%[2]。在90岁以上的男性人群中，发病率高达90%[3]。患者发病后，典型症状包括尿频、排尿困难和血尿等，对日常的生活和工作带来较为明显的影响[4]。目前，在前列腺增生治疗中采取经尿道前列腺电切术是一种有效的治疗方法，具有手术创伤小和术后不留瘢痕等多种优势，在临床上被广泛应用。对于老年前列腺增生患者，由于年龄偏大等原因，部分患者的术后康复效果并不十分理想。为有效改善此问题，笔者所在医院泌尿外科采取预见性护理方法对术后患者进行有效的护理干预，经护理实践后，取得较为理想的护理效果，将经验总结如下。……