徐金凤

【摘要】 目的：探讨在前列腺增生伴膀胱结石患者微创手术围术期应用精细化护理模式的效果。方法：选取2017年12月-2018年12月笔者所在医院接收微创手术治疗的前列腺增生伴膀胱结石患者80例，将其随机分为对照组和研究组，各40例。对照组予以常规护理，研究组在对照组基础上应用精细化护理模式。比较两组护理前后心理状态、并发症发生情况。结果：护理后两组BAI、BDI评分均较护理前降低（P<0.05），且研究组均低于对照组，差异有统计学意义（P<0.05）。研究组并发症发生率低于对照组，差异有统计学意义（P<0.05）。结论：在前列腺增生伴膀胱结石患者中应用精细化护理模式，有利于改善患者不良情绪，并可降低并发症发生率。

【关键词】 前列腺增生 膀胱结石 围术期护理 精细化护理模式

doi：10.14033/j.cnki.cfmr.2019.28.041 文献标识码 B 文章编号 1674-6805（2019）28-0-03

Application of Refined Nursing Mode in Perioperative Period of Minimally Invasive Surgery for Patients with Prostatic Hyperplasia and Bladder Stones/XU Jinfeng. //Chinese and Foreign Medical Research， 2019， 17（28）： -102

[Abstract] Objective： To investigate the refined nursing mode in perioperative period of minimally invasive surgery for patients with prostatic hyperplasia and bladder stones. Method： A total of 80 patients with prostatic hyperplasia and bladder stones treated by minimally invasive surgery in our hospital from December 2017 to December 2018 were selected and randomly divided into the control group and the research group， with 40 cases in each group. The control group received routine nursing， while the research group applied the refined nursing mode on the basis of the control group. The psychological status and complications before and after nursing were compared between the two groups. Result： After nursing， the scores of BAI and BDI in the two groups were lower than those before nursing（P< 0.05）， and the scores of the research group were lower than those of the control group， the differences were statistically significant （P<0.05）. The incidence of complications in the research group was lower than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion： The application of refined nursing mode in patients with prostatic hyperplasia and bladder stones is beneficial to improve patients bad mood and reduce the incidence of complications.

[Key words] Prostatic hyperplasia Bladder stones Perioperative nursing Refined nursing mode

First-authors address： The First Peoples Hospital of Guangshui， Guangshui 432700， China

前列腺增生是激素、生長因子、炎症细胞、前列腺间质与腺上皮细胞相互作用引起的疾病，可造成排尿困难、尿频等情况。膀胱结石也是临床常见的泌尿系统疾病，二者可合并发生，对患者的生活质量造成了严重的影响[1-2]。随着微创医学的发展，微创手术以创伤小、疼痛轻、恢复快的优势成为治疗泌尿系统疾病的主流，但作为外科侵入性操作治疗方式，仍会造成一定的应激反应，并有并发症的发生风险，因此需做好围术期的护理措施[3]。精细化护理模式是一种深化护理责任内涵的高质量护理，对于促进疾病好转和患者的恢复有积极的作用[4]。本研究以微创手术治疗的80例前列腺增生伴膀胱结石患者为研究对象，探究在围术期应用精细化护理模式的作用，现报道如下。

1 资料与方法

1.1 一般资料

选取2017年12月-2018年12月笔者所在医院收治的80例微创治疗的前列腺增生伴膀胱结石患……