个性化护理干预对经尿道前列腺电切术患者应激反应和生活质量的影响

池亚琴1，李桃桃1，周晓凤2

（延安市人民医院：1.泌尿外科；2. 皮肤科，陕西 延安，716000）

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摘要：

目的 探讨个性化护理干预对经尿道前列腺电切术（TURP）患者应激反应和生活质量的影响。方法 选择延安市人民医院泌尿外科2012年3月至2013年12月收治的112例前列腺增生行TURP的患者为研究对象，采用随机数字表法分为观察组和对照组，每组56例。对照组行常规护理，观察组实施个性化护理干预，选择SDS和SAS量表评估两组患者心理应激反应，依照GQOLI-74评定患者的生活质量。结果 护理前，两组患者SAS和SDS评分比较，无显著差异（P>0.05）；护理后，两组患者的SAS和SDS评分均低于护理前，且观察组患者SAS和SDS评分明显低于对照组（P<0.05）。护理前，两组患者的躯体功能、角色功能、情绪功能、社会功能及认知功能评分比较，无显著差异（P>0.05）；护理后，两组的上述指标评分均较护理前明显改善，且观察组的各项评分高于对照组（P<0.05）。结论 针对TURP手术患者进行个性化护理干预可降低患者的心理应激反应，提高患者术后生活质量，适合于临床上推广应用。

关键词：经尿道前列腺电切术；个性化护理；应激反应；生活质量

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2017)21-0175-02

Effect of personalized nursing intervention on stress response and quality of life on transurethral resection of prostate
CHI Ya-qin 1, LI Tao-tao 1, ZHOU Xiao-feng 2
(1. Department of Urology; 2. Department of Dermatology, Yan``an People``s Hospital, Yan``an 716000, China)

ABSTRACT: Objective To explore the effect of personalized nursing intervention on stress response and quality of life in patients with transurethral resection of prostate (TURP). Methods From March 2012 to December 2013, 112 cases of patients with prostatic hyperplasia treated with TURP in the department of urology of Yan``an People``s Hospital were selected as the research objects and randomly divided into observation group and control group, with 56 cases in each group. The control group received routine nursing, the observation group received personalized nursing intervention, the SDS and SAS tables were used to evaluate the patients`` psychological stress response and GQOLI-74 was used to evaluate the quality of life. Results Before nursing, there were no significant differences in SAS and SDS scores between the two groups (P>0.05); after nursing, the SAS and SDS scores in the two groups were lower than those before treatment, and the observation group were significantly lower than the control group (P<0.05). Before nursing, there were no significant differences in body function, role function, emotional function, social function and cognitive function scores between the two groups (P>0.05); after nursing, those indexes above of the two groups significantly improved, and the observation group were significantly higher than the control group (P<0.05). Conclusion Personalized nursing intervention for patients with TURP operation can reduce psychological stress and improve quality of life, which is suitable for clinical application.
KEYWORDS: transurethral resection of prostate; personalized nursing; stress response; quality of life

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