探索在圍術(shù)期對施行腹腔鏡下前列腺癌根治術(shù)的前列腺癌患者進行系統(tǒng)護理干預的臨床效果

[摘要] 目的 探討在圍術(shù)期對施行腹腔鏡下前列腺癌根治術(shù)的前列腺癌患者進行系統(tǒng)護理干預的臨床效果。方法 方便選取2015年10月—2016年10月在該院外科治療的50例前列腺癌行腹腔鏡下前列腺癌根治術(shù)治療的患者，隨機分為兩組，對照組采用圍術(shù)期常規(guī)護理，觀察組采用圍術(shù)期系統(tǒng)護理干預，比較兩組患者的并發(fā)癥發(fā)生率、心理狀態(tài)、生存質(zhì)量及生活質(zhì)量。結(jié)果 觀察組術(shù)后膀胱痙攣、尿失禁、繼發(fā)出血、吻合口狹窄等并發(fā)癥發(fā)生率8.89%明顯低于對照組15.56%，差異有統(tǒng)計學意義（P<0.05）；觀察組干預后SAS、SDS評分分別為（43.29±8.57）分、（42.43±9.67）分明顯優(yōu)于對照組，差異有統(tǒng)計學意義（P<0.05）；觀察組干預后KPS評分及QOL總分分別為（76.56±7.23）分、（50.35±4.63）分均與對照組相比差異有統(tǒng)計學意義（P<0.05）。結(jié)論 在圍術(shù)期對施行腹腔鏡下前列腺癌根治術(shù)的前列腺癌患者進行系統(tǒng)護理干預效果顯著，有利于改善患者心理狀態(tài)，減少并發(fā)癥，提高術(shù)后生存質(zhì)量。

[關(guān)鍵詞] 前列腺癌；腹腔鏡下前列腺癌根治術(shù)；圍術(shù)期；系統(tǒng)護理干預

[中圖分類號] R47 [文獻標識碼] A [文章編號] 1674-0742（2016）12（c）-0163-03

[Abstract] Objective To investigate the clinical effect of systematic nursing intervention on laparoscopic radical resection of prostate cancer in the perioperative period of patients with prostate cancer. Methods Convenient selection the October 2015 -2016 year in October in our hospital for surgical treatment of 50 cases of patients were randomly divided into the treatment of laparoscopic radical prostatectomy for prostate cancer into two groups， the control group using routine perioperative nursing， the observation group with perioperative nursing intervention， compared two groups of patients with complications， quality of life and psychological quality state of survival. Results Bladder spasm， incontinence， bleeding， anastomotic stenosis and other complications occurred in 8.89% patients in the observation group was significantly lower than the control group 15.56%， the difference was statistically significant（P < 0.05）； observation group intervention SAS， SDS scores were（43.29 ± 8.57）points，（42.43 ± 9.67）points was significantly better than the control group， the difference was statistically significant（P<0.05）； observation group intervention KPS score and QOL score were（76.56 ± 7.23）points，（50.35± 4.63）points were statistically significant compared with control group（P < 0.05）. Conclusion Laparoscopic radical surgery for prostate cancer in the perioperative period of patients with prostate cancer the effect of systematic nursing intervention can significantly improve the psychological state， is beneficial to patients， reduce complications and improve the quality of life after surgery.

[Key words] Prostate cancer；Laparoscopic radical prostatectomy； Perioperative period； Systematic nursing intervention

前列腺癌是男性常見惡性腫瘤，近年來發(fā)病呈上升趨勢，其死亡率僅次于肺癌位居第2位。手術(shù)切除仍是臨床主要的治療手段，特別是腹腔鏡技術(shù)的應(yīng)用，大大減少了手術(shù)創(chuàng)傷，利于患者術(shù)后的恢復[1]。但大多數(shù)患者對于本病有較重的思想負擔，對手術(shù)效果存在疑慮，對術(shù)后可能發(fā)生的并發(fā)癥較為擔憂，加之腹腔鏡手術(shù)時間長、對呼吸干擾大，圍術(shù)期有針對性的護理顯得至關(guān)重要[2]。……