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目的:探讨康复护理联合温针灸对前列腺癌根治术后尿失禁患者控尿功能及生活质量的影响。方法:将2013年12月至2015年11月泌尿外科收治的前列腺癌根治术后患者78例随机分为两组,每组各39例,对照组予西医常规护理,治疗组予康复护理结合温针灸护理手段,比较术后拔出导尿管6个月内两组患者的临床疗效(采用Cullen压力性尿失禁方法评估控尿功能)、幸福指数(MUNSH量表)及生活质量(采用EORTC QLC-C30中文版量表评价)等指标。结果:治疗组临床总有效率为92.3%,明显高于对照组的76.9%,提示对照组患者控尿功能恢复优于对照组,差异有统计学意义(P<0.05);治疗组主观幸福感总评分高于对照组患者,且随访资料提示治疗组患者生活质量改善情况明显优于对照组,差异均有统计学意义(P<0.05)。结论:康复护理联合温针灸护理手段可有效改善前列腺癌根治术后尿失禁患者的控尿功能,提高术后幸福指数及生活质量,改善前列腺癌患者最终预后。
Objective: To investigate the effects of rehabilitation nursing combined with warm acupuncture on urinary control and quality of life in patients with urinary incontinence after radical prostatectomy. Methods: From December 2013 to November 2015, 78 patients who underwent radical prostatectomy in urology were randomly divided into two groups (39 cases in each group). The control group was given conventional nursing care. The treatment group received rehabilitation nursing combined with warming (Cullen stress urinary incontinence method to evaluate urine control function), happiness index (MUNSH scale) and quality of life (using EORTC QLC -C30 Chinese version of the scale evaluation) and other indicators. Results: The total effective rate of the treatment group was 92.3%, which was significantly higher than that of the control group (76.9%), which indicated that the urine control function recovery of the control group was better than that of the control group (P <0.05); the subjective well-being The total score was higher than that of the control group, and follow-up data suggest that the improvement of quality of life in the treatment group was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion: Rehabilitation nursing combined with warm acupuncture nursing can effectively improve urinary incontinence in patients with prostatectomy, improve postoperative happiness index and quality of life, and improve prognosis of patients with prostate cancer.